$399.08–$583.45
Choose 62263 for adhesiolysis performed over multiple sessions; 62264 describes the same general treatment completed in one day.
On this page
CMS RVU26D · Effective 2026-10-01
62263 Epidural adhesiolysis Medicare reimbursement rates
Reports fluoroscopically localized lumbar epidural adhesiolysis performed over multiple sessions to treat pain associated with epidural scarring. Compare 62263 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 62263?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$588.66–$890.43
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $301.77 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 62263 pays more and less
109 payment localities
$588.66 to $890.43
Pain management
About 62263: Multi-session lumbar epidural adhesiolysis
Reports fluoroscopically localized lumbar epidural adhesiolysis performed over multiple sessions to treat pain associated with epidural scarring.
This service treats lumbar epidural adhesions that can tether nerve roots and contribute to persistent pain, often after spine surgery. A pain medicine physician, anesthesiologist, or other qualified proceduralist advances an epidural catheter toward the adhesions and delivers solutions as part of a staged treatment course. Fluoroscopic localization, including contrast when used, is part of the service. The sessions are spread over more than one day, unlike the single-day service in the same code family.
Report 62263 once for the multi-session course, not once for each injection or visit. The record should support the lumbar adhesions being treated, catheter placement and localization, the solutions used, and the staged treatment. Medicare includes related postoperative visits for 10 days in the global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 62263
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.88 · 25%
- Practice expense (office) RVU14.56 · 73%
- Malpractice RVU0.46 · 2%
264
Medicare services in 2024 · #4092 by national volume
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.
62263 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$241.03–$369.32
62323 reports a lumbar or sacral epidural injection for medication delivery. It does not represent the staged catheter-based treatment of epidural adhesions reported with 62263.
$155.24–$218.40
62273 is an epidural blood patch, commonly used to treat a cerebrospinal fluid leak. It is not a treatment for epidural adhesions.
See how rates vary across the country
62263 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$588.66
$798.72
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $770.89 | 1 |
| AL | $597.22 | 1 |
| AR | $588.66 | 1 |
| AZ | $647.39 | 1 |
| CA | $707.01–$890.43 | 29 |
| CO | $694.39 | 1 |
| CT | $708.61 | 1 |
| DC | $761.78 | 1 |
| DE | $658.11 | 1 |
| FL | $651.01–$708.11 | 3 |
| GA | $615.11–$676.04 | 2 |
| GU | $724.83 | 1 |
| HI | $724.83 | 1 |
| IA | $614.08 | 1 |
| ID | $617.68 | 1 |
| IL | $631.02–$690.81 | 4 |
| IN | $621.28 | 1 |
| KS | $610.37 | 1 |
| KY | $609.39 | 1 |
| LA | $608.11–$638.07 | 2 |
| MA | $689.94–$764.02 | 2 |
| MD | $670.88–$761.78 | 3 |
| ME | $619.96–$654.63 | 2 |
| MI | $624.35–$658.20 | 2 |
| MN | $667.96 | 1 |
| MO | $597.17–$641.37 | 3 |
| MS | $593.07 | 1 |
| MT | $664.65 | 1 |
| NC | $626.55 | 1 |
| ND | $655.55 | 1 |
| NE | $617.67 | 1 |
| NH | $682.70 | 1 |
| NJ | $717.43–$753.80 | 2 |
| NM | $627.40 | 1 |
| NV | $662.60 | 1 |
| NY | $635.80–$780.19 | 5 |
| OH | $622.49 | 1 |
| OK | $609.22 | 1 |
| OR | $658.17–$717.33 | 2 |
| PA | $623.95–$690.52 | 2 |
| PR | $669.80 | 1 |
| RI | $682.16 | 1 |
| SC | $625.41 | 1 |
| SD | $654.48 | 1 |
| TN | $613.31 | 1 |
| TX | $619.82–$691.46 | 8 |
| UT | $633.93 | 1 |
| VA | $651.89–$761.78 | 2 |
| VI | $669.80 | 1 |
| VT | $652.22 | 1 |
| WA | $688.90–$780.41 | 2 |
| WI | $633.62 | 1 |
| WV | $607.59 | 1 |
| WY | $660.68 | 1 |
Compare 62263 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $597.22 | Facility $276.61 |
