CPT code 62328: Lumbar puncture, diagnostic, with imaging2026 Medicare rate & RVUs in Nebraska
Reports a diagnostic lumbar puncture performed with fluoroscopic or CT guidance to obtain cerebrospinal fluid for laboratory analysis.
In Nebraska, Medicare pays $199.92 for 62328 in the office and $68.89 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 62328 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 62328 covers
This service is a diagnostic lumbar puncture in which fluoroscopy or CT guides needle placement into the lumbar thecal sac to collect cerebrospinal fluid. Radiologists, including neuroradiologists, commonly perform it in a hospital imaging department or an outpatient imaging setting. A typical indication is obtaining CSF for laboratory evaluation when image guidance is needed, such as after a difficult or unsuccessful bedside attempt or when patient anatomy makes landmark-based access challenging.
Report the code when the purpose is diagnostic CSF collection and fluoroscopy or CT is used to guide the puncture. The record should identify the diagnostic purpose, imaging guidance, CSF collection, and relevant procedural details. Guidance is part of this service; distinguish it from a therapeutic puncture for CSF drainage and from lumbar access for myelography. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery payment 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 Nebraska compares for 62328
Across 109 of 109 payment localities, the office rate for 62328 runs from $190.95 in Arkansas to $286.47 in San Benito County, CA. Nebraska pays $199.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nebraska · this page$199.92
- Los Angeles, CA · California$243.72+$43.80
- Washington, DC area · District of Columbia$246.39+$46.47
- Miami, FL · Florida$230.90+$30.98
- Chicago, IL · Illinois$224.38+$24.46
- Manhattan, NY · New York$247.35+$47.43
- Alaska · Alaska$250.90+$50.98
Other areas in Nebraska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $193.70 | $69.49 |
| ArkansasArkansas | $190.95 | $69.01 |
| ArizonaArizona | $209.83 | $72.27 |
| Bakersfield, CACalifornia | $228.84 | $73.26 |
| Chico, CACalifornia | $228.29 | $72.71 |
| El Centro, CACalifornia | $228.32 | $72.74 |
| Fresno, CACalifornia | $228.29 | $72.71 |
| Hanford, CACalifornia | $228.29 | $72.71 |
| Madera, CACalifornia | $228.29 | $72.71 |
| Merced, CACalifornia | $228.29 | $72.71 |
| Modesto, CACalifornia | $228.29 | $72.71 |
| Napa, CACalifornia | $264.68 | $77.59 |
| Oxnard, CACalifornia | $242.59 | $74.80 |
| Redding, CACalifornia | $228.29 | $72.71 |
| Rest of CaliforniaCalifornia | $228.29 | $72.71 |
| Riverside, CACalifornia | $230.25 | $74.67 |
| Sacramento, CACalifornia | $239.61 | $74.52 |
| Salinas, CACalifornia | $238.72 | $74.19 |
| San Diego, CACalifornia | $244.36 | $74.58 |
| Marin County, CACalifornia | $280.27 | $80.11 |
| San Francisco, CACalifornia | $280.06 | $79.91 |
| San Benito County, CACalifornia | $286.47 | $81.77 |
| Santa Clara County, CACalifornia | $285.64 | $80.94 |
| San Luis Obispo, CACalifornia | $234.87 | $73.18 |
| Santa Cruz, CACalifornia | $246.72 | $74.25 |
| Santa Maria, CACalifornia | $239.62 | $74.10 |
| Santa Rosa, CACalifornia | $249.22 | $74.90 |
| Stockton, CACalifornia | $228.29 | $72.71 |
| Vallejo, CACalifornia | $264.39 | $77.29 |
| Visalia, CACalifornia | $228.29 | $72.71 |
