Billing code 62282: Neurolytic injectionMedicare rate & RVUs
Reports injection of a neurolytic agent into the subarachnoid space to interrupt pain transmission in selected patients with severe, refractory pain.
Medicare pays $342.36 for 62282 nationally in the office and $129.60 in a hospital or facility. Local office rates run $302.36–$462.15.
Medicare rate · 62282
Neurolytic injection
- Work RVUs
- 2.27
- Total RVUs
- 10.25
- Global days
- 010
National rate · 2026
$342.36
Office setting, before claim adjustments.
See every locality for 62282 →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 62282 covers
This service delivers a neurolytic agent into the subarachnoid space to chemically interrupt pain transmission. It may be considered for selected patients with severe, refractory pain, including cancer-related pain, when a neurolytic approach is planned. Pain medicine physicians, anesthesiologists, or neurosurgeons may perform the procedure in a setting equipped for the patient's clinical needs.
Choose this code when documentation supports the subarachnoid route and neurolytic intent. Codes 62280 and 62281 describe neurolytic treatment by an epidural route, with the spinal level distinguishing those codes. Record the indication, agent, route, and procedure performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple 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; 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 62282 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
$302.36 to $462.15
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $306.87 | $120.71 |
| Alaska* | $393.99 | $167.40 |
| Arizona | $333.30 | $127.14 |
| Arkansas | $302.36 | $119.60 |
| Atlanta | $348.15 | $131.98 |
| Austin | $356.76 | $131.66 |
| Bakersfield | $365.97 | $132.78 |
| Baltimore/Surr. Cntys | $364.18 | $135.88 |
| Beaumont | $318.50 | $124.89 |
| Brazoria | $339.09 | $128.24 |
| Chicago | $353.27 | $139.44 |
| Chico | $365.31 | $132.12 |
| Colorado | $358.34 | $131.96 |
| Connecticut | $365.33 | $136.19 |
| Dallas | $341.01 | $129.09 |
| Dc + Md/Va Suburbs | $393.44 | $142.81 |
| Delaware | $338.92 | $128.71 |
| Detroit | $338.09 | $132.77 |
| East St. Louis | $328.71 | $132.97 |
| El Centro | $365.34 | $132.15 |
| Fort Lauderdale | $351.40 | $135.87 |
| Fort Worth | $338.50 | $128.72 |
| Fresno | $365.31 | $132.12 |
| Galveston | $339.94 | $128.67 |
| Hanford-Corcoran | $365.31 | $132.12 |
| Hawaii, Guam | $374.96 | $133.05 |
| Houston | $343.79 | $132.51 |
| Idaho | $317.90 | $122.16 |
| Indiana | $319.81 | $122.58 |
| Iowa | $316.07 | $121.39 |
| Kansas | $313.97 | $121.63 |
| Kentucky | $312.96 | $123.81 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $390.60 | $138.90 |
| Madera | $365.31 | $132.12 |
| Manhattan | $393.37 | $146.13 |
| Merced | $365.31 | $132.12 |
| Metropolitan Boston | $395.04 | $141.00 |
| Metropolitan Kansas City | $326.37 | $126.58 |
| Metropolitan Philadelphia | $355.72 | $134.23 |
| Metropolitan St. Louis | $329.92 | $127.36 |
| Miami | $363.72 | $142.24 |
| Minnesota | $344.95 | $126.01 |
| Mississippi | $304.45 | $121.26 |
| Modesto | $365.31 | $132.12 |
| Montana** | $342.35 | $129.58 |
| Napa | $426.21 | $145.79 |
| Nebraska | $318.01 | $121.63 |
| Nevada** | $341.45 | $128.47 |
| New Hampshire | $352.12 | $130.64 |
| New Mexico | $322.23 | $127.12 |
| New Orleans | $328.00 | $127.79 |
| North Carolina | $322.44 | $123.93 |
| North Dakota** | $338.19 | $125.43 |
| Northern Nj | $389.14 | $142.33 |
| Nyc Suburbs/Long Island | $402.27 | $149.30 |
| Ohio | $319.84 | $125.58 |
| Oklahoma | $313.03 | $123.03 |
| Oxnard-Thousand Oaks-Ventura | $389.07 | $137.58 |
| Portland | $370.58 | $134.20 |
| Poughkpsie/N Nyc Suburbs | $371.90 | $138.92 |
| Puerto Rico | $345.11 | $130.00 |
| Queens | $397.55 | $146.06 |
| Redding | $365.31 | $132.12 |
| Rest Of California | $365.31 | $132.12 |
| Rest Of Florida | $334.47 | $131.07 |
| Rest Of Georgia | $315.68 | $125.89 |
| Rest Of Illinois | $323.73 | $129.48 |
| Rest Of Louisiana | $312.22 | $123.92 |
| Rest Of Maine | $318.95 | $123.20 |
| Rest Of Maryland | $345.66 | $130.34 |
| Rest Of Massachusetts | $355.90 | $131.86 |
| Rest Of Michigan | $320.69 | $126.43 |
| Rest Of Missouri | $306.36 | $122.96 |
| Rest Of New Jersey | $369.95 | $137.61 |
| Rest Of New York | $327.30 | $125.17 |
| Rest Of Oregon | $339.24 | $127.33 |
| Rest Of Pennsylvania | $320.69 | $125.38 |
| Rest Of Texas | $328.44 | $126.53 |
| Rest Of Washington | $355.42 | $131.38 |
| Rhode Island | $351.61 | $131.82 |
| Riverside-San Bernardino-Ontario | $367.61 | $134.42 |
| Sacramento-Roseville-Folsom | $384.14 | $136.69 |
