CPT code 62329: Therapeutic spinal puncture, fluoroscopic or CT guidance2026 Medicare rate & RVUs in Nebraska

Report this service when a clinician drains cerebrospinal fluid through a spinal puncture for therapeutic purposes using fluoroscopic or CT guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality2.5K Medicare services in 2024

In Nebraska, Medicare pays $251.21 for 62329 in the office and $84.43 when it’s performed in a hospital or facility.

$251.21Office (non-facility)
$84.43Hospital or facility
−8.2%vs the national office rate ($273.55)

Check a contract rate as a % of Medicare · 62329 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 62329 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 62329 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 62329 covers

This service involves placing a needle or catheter into the spinal canal to drain cerebrospinal fluid for treatment, with fluoroscopy or CT used to guide placement. A typical clinical use is therapeutic drainage to reduce elevated CSF pressure, such as in a patient with idiopathic intracranial hypertension. Radiologists, neurologists, and other clinicians who perform image-guided spinal procedures may provide it in a hospital or outpatient setting.

Select this code when the puncture is performed to drain CSF therapeutically and imaging guidance is used; a diagnostic CSF sample alone points to a different service. The record should identify the therapeutic reason, the drainage performed, and the imaging guidance used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery 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 62329

Across 109 of 109 payment localities, the office rate for 62329 runs from $240.29 in Arkansas to $361.92 in San Benito County, CA. Nebraska pays $251.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

62329 in Nebraska vs other payment areas
  1. Nebraska · this page$251.21
  2. Los Angeles, CA · California$308.16+$56.95
  3. Washington, DC area · District of Columbia$313.29+$62.08
  4. Miami, FL · Florida$299.45+$48.24
  5. Chicago, IL · Illinois$290.13+$38.92
  6. Manhattan, NY · New York$316.34+$65.13
  7. Alaska · Alaska$314.09+$62.88

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

Every other payment area

62329 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$244.01$85.90
ArkansasArkansas$240.29$85.07
ArizonaArizona$265.80$90.71
Bakersfield, CACalifornia$289.03$90.98
Chico, CACalifornia$288.04$90.00
El Centro, CACalifornia$288.10$90.06
Fresno, CACalifornia$288.04$90.00
Hanford, CACalifornia$288.04$90.00

62329 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.

$240.29

$324.98

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

View every state and territory as a table
62329 office rate range by state
State / territoryOffice rate rangeLocalities
AK$314.091
AL$244.011
AR$240.291
AZ$265.801
CA$288.04–$361.9229
CO$284.311
CT$292.401
DC$313.291
DE$270.351
FL$270.82–$299.453
GA$254.66–$279.232
GU$295.451
HI$295.451
IA$249.871
ID$251.731
IL$263.11–$290.134
IN$253.261
KS$248.961
KY$250.831
LA$250.55–$263.602
MA$282.61–$312.952
MD$275.60–$313.293
ME$253.48–$267.482
MI$258.03–$274.722
MN$271.001
MO$246.24–$264.183
MS$243.301
MT$273.531
NC$256.221
ND$266.611
NE$251.211
NH$280.121
NJ$295.34–$309.832
NM$259.661
NV$271.801
NY$260.29–$324.805
OH$256.621
OK$250.001
OR$269.30–$293.342
PA$256.86–$285.022
PR$275.531
RI$280.011
SC$256.921
SD$265.791
TN$250.331
TX$255.11–$283.718
UT$260.621
VA$266.79–$313.292
VI$275.531
VT$265.821
WA$281.99–$319.152
WI$257.241
WV$252.951
WY$270.511

See 62329 in every payment locality

How the 62329 rate is calculated

Each of 62329’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 · 62329

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.98

1.98 RVUs× 1.000 GPCI

Practice expense5.86

5.86 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

8.1900

Conversion factor

$33.4009

Medicare rate

$273.55

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

6,973

Code
62329
Physician work
1.98
Practice expense
5.86
Malpractice
0.35

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office calculation for 62329 in Nebraska
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0001.9800
Practice expense5.86× 0.9235.4088
Malpractice0.35× 0.3780.1323
Total RVUs7.5211
Conversion factor× 33.4009

Office rate, Nebraska$251.21

Office: (1.98 × 1 + 5.86 × 0.923 + 0.35 × 0.378) × $33.4009 = $251.21

Facility: (1.98 × 1 + 0.45 × 0.923 + 0.35 × 0.378) × $33.4009 = $84.43

Open 62329 in the RVU calculator

Payment rules and modifiers for 62329

The CMS indicators that decide how 62329 is paid alongside other services.