| Alaska* | Office $770.89 | Facility $380.66 |
| Arizona | Office $647.39 | Facility $292.34 |
| Arkansas | Office $588.66 | Facility $273.91 |
| Atlanta | Office $676.04 | Facility $303.77 |
| Austin | Office $691.46 | Facility $303.80 |
| Bakersfield | Office $708.45 | Facility $306.87 |
| Baltimore/Surr. Cntys | Office $706.43 | Facility $313.27 |
| Beaumont | Office $619.82 | Facility $286.39 |
| Brazoria | Office $658.22 | Facility $295.11 |
| Chicago | Office $688.15 | Facility $319.91 |
| Chico | Office $707.01 | Facility $305.42 |
| Colorado | Office $694.39 | Facility $304.54 |
| Connecticut | Office $708.61 | Facility $313.99 |
| Dallas | Office $662.02 | Facility $297.08 |
| Dc + Md/Va Suburbs | Office $761.78 | Facility $330.15 |
| Delaware | Office $658.11 | Facility $296.09 |
| Detroit | Office $658.20 | Facility $304.61 |
| East St. Louis | Office $641.35 | Facility $304.26 |
| El Centro | Office $707.08 | Facility $305.50 |
| Fort Lauderdale | Office $683.41 | Facility $312.24 |
| Fort Worth | Office $657.35 | Facility $296.08 |
| Fresno | Office $707.01 | Facility $305.42 |
| Galveston | Office $659.93 | Facility $296.09 |
| Hanford-Corcoran | Office $707.01 | Facility $305.42 |
| Hawaii, Guam | Office $724.83 | Facility $308.23 |
| Houston | Office $668.35 | Facility $304.51 |
| Idaho | Office $617.68 | Facility $280.58 |
| Indiana | Office $621.28 | Facility $281.62 |
| Iowa | Office $614.08 | Facility $278.81 |
| Kansas | Office $610.37 | Facility $279.14 |
| Kentucky | Office $609.39 | Facility $283.65 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $755.19 | Facility $321.73 |
| Madera | Office $707.01 | Facility $305.42 |
| Manhattan | Office $762.90 | Facility $337.13 |
| Merced | Office $707.01 | Facility $305.42 |
| Metropolitan Boston | Office $764.02 | Facility $326.53 |
| Metropolitan Kansas City | Office $634.66 | Facility $290.60 |
| Metropolitan Philadelphia | Office $690.52 | Facility $309.09 |
| Metropolitan St. Louis | Office $641.37 | Facility $292.55 |
| Miami | Office $708.11 | Facility $326.68 |
| Minnesota | Office $667.96 | Facility $290.93 |
| Mississippi | Office $593.07 | Facility $277.59 |
| Modesto | Office $707.01 | Facility $305.42 |
| Montana** | Office $664.65 | Facility $298.24 |
| Napa | Office $822.04 | Facility $339.11 |
| Nebraska | Office $617.67 | Facility $279.48 |
| Nevada** | Office $662.60 | Facility $295.82 |
| New Hampshire | Office $682.70 | Facility $301.27 |
| New Mexico | Office $627.40 | Facility $291.41 |
| New Orleans | Office $638.07 | Facility $293.28 |
| North Carolina | Office $626.55 | Facility $284.69 |
| North Dakota** | Office $655.55 | Facility $289.14 |
| Northern Nj | Office $753.80 | Facility $328.77 |
| Nyc Suburbs/Long Island | Office $780.19 | Facility $344.53 |
| Ohio | Office $622.49 | Facility $287.96 |
| Oklahoma | Office $609.22 | Facility $282.01 |
| Oxnard-Thousand Oaks-Ventura | Office $751.96 | Facility $318.87 |
| Portland | Office $717.33 | Facility $310.25 |
| Poughkpsie/N Nyc Suburbs | Office $721.44 | Facility $320.22 |
| Puerto Rico | Office $669.80 | Facility $299.36 |
| Queens | Office $770.41 | Facility $337.32 |
| Redding | Office $707.01 | Facility $305.42 |
| Rest Of California | Office $707.01 | Facility $305.42 |
| Rest Of Florida | Office $651.01 | Facility $300.72 |
| Rest Of Georgia | Office $615.11 | Facility $288.27 |
| Rest Of Illinois | Office $631.02 | Facility $296.49 |
| Rest Of Louisiana | Office $608.11 | Facility $283.84 |
| Rest Of Maine | Office $619.96 | Facility $282.87 |
| Rest Of Maryland | Office $670.88 | Facility $300.08 |
| Rest Of Massachusetts | Office $689.94 | Facility $304.11 |
| Rest Of Michigan | Office $624.35 | Facility $289.82 |
| Rest Of Missouri | Office $597.17 | Facility $281.32 |
| Rest Of New Jersey | Office $717.43 | Facility $317.31 |
| Rest Of New York | Office $635.80 | Facility $287.71 |