| Yuba City, CACalifornia | $228.29 | $72.71 |
| ColoradoColorado | $224.59 | $73.55 |
| ConnecticutConnecticut | $229.61 | $76.72 |
| DelawareDelaware | $213.28 | $73.02 |
| Fort Lauderdale, FLFlorida | $222.28 | $78.48 |
| Rest of FloridaFlorida | $211.73 | $76.02 |
| Atlanta, GAGeorgia | $219.26 | $75.04 |
| Rest of GeorgiaGeorgia | $200.07 | $73.45 |
| Hawaii, Guam, HIHawaii | $233.86 | $72.46 |
| IowaIowa | $198.81 | $68.92 |
| IdahoIdaho | $200.03 | $69.43 |
| East St. Louis, ILIllinois | $209.29 | $78.70 |
| Rest of IllinoisIllinois | $205.51 | $75.91 |
| Suburban Chicago, ILIllinois | $224.60 | $78.82 |
| IndianaIndiana | $201.18 | $69.59 |
| KansasKansas | $197.77 | $69.44 |
| KentuckyKentucky | $197.94 | $71.75 |
| New Orleans, LALouisiana | $207.23 | $73.65 |
| Rest of LouisianaLouisiana | $197.59 | $71.96 |
| Metropolitan Boston, MAMassachusetts | $246.77 | $77.27 |
| Rest of MassachusettsMassachusetts | $223.23 | $73.75 |
| Baltimore area, MDMaryland | $228.93 | $76.61 |
| Rest of MarylandMaryland | $217.34 | $73.69 |
| Rest of MaineMaine | $200.93 | $70.33 |
| Southern Maine, MEMaine | $211.84 | $71.16 |
| Detroit, MIMichigan | $214.21 | $77.22 |
| Rest of MichiganMichigan | $202.90 | $73.30 |
| MinnesotaMinnesota | $215.64 | $69.57 |
| Metropolitan Kansas City, MOMissouri | $205.97 | $72.67 |
| Metropolitan St. Louis, MOMissouri | $208.10 | $72.96 |
| Rest of MissouriMissouri | $194.17 | $71.80 |
| MississippiMississippi | $192.60 | $70.38 |
| MontanaMontana | $215.42 | $73.47 |
| North CarolinaNorth Carolina | $203.02 | $70.57 |
| North DakotaNorth Dakota | $211.86 | $69.91 |
| New HampshireNew Hampshire | $220.96 | $73.18 |
| Northern New JerseyNew Jersey | $243.88 | $79.21 |
| Rest of New JerseyNew Jersey | $232.35 | $77.34 |
| New MexicoNew Mexico | $203.95 | $73.78 |
| NevadaNevada | $214.58 | $72.49 |
| NYC suburbs and Long Island, NYNew York | $253.11 | $84.33 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $233.77 | $78.33 |
| Queens, NYNew York | $249.55 | $81.76 |
| Rest of New YorkNew York | $206.00 | $71.15 |
| OhioOhio | $202.17 | $72.57 |
| OklahomaOklahoma | $197.73 | $70.96 |
| Portland, OROregon | $231.78 | $74.07 |
| Rest of OregonOregon | $213.04 | $71.65 |
| Metropolitan Philadelphia, PAPennsylvania | $223.88 | $76.11 |
| Rest of PennsylvaniaPennsylvania | $202.56 | $72.25 |
| Puerto RicoPuerto Rico | $217.03 | $73.51 |
| Rhode IslandRhode Island | $220.91 | $74.27 |
| South CarolinaSouth Carolina | $202.91 | $71.74 |
| South DakotaSouth Dakota | $211.44 | $69.49 |
| TennesseeTennessee | $198.73 | $69.70 |
| Austin, TXTexas | $223.74 | $73.55 |
| Beaumont, TXTexas | $201.24 | $72.06 |
| Brazoria, TXTexas | $213.19 | $72.51 |
| Dallas, TXTexas | $214.48 | $73.09 |
| Fort Worth, TXTexas | $213.03 | $73.06 |
| Galveston, TXTexas | $213.78 | $72.82 |
| Houston, TXTexas | $217.08 | $76.12 |
| Rest of TexasTexas | $207.05 | $72.34 |
| UtahUtah | $205.64 | $72.21 |
| VirginiaVirginia | $211.07 | $71.53 |
| Virgin Islands, VIUnited States Virgin Islands | $217.03 | $73.51 |
| VermontVermont | $210.94 | $70.40 |
| Rest of WashingtonWashington | $222.84 | $73.36 |
| King County, WAWashington | $251.88 | $77.71 |
| WisconsinWisconsin | $204.85 | $68.86 |
| West VirginiaWest Virginia | $197.99 | $74.63 |
| WyomingWyoming | $213.87 | $71.92 |
62328 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.