CMS payment indicators · 62329

Therapeutic spinal puncture, fluoroscopic or CT guidance

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

62329 without 51 · national office

$273.55

Therapeutic spinal puncture, fluoroscopic or CT guidance

62329-51 · Second procedure: 50%

$136.78

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 62329 has changed in Nebraska

62329 · Office / nonfacility

$251.21

Effective 2026-10-01

The base rate is $20.45 higher than on 2025-10-01, moving from $230.76 to $251.21 (8.9%).

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

    $230.76changed to$251.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 5.47 changed to 5.86
    • Malpractice RVU 0.29 changed to 0.35
    • Practice expense GPCI 0.917 changed to 0.923
    • Malpractice GPCI 0.304 changed to 0.378

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $238.49changed to$230.76

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.50 changed to 5.47
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $234.60changed to$238.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $263.46changed to$234.60

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.18 changed to 5.50
    • Malpractice RVU 0.38 changed to 0.30
    • Practice expense GPCI 0.913 changed to 0.917
    • Malpractice GPCI 0.269 changed to 0.304
  5. January 1, 2023

    RVU23A

    $286.08changed to$263.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.76 changed to 6.18
    • Malpractice RVU 0.42 changed to 0.38
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.235 changed to 0.269

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $303.19changed to$286.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.22 changed to 6.76
    • Malpractice RVU 0.44 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $298.34changed to$303.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.73 changed to 7.22
    • Malpractice RVU 0.43 changed to 0.44
    • Practice expense GPCI 0.909 changed to 0.908
    • Malpractice GPCI 0.277 changed to 0.235

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$298.34

    Held through RVU20B, RVU20C, RVU20D.

  9. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$251.21$84.43RVU26D
2026-07-01$251.21$84.43RVU26C
2026-04-01$251.21$84.43RVU26B
2026-01-01$251.21$84.43RVU26A
2025-10-01$230.76$91.95RVU25D
2025-07-01$230.76$91.95RVU25C
2025-04-01$230.76$91.95RVU25B
2025-01-01$230.76$91.95RVU25A
2024-10-01$238.49$93.81RVU24D
2024-07-01$238.49$93.81RVU24C
2024-04-01$238.49$93.81RVU24B
2024-03-09$238.49$93.81RVU24AR
2024-01-01$234.60$92.28RVU24A
2023-10-01$263.46$97.01RVU23D
2023-07-01$263.46$97.01RVU23C
2023-04-01$263.46$97.01RVU23B
2023-01-01$263.46$97.01RVU23A
2022-10-01$286.08$99.43RVU22D
2022-07-01$286.08$99.43RVU22C
2022-04-01$286.08$99.43RVU22B
2022-01-01$286.08$99.43RVU22A
2021-10-01$303.19$100.42RVU21D
2021-07-01$303.19$100.42RVU21C
2021-04-01$303.19$100.42RVU21B
2021-01-01$303.19$100.42RVU21A
2020-10-01$298.34$103.80RVU20D
2020-07-01$298.34$103.80RVU20C
2020-04-01$298.34$103.80RVU20B
2020-01-01$298.34$103.80RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
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 62329 for an earlier date of service

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

Browse all communities in Nebraska

62329 billing questions

How does this differ from 62328?

62329 is for therapeutic CSF drainage; 62328 is for a diagnostic spinal puncture with imaging guidance. Choose based on the purpose of the puncture, not simply whether CSF is collected.

How does this differ from 62272?

Both describe therapeutic CSF drainage, but 62329 includes fluoroscopic or CT guidance. 62272 is the counterpart when the therapeutic puncture is performed without that imaging guidance.

Can imaging guidance be reported separately?

Fluoroscopic or CT guidance is part of 62329. The record should support the guidance used as part of the puncture service.

What documentation supports therapeutic rather than diagnostic intent?

Document the clinical reason for CSF drainage, the therapeutic drainage performed, and the use of fluoroscopic or CT guidance. A diagnostic workup or CSF sampling by itself does not establish therapeutic intent.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and the other procedures are paid at 50%. The service has a 0-day global period, with same-day preoperative and postoperative care included.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 62329. Co-surgeons and team surgery 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 62329PPRRVU2026_Oct_nonQPP.csv, line 6,973 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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