No office rate
Choose 62269 for needle collection of spinal cord tissue. Choose 62268 when the procedure aspirates a spinal cord cyst or syrinx.
On this page
CMS RVU26D · Effective 2026-10-01
62269 Spinal cord biopsy Medicare reimbursement rates
Percutaneous spinal cord biopsy obtains tissue from a cord abnormality when a diagnostic specimen is needed rather than cerebrospinal fluid or disc material. Compare 62269 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 62269?
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
No supported rate
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 62269 pays more and less
Neurologic procedure
About 62269: Percutaneous spinal cord needle biopsy
Percutaneous spinal cord biopsy obtains tissue from a cord abnormality when a diagnostic specimen is needed rather than cerebrospinal fluid or disc material.
CPT 62269 represents needle sampling of spinal cord tissue for diagnostic examination. The procedure is intended to obtain tissue from a cord abnormality, rather than cerebrospinal fluid or intervertebral disc material. A neurosurgeon or another physician experienced in spinal procedures typically performs it in a facility setting, with the specimen submitted for pathologic evaluation. CMS recorded facility services for this code in 2024 and no office services.
Report the code when the procedure and documentation support needle collection of spinal cord tissue; document the target and the sampling performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 62269
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.88 · 73%
- Practice expense (office) RVU1.31 · 20%
- Malpractice RVU0.46 · 7%
25
Medicare services in 2024 · #5800 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.
62269 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$144.01–$215.96
62270 is a diagnostic lumbar puncture for cerebrospinal fluid collection; 62269 obtains spinal cord tissue.
$232.37–$330.79
62267 targets an intervertebral disc for percutaneous aspiration. 62269 targets spinal cord tissue.
See how rates vary across the country
62269 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 62269 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 Unavailable | Facility $209.98 |
| Alaska* | Office Unavailable | Facility $299.56 |
| Arizona | Office Unavailable | Facility $218.55 |
| Arkansas | Office Unavailable | Facility $208.49 |
| Atlanta | Office Unavailable | Facility $226.39 |
| Austin | Office Unavailable | Facility $223.23 |
| Bakersfield | Office Unavailable | Facility $223.41 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $231.56 |
| Beaumont | Office Unavailable | Facility $217.09 |
| Brazoria | Office Unavailable | Facility $219.65 |
| Chicago | Office Unavailable | Facility $243.37 |
| Chico | Office Unavailable | Facility $221.96 |
| Colorado | Office Unavailable | Facility $223.51 |
| Connecticut | Office Unavailable | Facility $231.97 |
| Dallas | Office Unavailable | Facility $221.23 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $240.44 |
| Delaware | Office Unavailable | Facility $220.85 |
| Detroit | Office Unavailable | Facility $231.12 |
| East St. Louis | Office Unavailable | Facility $234.20 |
| El Centro | Office Unavailable | Facility $222.04 |
| Fort Lauderdale | Office Unavailable | Facility $235.10 |
| Fort Worth | Office Unavailable | Facility $220.99 |
| Fresno | Office Unavailable | Facility $221.96 |
| Galveston | Office Unavailable | Facility $220.47 |
| Hanford-Corcoran | Office Unavailable | Facility $221.96 |
| Hawaii, Guam | Office Unavailable | Facility $221.64 |
| Houston | Office Unavailable | Facility $228.89 |
| Idaho | Office Unavailable | Facility $210.52 |
| Indiana | Office Unavailable | Facility $211.02 |
| Iowa | Office Unavailable | Facility $209.13 |
| Kansas | Office Unavailable | Facility $210.29 |
| Kentucky | Office Unavailable | Facility $215.95 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $231.64 |
| Madera | Office Unavailable | Facility $221.96 |
| Manhattan | Office Unavailable | Facility $248.64 |
| Merced | Office Unavailable | Facility $221.96 |
| Metropolitan Boston | Office Unavailable | Facility $235.60 |
| Metropolitan Kansas City | Office Unavailable | Facility $219.09 |
| Metropolitan Philadelphia | Office Unavailable | Facility $229.81 |
| Metropolitan St. Louis | Office Unavailable | Facility $220.05 |
| Miami | Office Unavailable | Facility $247.40 |
| Minnesota | Office Unavailable | Facility $212.57 |
| Mississippi | Office Unavailable | Facility $212.02 |
| Modesto | Office Unavailable | Facility $221.96 |
| Montana** | Office Unavailable | Facility $222.09 |
| Napa | Office Unavailable | Facility $238.74 |
| Nebraska | Office Unavailable | Facility $209.19 |
| Nevada** | Office Unavailable | Facility $219.59 |
| New Hampshire | Office Unavailable | Facility $221.99 |
| New Mexico | Office Unavailable | Facility $221.57 |
| New Orleans | Office Unavailable | Facility $221.62 |