| Salinas | $382.72 | $136.13 |
| San Diego-Chula Vista-Carlsbad | $392.29 | $137.82 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $452.17 | $152.18 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $451.93 | $151.94 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $462.15 | $155.35 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $461.18 | $154.37 |
| San Luis Obispo-Paso Robles | $376.47 | $134.13 |
| Santa Cruz-Watsonville | $396.49 | $137.99 |
| Santa Maria-Santa Barbara | $384.31 | $136.23 |
| Santa Rosa-Petaluma | $400.55 | $139.28 |
| Seattle (King Cnty) | $403.78 | $142.72 |
| South Carolina | $321.58 | $124.99 |
| South Dakota** | $337.70 | $124.94 |
| Southern Maine | $337.44 | $126.59 |
| Stockton | $365.31 | $132.12 |
| Suburban Chicago | $355.31 | $136.80 |
| Tennessee | $315.49 | $122.09 |
| Utah | $326.07 | $126.07 |
| Vallejo | $425.87 | $145.45 |
| Vermont | $336.30 | $125.66 |
| Virgin Islands | $345.11 | $130.00 |
| Virginia | $335.89 | $126.74 |
| Visalia | $365.31 | $132.12 |
| West Virginia | $311.38 | $126.49 |
| Wisconsin | $326.61 | $122.78 |
| Wyoming** | $340.54 | $127.77 |
| Yuba City | $365.31 | $132.12 |
62282 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.
$302.36
$413.73
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 | $393.99 | 1 |
| AL | $306.87 | 1 |
| AR | $302.36 | 1 |
| AZ | $333.30 | 1 |
| CA | $365.31–$462.15 | 29 |
| CO | $358.34 | 1 |
| CT | $365.33 | 1 |
| DC | $393.44 | 1 |
| DE | $338.92 | 1 |
| FL | $334.47–$363.72 | 3 |
| GA | $315.68–$348.15 | 2 |
| GU | $374.96 | 1 |
| HI | $374.96 | 1 |
| IA | $316.07 | 1 |
| ID | $317.90 | 1 |
| IL | $323.73–$355.31 | 4 |
| IN | $319.81 | 1 |
| KS | $313.97 | 1 |
| KY | $312.96 | 1 |
| LA | $312.22–$328.00 | 2 |
| MA | $355.90–$395.04 | 2 |
| MD | $345.66–$393.44 | 3 |
| ME | $318.95–$337.44 | 2 |
| MI | $320.69–$338.09 | 2 |
| MN | $344.95 | 1 |
| MO | $306.36–$329.92 | 3 |
| MS | $304.45 | 1 |
| MT | $342.35 | 1 |
| NC | $322.44 | 1 |
| ND | $338.19 | 1 |
| NE | $318.01 | 1 |
| NH | $352.12 | 1 |
| NJ | $369.95–$389.14 | 2 |
| NM | $322.23 | 1 |
| NV | $341.45 | 1 |
| NY | $327.30–$402.27 | 5 |
| OH | $319.84 | 1 |
| OK | $313.03 | 1 |
| OR | $339.24–$370.58 | 2 |
| PA | $320.69–$355.72 | 2 |
| PR | $345.11 | 1 |
| RI | $351.61 | 1 |
| SC | $321.58 | 1 |
| SD | $337.70 | 1 |
| TN | $315.49 | 1 |
| TX | $318.50–$356.76 | 8 |
| UT | $326.07 | 1 |
| VA | $335.89–$393.44 | 2 |
| VI | $345.11 | 1 |
| VT | $336.30 | 1 |
| WA | $355.42–$403.78 | 2 |
| WI | $326.61 | 1 |
| WV | $311.38 | 1 |
| WY | $340.54 | 1 |
How the 62282 rate is calculated
Each of 62282’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 · 62282
RVUs × geographic indexes × conversion factor
Work2.27
2.27 RVUs× 1.000 GPCI
Practice expense7.77
7.77 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
10.2500
Conversion factor
$33.4009
Medicare rate
$342.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62282
62282 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62282
Neurolytic injection
| 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 · 62282
Neurolytic injection
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
62282 without 51 · national office
$342.36
Neurolytic injection
62282-51 · Second procedure: 50%
$171.18
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%).
62282 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62280Spinal neurolysis
- Use 62280 for neurolytic treatment through the lumbar or sacral epidural route; 62282 specifies the subarachnoid route.
- 62281Neurolytic injection
- Use 62281 for neurolytic treatment through the cervical or thoracic epidural route; 62282 specifies the subarachnoid route.
- 62323Lumbar epidural injection
- 62323 describes a non-neurolytic injection service. Use 62282 when the documented service uses a neurolytic agent through the subarachnoid route.
62282 billing questions
How does 62282 differ from 62280 and 62281?
62282 is for neurolytic treatment through the subarachnoid route. Codes 62280 and 62281 are for epidural treatment, distinguished by lumbar or sacral versus cervical or thoracic level.
What documentation supports reporting 62282?
Document the pain indication, the neurolytic agent, the subarachnoid route, and the procedure performed. The record should support that the service was intended to interrupt pain transmission.
Can modifier 50 be reported?
No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How is 62282 paid when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
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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