$190.95
$257.38
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $250.90 | 1 |
| AL | $193.70 | 1 |
| AR | $190.95 | 1 |
| AZ | $209.83 | 1 |
| CA | $228.29–$286.47 | 29 |
| CO | $224.59 | 1 |
| CT | $229.61 | 1 |
| DC | $246.39 | 1 |
| DE | $213.28 | 1 |
| FL | $211.73–$230.90 | 3 |
| GA | $200.07–$219.26 | 2 |
| GU | $233.86 | 1 |
| HI | $233.86 | 1 |
| IA | $198.81 | 1 |
| ID | $200.03 | 1 |
| IL | $205.51–$224.60 | 4 |
| IN | $201.18 | 1 |
| KS | $197.77 | 1 |
| KY | $197.94 | 1 |
| LA | $197.59–$207.23 | 2 |
| MA | $223.23–$246.77 | 2 |
| MD | $217.34–$246.39 | 3 |
| ME | $200.93–$211.84 | 2 |
| MI | $202.90–$214.21 | 2 |
| MN | $215.64 | 1 |
| MO | $194.17–$208.10 | 3 |
| MS | $192.60 | 1 |
| MT | $215.42 | 1 |
| NC | $203.02 | 1 |
| ND | $211.86 | 1 |
| NE | $199.92 | 1 |
| NH | $220.96 | 1 |
| NJ | $232.35–$243.88 | 2 |
| NM | $203.95 | 1 |
| NV | $214.58 | 1 |
| NY | $206.00–$253.11 | 5 |
| OH | $202.17 | 1 |
| OK | $197.73 | 1 |
| OR | $213.04–$231.78 | 2 |
| PA | $202.56–$223.88 | 2 |
| PR | $217.03 | 1 |
| RI | $220.91 | 1 |
| SC | $202.91 | 1 |
| SD | $211.44 | 1 |
| TN | $198.73 | 1 |
| TX | $201.24–$223.74 | 8 |
| UT | $205.64 | 1 |
| VA | $211.07–$246.39 | 2 |
| VI | $217.03 | 1 |
| VT | $210.94 | 1 |
| WA | $222.84–$251.88 | 2 |
| WI | $204.85 | 1 |
| WV | $197.99 | 1 |
| WY | $213.87 | 1 |
How the 62328 rate is calculated
Each of 62328’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 · 62328
RVUs × geographic indexes × conversion factor
Work1.69
1.69 RVUs× 1.000 GPCI
Practice expense4.58
4.58 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
6.4500
Conversion factor
$33.4009
Medicare rate
$215.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nebraska inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,972
- Code
- 62328
- Physician work
- 1.69
- Practice expense
- 4.58
- Malpractice
- 0.18
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.69 | × 1.000 | 1.6900 |
| Practice expense | 4.58 | × 0.923 | 4.2273 |
| Malpractice | 0.18 | × 0.378 | 0.0680 |
| Total RVUs | 5.9854 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nebraska$199.92
Office: (1.69 × 1 + 4.58 × 0.923 + 0.18 × 0.378) × $33.4009 = $199.92
Facility: (1.69 × 1 + 0.33 × 0.923 + 0.18 × 0.378) × $33.4009 = $68.89
Payment rules and modifiers for 62328
The CMS indicators that decide how 62328 is paid alongside other services.
CMS payment indicators · 62328
Lumbar puncture, diagnostic, with imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62328 without 51 · national office
$215.44
Lumbar puncture, diagnostic, with imaging
62328-51 · Second procedure: 50%
$107.72
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%).
