CPT code 62305: Myelography, two or more spinal regions2026 Medicare rate & RVUs in South Dakota

Reports lumbar intrathecal contrast administration with radiologic imaging of at least two spinal regions during a myelographic examination.

CMS RVU26DEffective Oct 1, 2026One payment locality3.4K Medicare services in 2024

In South Dakota, Medicare pays $259.66 for 62305 in the office and $100.00 when it’s performed in a hospital or facility.

$259.66Office (non-facility)
$100.00Hospital or facility
−1.8%vs the national office rate ($264.54)

Check a contract rate as a % of Medicare · 62305 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 62305 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 62305 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 62305 covers

This service covers introducing contrast into the spinal fluid through a lumbar puncture and imaging two or more spinal regions to assess the spinal canal and nerve-root sleeves. A radiologist or other qualified physician typically performs and interprets the study in a hospital or imaging center. The service includes radiological supervision and interpretation of the myelogram; it is not an epidural steroid injection or a CT scan alone.

Select this code when the myelographic examination covers at least two spinal regions; use the corresponding single-region code when only one region is examined. Document the lumbar route, regions imaged, and interpretation. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 62305

Across 109 of 109 payment localities, the office rate for 62305 runs from $235.49 in Arkansas to $349.41 in San Benito County, CA. South Dakota pays $259.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

62305 in South Dakota vs other payment areas
  1. South Dakota · this page$259.66
  2. Los Angeles, CA · California$298.27+$38.61
  3. Washington, DC area · District of Columbia$301.66+$42.00
  4. Miami, FL · Florida$283.18+$23.52
  5. Chicago, IL · Illinois$275.49+$15.83
  6. Manhattan, NY · New York$303.01+$43.35
  7. Alaska · Alaska$311.23+$51.57

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

62305 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$238.76$99.06
ArkansasArkansas$235.49$98.35
ArizonaArizona$257.88$103.17
Bakersfield, CACalifornia$280.46$105.48
Chico, CACalifornia$279.77$104.79
El Centro, CACalifornia$279.81$104.83
Fresno, CACalifornia$279.77$104.79
Hanford, CACalifornia$279.77$104.79

62305 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$235.49

$314.59

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
62305 office rate range by state
State / territoryOffice rate rangeLocalities
AK$311.231
AL$238.761
AR$235.491
AZ$257.881
CA$279.77–$349.4129
CO$275.411
CT$281.521
DC$301.661
DE$262.011
FL$260.28–$283.183
GA$246.43–$269.132
GU$286.201
HI$286.201
IA$244.741
ID$246.211
IL$252.95–$275.624
IN$247.571
KS$243.541
KY$243.851
LA$243.45–$254.872
MA$273.84–$301.922
MD$266.87–$301.663
ME$247.30–$260.202
MI$249.76–$263.252
MN$264.601
MO$239.41–$255.883
MS$237.501
MT$264.521
NC$249.781
ND$260.171
NE$246.051
NH$271.031
NJ$284.93–$298.772
NM$251.011
NV$263.491
NY$253.32–$309.885
OH$248.871
OK$243.561
OR$261.63–$283.942
PA$249.31–$274.742
PR$266.411
RI$271.161
SC$249.701
SD$259.661
TN$244.691
TX$247.75–$274.338
UT$252.941
VA$259.30–$301.662
VI$266.411
VT$259.101
WA$273.35–$308.032
WI$251.861
WV$244.031
WY$262.621

See 62305 in every payment locality

How the 62305 rate is calculated

Each of 62305’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 62305

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.29

2.29 RVUs× 1.000 GPCI

Practice expense5.41

5.41 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

7.9200

Conversion factor

$33.4009

Medicare rate

$264.54

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,963

Code
62305
Physician work
2.29
Practice expense
5.41
Malpractice
0.22

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 62305 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.29× 1.0002.2900
Practice expense5.41× 1.0005.4100
Malpractice0.22× 0.3360.0739
Total RVUs7.7739
Conversion factor× 33.4009

Office rate, South Dakota$259.66

Office: (2.29 × 1 + 5.41 × 1 + 0.22 × 0.336) × $33.4009 = $259.66

Facility: (2.29 × 1 + 0.63 × 1 + 0.22 × 0.336) × $33.4009 = $100.00

Open 62305 in the RVU calculator

Payment rules and modifiers for 62305

The CMS indicators that decide how 62305 is paid alongside other services.

