Billing code 62264: Epidural adhesiolysisMedicare rate & RVUs
A single-day percutaneous epidural adhesiolysis session uses catheter-based disruption and injectate delivery to address selected epidural scarring associated with persistent spinal pain.
Medicare pays $446.57 for 62264 nationally in the office and $214.10 in a hospital or facility. Local office rates run $399.08–$583.45.
Medicare rate · 62264
Epidural adhesiolysis
- Work RVUs
- 4.31
- Total RVUs
- 13.37
- Global days
- 010
National rate · 2026
$446.57
Office setting, before claim adjustments.
See every locality for 62264 →Billed by an NP, PA or therapist? →
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 10 sections
What 62264 covers
This procedure treats epidural adhesions that may contribute to persistent back or radiating leg pain. A pain-management physician, anesthesiologist, or other physician experienced in spinal interventions advances a catheter into the epidural space, often with fluoroscopic localization, and uses mechanical disruption, injected solution, or both. It is typically performed in an outpatient procedure setting when a one-day adhesiolysis session is planned.
Report 62264 for the single-day treatment course, rather than for each injection or catheter maneuver during that session. The operative note should support the adhesiolysis technique, epidural location, and treatment date; the number of treatment days distinguishes this service from 62263. Related postoperative visits during the 10-day global period are included. 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, and 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.
Where 62264 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$399.08 to $583.45
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $404.41 | $201.00 |
| Alaska* | $531.01 | $283.43 |
| Arizona | $435.60 | $210.34 |
| Arkansas | $399.08 | $199.38 |
| Atlanta | $454.44 | $218.25 |
| Austin | $462.00 | $216.04 |
| Bakersfield | $471.52 | $216.74 |
| Baltimore/Surr. Cntys | $473.26 | $223.82 |
| Beaumont | $419.60 | $208.05 |
| Brazoria | $442.04 | $211.66 |
| Chicago | $467.19 | $233.55 |
| Chico | $470.21 | $215.42 |
| Colorado | $463.69 | $216.35 |
| Connecticut | $474.62 | $224.25 |
| Dallas | $444.72 | $213.18 |
| Dc + Md/Va Suburbs | $507.30 | $233.45 |
| Delaware | $442.41 | $212.73 |
| Detroit | $446.09 | $221.76 |
| East St. Louis | $437.71 | $223.84 |
| El Centro | $470.28 | $215.49 |
| Fort Lauderdale | $461.66 | $226.16 |
| Fort Worth | $442.02 | $212.80 |
| Fresno | $470.21 | $215.42 |
| Galveston | $443.29 | $212.45 |
| Hanford-Corcoran | $470.21 | $215.42 |
| Hawaii, Guam | $480.20 | $215.88 |
| Houston | $450.98 | $220.13 |
| Idaho | $416.09 | $202.22 |
| Indiana | $418.29 | $202.79 |
| Iowa | $413.58 | $200.87 |
| Kansas | $411.91 | $201.75 |
| Kentucky | $413.34 | $206.68 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $500.57 | $225.56 |
| Madera | $470.21 | $215.42 |
| Manhattan | $510.75 | $240.62 |
| Merced | $470.21 | $215.42 |
| Metropolitan Boston | $506.91 | $229.34 |
| Metropolitan Kansas City | $428.64 | $210.35 |
| Metropolitan Philadelphia | $463.70 | $221.70 |
| Metropolitan St. Louis | $432.75 | $211.43 |
| Miami | $479.85 | $237.85 |
| Minnesota | $445.06 | $205.85 |
| Mississippi | $402.80 | $202.64 |
| Modesto | $470.21 | $215.42 |
| Montana** | $446.54 | $214.07 |
| Napa | $540.51 | $234.11 |
| Nebraska | $415.62 | $201.05 |
| Nevada** | $444.52 | $211.81 |
| New Hampshire | $456.65 | $214.65 |
| New Mexico | $425.44 | $212.26 |
| New Orleans | $431.45 | $212.70 |
| North Carolina | $422.17 | $205.28 |
| North Dakota** | $438.24 | $205.77 |
| Northern Nj | $502.77 | $233.10 |
| Nyc Suburbs/Long Island | $522.35 | $245.94 |
| Ohio | $421.58 | $209.33 |
| Oklahoma | $412.56 | $204.97 |
| Oxnard-Thousand Oaks-Ventura | $497.83 | $223.05 |
| Portland | $477.31 | $219.04 |
| Poughkpsie/N Nyc Suburbs | $483.41 | $228.85 |
| Puerto Rico | $449.53 | $214.51 |
| Queens | $514.51 | $239.73 |
| Redding | $470.21 | $215.42 |
| Rest Of California | $470.21 | $215.42 |
| Rest Of Florida | $440.93 | $218.69 |
| Rest Of Georgia | $418.10 | $210.73 |
| Rest Of Illinois | $429.36 | $217.12 |
| Rest Of Louisiana | $412.79 | $207.06 |
| Rest Of Maine | $418.18 | $204.31 |
| Rest Of Maryland | $450.32 | $215.06 |
| Rest Of Massachusetts | $461.32 | $216.53 |
| Rest Of Michigan | $423.27 | $211.03 |
| Rest Of Missouri | $406.38 | $205.99 |
| Rest Of New Jersey | $480.24 | $226.38 |
| Rest Of New York | $427.97 | $207.13 |
| Rest Of Oregon | $441.25 | $209.71 |
| Rest Of Pennsylvania | $422.13 | $208.73 |
| Rest Of Texas | $430.49 | $209.88 |
| Rest Of Washington | $460.38 | $215.59 |
| Rhode Island | $457.31 | $217.17 |
