Billing code 62305: MyelographyMedicare rate & RVUs
Reports lumbar intrathecal contrast administration with radiologic imaging of at least two spinal regions during a myelographic examination.
Medicare pays $264.54 for 62305 nationally in the office and $104.88 in a hospital or facility. Local office rates run $235.49–$349.41.
Medicare rate · 62305
Myelography
Swap in your local Medicare rate.
- Work RVUs
- 2.29
- Total RVUs
- 7.92
- Global days
- 000
National rate · 2026
$264.54
Office setting, before claim adjustments.
See every locality for 62305 → · 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 62305 covers
This service covers introducing contrast into the spinal fluid through a lumbar puncture and imaging two or more spinal regions to assess the spinal canal and nerve-root sleeves. A radiologist or other qualified physician typically performs and interprets the study in a hospital or imaging center. The service includes radiological supervision and interpretation of the myelogram; it is not an epidural steroid injection or a CT scan alone.
Select this code when the myelographic examination covers at least two spinal regions; use the corresponding single-region code when only one region is examined. Document the lumbar route, regions imaged, and interpretation. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 62305 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
$235.49 to $349.41
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $238.76 | $99.06 |
| Alaska* | $311.23 | $141.19 |
| Arizona | $257.88 | $103.17 |
| Arkansas | $235.49 | $98.35 |
| Atlanta | $269.13 | $106.92 |
| Austin | $274.33 | $105.41 |
| Bakersfield | $280.46 | $105.48 |
| Baltimore/Surr. Cntys | $280.69 | $109.38 |
| Beaumont | $247.75 | $102.46 |
| Brazoria | $261.90 | $103.68 |
| Chicago | $275.49 | $115.04 |
| Chico | $279.77 | $104.79 |
| Colorado | $275.41 | $105.53 |
| Connecticut | $281.52 | $109.57 |
| Dallas | $263.46 | $104.44 |
| Dc + Md/Va Suburbs | $301.66 | $113.59 |
| Delaware | $262.01 | $104.27 |
| Detroit | $263.25 | $109.18 |
| East St. Louis | $257.53 | $110.65 |
| El Centro | $279.81 | $104.83 |
| Fort Lauderdale | $272.82 | $111.09 |
| Fort Worth | $261.75 | $104.32 |
| Fresno | $279.77 | $104.79 |
| Galveston | $262.62 | $104.08 |
| Hanford-Corcoran | $279.77 | $104.79 |
| Hawaii, Guam | $286.20 | $104.67 |
| Houston | $266.65 | $108.11 |
| Idaho | $246.21 | $99.32 |
| Indiana | $247.57 | $99.57 |
| Iowa | $244.74 | $98.66 |
| Kansas | $243.54 | $99.21 |
| Kentucky | $243.85 | $101.92 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $298.27 | $109.40 |
| Madera | $279.77 | $104.79 |
| Manhattan | $303.01 | $117.49 |
| Merced | $279.77 | $104.79 |
| Metropolitan Boston | $301.92 | $111.29 |
| Metropolitan Kansas City | $253.34 | $103.43 |
| Metropolitan Philadelphia | $274.74 | $108.54 |
| Metropolitan St. Louis | $255.88 | $103.88 |
| Miami | $283.18 | $116.98 |
| Minnesota | $264.60 | $100.32 |
| Mississippi | $237.50 | $100.04 |
| Modesto | $279.77 | $104.79 |
| Montana** | $264.52 | $104.86 |
| Napa | $323.20 | $112.77 |
| Nebraska | $246.05 | $98.69 |
| Nevada** | $263.49 | $103.67 |
| New Hampshire | $271.03 | $104.82 |
| New Mexico | $251.01 | $104.61 |
| New Orleans | $254.87 | $104.64 |
| North Carolina | $249.78 | $100.82 |
| North Dakota** | $260.17 | $100.51 |
| Northern Nj | $298.77 | $113.56 |
| Nyc Suburbs/Long Island | $309.88 | $120.05 |
| Ohio | $248.87 | $103.11 |
| Oklahoma | $243.56 | $100.99 |
| Oxnard-Thousand Oaks-Ventura | $296.79 | $108.08 |
| Portland | $283.94 | $106.56 |
| Poughkpsie/N Nyc Suburbs | $286.69 | $111.86 |
| Puerto Rico | $266.41 | $105.00 |
| Queens | $305.57 | $116.85 |
| Redding | $279.77 | $104.79 |
| Rest Of California | $279.77 | $104.79 |
| Rest Of Florida | $260.28 | $107.65 |
| Rest Of Georgia | $246.43 | $104.02 |
| Rest Of Illinois | $252.95 | $107.19 |
| Rest Of Louisiana | $243.45 | $102.15 |
| Rest Of Maine | $247.30 | $100.42 |
| Rest Of Maryland | $266.87 | $105.29 |
| Rest Of Massachusetts | $273.84 | $105.73 |
| Rest Of Michigan | $249.76 | $104.00 |
| Rest Of Missouri | $239.41 | $101.78 |
| Rest Of New Jersey | $284.93 | $110.59 |
| Rest Of New York | $253.32 | $101.64 |
| Rest Of Oregon | $261.63 | $102.61 |
| Rest Of Pennsylvania | $249.31 | $102.75 |
| Rest Of Texas | $254.61 | $103.09 |
| Rest Of Washington | $273.35 | $105.23 |
| Rhode Island | $271.16 | $106.23 |
| Riverside-San Bernardino-Ontario | $282.18 | $107.20 |
| Sacramento-Roseville-Folsom | $293.33 | $107.65 |
| Salinas | $292.23 | $107.19 |
| San Diego-Chula Vista-Carlsbad | $298.88 | $107.93 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $341.91 | $116.80 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $341.66 | $116.55 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $349.41 | $119.18 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $348.39 | $118.16 |
| San Luis Obispo-Paso Robles | $287.54 | $105.69 |
| Santa Cruz-Watsonville | $301.58 | $107.60 |
| Santa Maria-Santa Barbara | $293.26 | $107.10 |
| Santa Rosa-Petaluma | $304.62 | $108.56 |
| Seattle (King Cnty) | $308.03 | $112.14 |
| South Carolina | $249.70 | $102.18 |
| South Dakota** | $259.66 | $100.00 |
| Southern Maine | $260.20 | $101.98 |
| Stockton | $279.77 | $104.79 |
| Suburban Chicago | $275.62 | $111.66 |
| Tennessee | $244.69 | $99.56 |
| Utah | $252.94 | $102.87 |
| Vallejo | $322.84 | $112.41 |
| Vermont | $259.10 | $101.04 |
| Virgin Islands | $266.41 | $105.00 |
| Virginia | $259.30 | $102.36 |
| Visalia | $279.77 | $104.79 |
| West Virginia | $244.03 | $105.29 |
| Wisconsin | $251.86 | $98.91 |
| Wyoming** | $262.62 | $102.97 |
| Yuba City | $279.77 | $104.79 |
62305 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.