CMS payment indicators · 62305

Myelography, two or more spinal regions

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62305 without 51 · national office

$264.54

Myelography, two or more spinal regions

62305-51 · Second procedure: 50%

$132.27

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 62305 has changed in South Dakota

62305 · Office / nonfacility

$259.66

Effective 2026-10-01

The base rate is $2.05 higher than on 2025-10-01, moving from $257.61 to $259.66 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $257.61changed to$259.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.35 changed to 2.29
    • Practice expense RVU 5.53 changed to 5.41
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $269.10changed to$257.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.65 changed to 5.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $264.71changed to$269.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $278.56changed to$264.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.79 changed to 5.65
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $287.68changed to$278.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.89 changed to 5.79
    • Malpractice RVU 0.21 changed to 0.22
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $287.50changed to$287.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.82 changed to 5.89
    • Malpractice RVU 0.20 changed to 0.21

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $281.14changed to$287.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.37 changed to 5.82
    • Malpractice RVU 0.19 changed to 0.20
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $271.07changed to$281.14

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.09 changed to 5.37
    • Malpractice RVU 0.21 changed to 0.19
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $262.50changed to$271.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.86 changed to 5.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $261.38changed to$262.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.85 changed to 4.86
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $261.16changed to$261.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.86 changed to 4.85
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $263.11changed to$261.16

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.28 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $261.80changed to$263.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$261.80

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$259.66$100.00RVU26D
2026-07-01$259.66$100.00RVU26C
2026-04-01$259.66$100.00RVU26B
2026-01-01$259.66$100.00RVU26A
2025-10-01$257.61$113.02RVU25D
2025-07-01$257.61$113.02RVU25C
2025-04-01$257.61$113.02RVU25B
2025-01-01$257.61$113.02RVU25A
2024-10-01$269.10$115.31RVU24D
2024-07-01$269.10$115.31RVU24C
2024-04-01$269.10$115.31RVU24B
2024-03-09$269.10$115.31RVU24AR
2024-01-01$264.71$113.43RVU24A
2023-10-01$278.56$117.59RVU23D
2023-07-01$278.56$117.59RVU23C
2023-04-01$278.56$117.59RVU23B
2023-01-01$278.56$117.59RVU23A
2022-10-01$287.68$119.49RVU22D
2022-07-01$287.68$119.49RVU22C
2022-04-01$287.68$119.49RVU22B
2022-01-01$287.68$119.49RVU22A
2021-10-01$287.50$120.36RVU21D
2021-07-01$287.50$120.36RVU21C
2021-04-01$287.50$120.36RVU21B
2021-01-01$287.50$120.36RVU21A
2020-10-01$281.14$125.23RVU20D
2020-07-01$281.14$125.23RVU20C
2020-04-01$281.14$125.23RVU20B
2020-01-01$281.14$125.23RVU20A
2019-10-01$271.07$125.12RVU19D
2019-07-01$271.07$125.12RVU19C
2019-04-01$271.07$125.12RVU19B
2019-01-01$271.07$125.12RVU19A
2018-10-01$262.50$125.34RVU18D
2018-07-01$262.50$125.34RVU18C
2018-04-01$262.50$125.34RVU18B
2018-01-01$262.50$125.34RVU18AR1
2017-10-01$261.38$126.08RVU17D
2017-07-01$261.38$126.08RVU17C
2017-04-01$261.38$126.08RVU17B
2017-01-01$261.38$126.08RVU17A
2016-10-01$261.16$125.82RVU16D
2016-07-01$261.16$125.82RVU16C
2016-04-01$261.16$125.82RVU16B
2016-01-01$261.16$125.82RVU16A
2015-10-01$263.11$127.64RVU15D
2015-07-01$263.11$127.64RVU15C
2015-04-01$261.80$127.00RVU15B
2015-01-01$261.80$127.00RVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 62305 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

62305 billing questions

When should 62305 be chosen over 62304?

Use 62305 when the myelographic examination covers two or more spinal regions. Use 62304 when it covers the lumbar region alone.

Is the CT scan after myelography included?

The code includes radiological supervision and interpretation of the myelogram, not a separately performed CT examination. Report the appropriate CT spine code when CT imaging is performed and separately supported.

Should modifier 50 be reported for both sides?

No. The service describes a multi-region examination, not a bilateral procedure, so modifier 50 is inappropriate.

How many units should be reported for multiple regions?

Report one unit for the examination covering two or more spinal regions; do not report a separate unit for each region.

What documentation supports this code?

Record the lumbar contrast-administration route, the spinal regions examined, and the radiologist's interpretation. The record should show that the examination covered at least two regions.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 62305PPRRVU2026_Oct_nonQPP.csv, line 6,963 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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