| Riverside-San Bernardino-Ontario | $474.80 | $220.02 |
| Sacramento-Roseville-Folsom | $492.28 | $221.92 |
| Salinas | $490.41 | $220.98 |
| San Diego-Chula Vista-Carlsbad | $501.03 | $222.99 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $570.98 | $243.19 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $570.50 | $242.72 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $583.45 | $248.23 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $581.50 | $246.28 |
| San Luis Obispo-Paso Robles | $482.62 | $217.84 |
| Santa Cruz-Watsonville | $505.13 | $222.68 |
| Santa Maria-Santa Barbara | $492.00 | $220.94 |
| Santa Rosa-Petaluma | $510.18 | $224.70 |
| Seattle (King Cnty) | $516.71 | $231.47 |
| South Carolina | $422.53 | $207.73 |
| South Dakota** | $437.26 | $204.78 |
| Southern Maine | $438.80 | $208.42 |
| Stockton | $470.21 | $215.42 |
| Suburban Chicago | $466.20 | $227.45 |
| Tennessee | $413.81 | $202.50 |
| Utah | $427.82 | $209.30 |
| Vallejo | $539.82 | $233.42 |
| Vermont | $436.75 | $206.61 |
| Virgin Islands | $449.53 | $214.51 |
| Virginia | $437.54 | $209.02 |
| Visalia | $470.21 | $215.42 |
| West Virginia | $414.81 | $212.80 |
| Wisconsin | $424.74 | $202.04 |
| Wyoming** | $442.92 | $210.45 |
| Yuba City | $470.21 | $215.42 |
62264 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.
$399.08
$531.01
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 | $531.01 | 1 |
| AL | $404.41 | 1 |
| AR | $399.08 | 1 |
| AZ | $435.60 | 1 |
| CA | $470.21–$583.45 | 29 |
| CO | $463.69 | 1 |
| CT | $474.62 | 1 |
| DC | $507.30 | 1 |
| DE | $442.41 | 1 |
| FL | $440.93–$479.85 | 3 |
| GA | $418.10–$454.44 | 2 |
| GU | $480.20 | 1 |
| HI | $480.20 | 1 |
| IA | $413.58 | 1 |
| ID | $416.09 | 1 |
| IL | $429.36–$467.19 | 4 |
| IN | $418.29 | 1 |
| KS | $411.91 | 1 |
| KY | $413.34 | 1 |
| LA | $412.79–$431.45 | 2 |
| MA | $461.32–$506.91 | 2 |
| MD | $450.32–$507.30 | 3 |
| ME | $418.18–$438.80 | 2 |
| MI | $423.27–$446.09 | 2 |
| MN | $445.06 | 1 |
| MO | $406.38–$432.75 | 3 |
| MS | $402.80 | 1 |
| MT | $446.54 | 1 |
| NC | $422.17 | 1 |
| ND | $438.24 | 1 |
| NE | $415.62 | 1 |
| NH | $456.65 | 1 |
| NJ | $480.24–$502.77 | 2 |
| NM | $425.44 | 1 |
| NV | $444.52 | 1 |
| NY | $427.97–$522.35 | 5 |
| OH | $421.58 | 1 |
| OK | $412.56 | 1 |
| OR | $441.25–$477.31 | 2 |
| PA | $422.13–$463.70 | 2 |
| PR | $449.53 | 1 |
| RI | $457.31 | 1 |
| SC | $422.53 | 1 |
| SD | $437.26 | 1 |
| TN | $413.81 | 1 |
| TX | $419.60–$462.00 | 8 |
| UT | $427.82 | 1 |
| VA | $437.54–$507.30 | 2 |
| VI | $449.53 | 1 |
| VT | $436.75 | 1 |
| WA | $460.38–$516.71 | 2 |
| WI | $424.74 | 1 |
| WV | $414.81 | 1 |
| WY | $442.92 | 1 |
How the 62264 rate is calculated
Each of 62264’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 · 62264
RVUs × geographic indexes × conversion factor
Work4.31
4.31 RVUs× 1.000 GPCI
Practice expense8.64
8.64 RVUs× 1.000 GPCI
Malpractice0.42
0.42 RVUs× 1.000 GPCI
Adjusted RVUs
13.3700
Conversion factor
$33.4009
Medicare rate
$446.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62264
62264 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62264
Epidural adhesiolysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62264
Epidural adhesiolysis
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62264 without 51 · national office
$446.57
Epidural adhesiolysis
62264-51 · Second procedure: 50%
$223.29
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%).
62264 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62263Epidural adhesiolysis
- Both describe epidural adhesiolysis; 62264 is for a single-day session, while 62263 is for a treatment course across multiple days.
- 62323Lumbar epidural injection
- 62264 involves epidural adhesiolysis using catheter-based disruption, injectate, or both. 62323 describes a lumbar or sacral epidural injection without adhesiolysis.
- 62321Epidural injection
- 62264 is an adhesiolysis service. 62321 is an epidural injection service for the cervical or thoracic region.
62264 billing questions
How do I choose between 62264 and 62263?
Use 62264 for a single-day adhesiolysis treatment. Use 62263 when the treatment course extends across multiple days.
Can 62264 be reported for each injection or catheter maneuver?
No. Report the code for the single-day treatment session, not separately for each injection or maneuver within it.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this procedure.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
What documentation supports reporting 62264?
Document the epidural adhesiolysis technique, the treatment location, and that the service was performed as a single-day session.
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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