$235.49
$314.59
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 | $311.23 | 1 |
| AL | $238.76 | 1 |
| AR | $235.49 | 1 |
| AZ | $257.88 | 1 |
| CA | $279.77–$349.41 | 29 |
| CO | $275.41 | 1 |
| CT | $281.52 | 1 |
| DC | $301.66 | 1 |
| DE | $262.01 | 1 |
| FL | $260.28–$283.18 | 3 |
| GA | $246.43–$269.13 | 2 |
| GU | $286.20 | 1 |
| HI | $286.20 | 1 |
| IA | $244.74 | 1 |
| ID | $246.21 | 1 |
| IL | $252.95–$275.62 | 4 |
| IN | $247.57 | 1 |
| KS | $243.54 | 1 |
| KY | $243.85 | 1 |
| LA | $243.45–$254.87 | 2 |
| MA | $273.84–$301.92 | 2 |
| MD | $266.87–$301.66 | 3 |
| ME | $247.30–$260.20 | 2 |
| MI | $249.76–$263.25 | 2 |
| MN | $264.60 | 1 |
| MO | $239.41–$255.88 | 3 |
| MS | $237.50 | 1 |
| MT | $264.52 | 1 |
| NC | $249.78 | 1 |
| ND | $260.17 | 1 |
| NE | $246.05 | 1 |
| NH | $271.03 | 1 |
| NJ | $284.93–$298.77 | 2 |
| NM | $251.01 | 1 |
| NV | $263.49 | 1 |
| NY | $253.32–$309.88 | 5 |
| OH | $248.87 | 1 |
| OK | $243.56 | 1 |
| OR | $261.63–$283.94 | 2 |
| PA | $249.31–$274.74 | 2 |
| PR | $266.41 | 1 |
| RI | $271.16 | 1 |
| SC | $249.70 | 1 |
| SD | $259.66 | 1 |
| TN | $244.69 | 1 |
| TX | $247.75–$274.33 | 8 |
| UT | $252.94 | 1 |
| VA | $259.30–$301.66 | 2 |
| VI | $266.41 | 1 |
| VT | $259.10 | 1 |
| WA | $273.35–$308.03 | 2 |
| WI | $251.86 | 1 |
| WV | $244.03 | 1 |
| WY | $262.62 | 1 |
How the 62305 rate is calculated
Each of 62305’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 · 62305
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.29Practice expense 5.41Malpractice 0.22
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62305
The CMS indicators that decide how 62305 is paid alongside other services.
CMS payment indicators · 62305
Myelography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62305 without 51 · national office
$264.54
Myelography
62305-51 · Second procedure: 50%
$132.27
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%).
62305 compared with similar codes
Compare codes
62305 vs 62304 vs 62302 vs 72132: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62304Myelography injection
- 62304 describes myelography limited to the lumbar region. Choose 62305 when the myelographic examination covers at least two spinal regions.
- 62302Myelography
- 62302 is for a cervical-region myelographic examination alone; 62305 is for an examination spanning two or more regions.
- 72132Spine CT
- 72132 reports CT imaging of the lumbar spine with contrast. It is not a substitute for the lumbar contrast administration and myelographic interpretation represented by 62305.
62305 billing questions
When should 62305 be chosen over 62304?
Use 62305 when the myelographic examination covers two or more spinal regions. Use 62304 when it covers the lumbar region alone.
Is the CT scan after myelography included?
The code includes radiological supervision and interpretation of the myelogram, not a separately performed CT examination. Report the appropriate CT spine code when CT imaging is performed and separately supported.
Should modifier 50 be reported for both sides?
No. The service describes a multi-region examination, not a bilateral procedure, so modifier 50 is inappropriate.
How many units should be reported for multiple regions?
Report one unit for the examination covering two or more spinal regions; do not report a separate unit for each region.
What documentation supports this code?
Record the lumbar contrast-administration route, the spinal regions examined, and the radiologist's interpretation. The record should show that the examination covered at least two regions.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing 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
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