| North Carolina | Office Unavailable | Facility $213.64 |
| North Dakota** | Office Unavailable | Facility $212.99 |
| Northern Nj | Office Unavailable | Facility $240.43 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $253.98 |
| Ohio | Office Unavailable | Facility $218.43 |
| Oklahoma | Office Unavailable | Facility $214.01 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $228.85 |
| Portland | Office Unavailable | Facility $225.65 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $236.83 |
| Puerto Rico | Office Unavailable | Facility $222.37 |
| Queens | Office Unavailable | Facility $247.30 |
| Redding | Office Unavailable | Facility $221.96 |
| Rest Of California | Office Unavailable | Facility $221.96 |
| Rest Of Florida | Office Unavailable | Facility $227.92 |
| Rest Of Georgia | Office Unavailable | Facility $220.34 |
| Rest Of Illinois | Office Unavailable | Facility $226.96 |
| Rest Of Louisiana | Office Unavailable | Facility $216.44 |
| Rest Of Maine | Office Unavailable | Facility $212.81 |
| Rest Of Maryland | Office Unavailable | Facility $223.01 |
| Rest Of Massachusetts | Office Unavailable | Facility $223.92 |
| Rest Of Michigan | Office Unavailable | Facility $220.29 |
| Rest Of Missouri | Office Unavailable | Facility $215.68 |
| Rest Of New Jersey | Office Unavailable | Facility $234.15 |
| Rest Of New York | Office Unavailable | Facility $215.36 |
| Rest Of Oregon | Office Unavailable | Facility $217.38 |
| Rest Of Pennsylvania | Office Unavailable | Facility $217.68 |
| Rest Of Texas | Office Unavailable | Facility $218.39 |
| Rest Of Washington | Office Unavailable | Facility $222.88 |
| Rhode Island | Office Unavailable | Facility $225.00 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $226.99 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $227.99 |
| Salinas | Office Unavailable | Facility $227.00 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $228.54 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $247.23 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $246.71 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $252.26 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $250.12 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $223.84 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $227.82 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $226.81 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $229.85 |
| Seattle (King Cnty) | Office Unavailable | Facility $237.39 |
| South Carolina | Office Unavailable | Facility $216.49 |
| South Dakota** | Office Unavailable | Facility $211.91 |
| Southern Maine | Office Unavailable | Facility $216.05 |
| Stockton | Office Unavailable | Facility $221.96 |
| Suburban Chicago | Office Unavailable | Facility $236.30 |
| Tennessee | Office Unavailable | Facility $211.02 |
| Utah | Office Unavailable | Facility $217.92 |
| Vallejo | Office Unavailable | Facility $237.99 |
| Vermont | Office Unavailable | Facility $214.09 |
| Virgin Islands | Office Unavailable | Facility $222.37 |
| Virginia | Office Unavailable | Facility $216.86 |
| Visalia | Office Unavailable | Facility $221.96 |
| West Virginia | Office Unavailable | Facility $223.01 |
| Wisconsin | Office Unavailable | Facility $209.65 |
| Wyoming** | Office Unavailable | Facility $218.12 |
| Yuba City | Office Unavailable | Facility $221.96 |
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62269 billing questions
How is 62269 different from 62268?
62269 obtains spinal cord tissue for diagnosis. 62268 is used to aspirate a spinal cord cyst or syrinx rather than obtain a tissue biopsy.
Should 62269 be used for a lumbar puncture?
No. A lumbar puncture collects cerebrospinal fluid; 62269 describes needle sampling of spinal cord tissue.
Can modifier 50 be reported?
No. The CMS bilateral adjustment is unavailable for this code, and modifier 50 is inappropriate for the descriptor or anatomy.
What same-day care is included in the global period?
The 0-day global period includes preoperative and postoperative care provided on the procedure date.
When is an assistant at surgery payable?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 62269?
Document that a needle was used to obtain spinal cord tissue, including the target and the sampling performed. The record should distinguish tissue sampling from CSF collection or disc aspiration.
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.
6,94462264,,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
6,94762269,,Needle biopsy spinal cord,A,,4.88,1.31,NA,1.31,,0.46,6.65,6.65,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94862270,,Dx lmbr spi pnxr,A,,1.19,3.46,,0.28,,0.29,4.94,1.76,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94962272,,Ther spi pnxr drg csf,A,,1.54,4.48,,0.53,,0.47,6.49,2.54,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95062273,,Inject epidural patch,A,,2.10,2.84,,0.75,,0.21,5.15,3.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00