| Rest Of Oregon | Office $658.17 | Facility $293.23 |
| Rest Of Pennsylvania | Office $623.95 | Facility $287.59 |
| Rest Of Texas | Office $638.39 | Facility $290.66 |
| Rest Of Washington | Office $688.90 | Facility $303.07 |
| Rhode Island | Office $682.16 | Facility $303.66 |
| Riverside-San Bernardino-Ontario | Office $712.04 | Facility $310.46 |
| Sacramento-Roseville-Folsom | Office $742.69 | Facility $316.55 |
| Salinas | Office $739.93 | Facility $315.26 |
| San Diego-Chula Vista-Carlsbad | Office $757.85 | Facility $319.63 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $871.24 | Facility $354.61 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $870.72 | Facility $354.08 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $890.43 | Facility $362.07 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $888.29 | Facility $359.93 |
| San Luis Obispo-Paso Robles | Office $727.92 | Facility $310.58 |
| Santa Cruz-Watsonville | Office $765.53 | Facility $320.34 |
| Santa Maria-Santa Barbara | Office $742.84 | Facility $315.61 |
| Santa Rosa-Petaluma | Office $773.32 | Facility $323.37 |
| Seattle (King Cnty) | Office $780.41 | Facility $330.83 |
| South Carolina | Office $625.41 | Facility $286.85 |
| South Dakota** | Office $654.48 | Facility $288.07 |
| Southern Maine | Office $654.63 | Facility $291.52 |
| Stockton | Office $707.01 | Facility $305.42 |
| Suburban Chicago | Office $690.81 | Facility $314.51 |
| Tennessee | Office $613.31 | Facility $280.24 |
| Utah | Office $633.93 | Facility $289.51 |
| Vallejo | Office $821.28 | Facility $338.36 |
| Vermont | Office $652.22 | Facility $289.48 |
| Virgin Islands | Office $669.80 | Facility $299.36 |
| Virginia | Office $651.89 | Facility $291.71 |
| Visalia | Office $707.01 | Facility $305.42 |
| West Virginia | Office $607.59 | Facility $289.18 |
| Wisconsin | Office $633.62 | Facility $282.60 |
| Wyoming** | Office $660.68 | Facility $294.28 |
| Yuba City | Office $707.01 | Facility $305.42 |
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62263 billing questions
When should 62263 be chosen instead of 62264?
Use 62263 when lumbar epidural adhesiolysis is performed over multiple sessions. Use 62264 when the treatment is completed in a single day.
How many units should be reported for the treatment course?
Report one unit of 62263 for the multi-session course, rather than a unit for each injection or session.
Can fluoroscopic guidance be billed separately?
Radiologic localization, including contrast when performed, is included in 62263. Do not separately report fluoroscopic guidance for that same localization.
Does modifier 50 apply when adhesiolysis is performed on both sides?
No. Medicare's bilateral adjustment does not apply to 62263, and modifier 50 is inappropriate for this service.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure's payment.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 62263. Co-surgeons and team surgery are not permitted for this service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,94062252,TC,Csf shunt reprogram,A,,0.00,1.62,,1.62,NA,0.01,1.63,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
6,94162256,,Remove brain cavity shunt,A,,7.20,8.98,NA,8.98,,2.98,19.16,19.16,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94262258,,Replace brain cavity shunt,A,,15.25,11.77,NA,11.77,,6.07,33.09,33.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94362263,,Epidural lysis mult sessions,A,,4.88,14.56,,3.59,,0.46,19.90,8.93,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94462264,,Epidural lysis on single day,A,,4.31,8.64,,1.68,,0.42,13.37,6.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94562267,,Interdiscal perq aspir dx,A,,2.93,4.49,,0.78,,0.33,7.75,4.04,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94662268,,Drain spinal cord cyst,A,,4.61,2.98,NA,2.98,,1.94,9.53,9.53,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00