How 62328 has changed in Nebraska
62328 · Office / nonfacility
$199.92
Effective 2026-10-01
The base rate is $3.87 higher than on 2025-10-01, moving from $196.05 to $199.92 (2.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$196.05changed to$199.92
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.73 changed to 1.69
- Practice expense RVU 4.67 changed to 4.58
- Malpractice RVU 0.16 changed to 0.18
- Practice expense GPCI 0.917 changed to 0.923
- Malpractice GPCI 0.304 changed to 0.378
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$203.99changed to$196.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.74 changed to 4.67
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$200.66changed to$203.99
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$215.98changed to$200.66
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.03 changed to 4.74
- Malpractice RVU 0.19 changed to 0.17
- Practice expense GPCI 0.913 changed to 0.917
- Malpractice GPCI 0.269 changed to 0.304
January 1, 2023
RVU23A
$228.83changed to$215.98
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.32 changed to 5.03
- Malpractice RVU 0.22 changed to 0.19
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.235 changed to 0.269
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$243.16changed to$228.83
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.71 changed to 5.32
- Malpractice RVU 0.23 changed to 0.22
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$242.97changed to$243.16
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.43 changed to 5.71
- Malpractice RVU 0.24 changed to 0.23
- Practice expense GPCI 0.909 changed to 0.908
- Malpractice GPCI 0.277 changed to 0.235
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$242.97
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $199.92 | $68.89 | RVU26D |
| 2026-07-01 | $199.92 | $68.89 | RVU26C |
| 2026-04-01 | $199.92 | $68.89 | RVU26B |
| 2026-01-01 | $199.92 | $68.89 | RVU26A |
| 2025-10-01 | $196.05 | $76.52 | RVU25D |
| 2025-07-01 | $196.05 | $76.52 | RVU25C |
| 2025-04-01 | $196.05 | $76.52 | RVU25B |
| 2025-01-01 | $196.05 | $76.52 | RVU25A |
| 2024-10-01 | $203.99 | $78.23 | RVU24D |
| 2024-07-01 | $203.99 | $78.23 | RVU24C |
| 2024-04-01 | $203.99 | $78.23 | RVU24B |
| 2024-03-09 | $203.99 | $78.23 | RVU24AR |
| 2024-01-01 | $200.66 | $76.96 | RVU24A |
| 2023-10-01 | $215.98 | $79.85 | RVU23D |
| 2023-07-01 | $215.98 | $79.85 | RVU23C |
| 2023-04-01 | $215.98 | $79.85 | RVU23B |
| 2023-01-01 | $215.98 | $79.85 | RVU23A |
| 2022-10-01 | $228.83 | $81.14 | RVU22D |
| 2022-07-01 | $228.83 | $81.14 | RVU22C |
| 2022-04-01 | $228.83 | $81.14 | RVU22B |
| 2022-01-01 | $228.83 | $81.14 | RVU22A |
| 2021-10-01 | $243.16 | $81.89 | RVU21D |
| 2021-07-01 | $243.16 | $81.89 | RVU21C |
| 2021-04-01 | $243.16 | $81.89 | RVU21B |
| 2021-01-01 | $243.16 | $81.89 | RVU21A |
| 2020-10-01 | $242.97 | $85.17 | RVU20D |
| 2020-07-01 | $242.97 | $85.17 | RVU20C |
| 2020-04-01 | $242.97 | $85.17 | RVU20B |
| 2020-01-01 | $242.97 | $85.17 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nebraska rate applies
Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.
- Abie
- Adams
- Agnew
- Ainsworth
- Albion
- Alda
- Alexandria
- Allen
62328 billing questions
When should this code be used instead of 62270?
Use this code for a diagnostic lumbar puncture performed with fluoroscopic or CT guidance. Code 62270 describes a diagnostic lumbar puncture without imaging guidance.
Can imaging guidance be billed separately?
Fluoroscopic or CT guidance is part of this service. Do not report a separate guidance service for the same puncture.
How does this differ from 62329?
This code is for diagnostic CSF collection. Code 62329 is for a guided spinal puncture performed to drain CSF therapeutically.
Is modifier 50 appropriate for bilateral punctures?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be paid for this service?
CMS applies a statutory restriction to assistant-at-surgery payment and does not permit co-surgeon or team-surgery payment for this code.
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
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