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CMS RVU26D · Effective 2026-10-01

62280 in Austin

Office / nonfacility

$337.20

Base rate per service

Facility setting

$137.90

Base rate per service

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.

Pain management

About 62280: Percutaneous spinal intrathecal neurolysis

Report 62280 for percutaneous delivery of a neurolytic agent into the spinal subarachnoid space to intentionally interrupt pain transmission.

Code 62280 represents percutaneous delivery of a neurolytic agent into the spinal subarachnoid space to intentionally interrupt pain transmission. It is used for selected cases of severe, difficult-to-control pain, including cancer-related pain, when chemical neurolysis is the planned treatment. Physicians who manage complex pain and perform intrathecal procedures typically provide this service. It is distinct from routine epidural steroid or anesthetic injections.

The record should support the treatment purpose, the intrathecal target, the neurolytic agent, and the procedure performed. The 10-day global period includes related postoperative visits during that period. 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 for this code. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 62280

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 RVU2.56 · 26%
  • Practice expense (office) RVU6.90 · 71%
  • Malpractice RVU0.26 · 3%

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.

62280 compared with similar codes

Office rates for Austin, from the same CMS release.

62281

Neurolytic injection

Cervical or thoracic epidural

$256.22

Choose 62281 for neurolytic treatment in the cervical or thoracic epidural space. Code 62280 targets the spinal subarachnoid space.

62282

Neurolytic injection

Subarachnoid route

$356.76

Choose 62282 for neurolytic treatment in the lumbar or sacral epidural space. Code 62280 describes intrathecal rather than epidural treatment.

62270

Lumbar puncture

Diagnostic, no imaging guidance

$170.68

Code 62270 is for a diagnostic lumbar puncture to obtain cerebrospinal fluid. Code 62280 is for therapeutic intrathecal neurolysis, not diagnostic fluid collection.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 62280 is $303.30—$33.90 lower than the $337.20 rate in Austin. Both use the same code, release and participation basis.

62280 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $337.20

  2. Beaumont

    $303.30

    $33.90 lower than Austin

  3. Brazoria

    $321.36

    $15.84 lower than Austin

  4. Dallas

    $323.27

    $13.93 lower than Austin

  5. Fort Worth

    $321.08

    $16.12 lower than Austin

  6. Galveston

    $322.23

    $14.97 lower than Austin

  7. Houston

    $326.99

    $10.21 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 62280 ranges from $287.95 in Arkansas to $431.90 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 62280

    Office

    $312.06

    Facility

    $133.29

    $25.14 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 62280

    Office

    $367.42

    Facility

    $144.57

    $30.22 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62280

    Office

    $371.28

    Facility

    $149.37

    $34.08 higher than Austin for the office setting.

  • Miami

    Florida · 62280

    Office

    $347.38

    Facility

    $151.28

    $10.18 higher than Austin for the office setting.

  • Chicago

    Illinois · 62280

    Office

    $337.65

    Facility

    $148.33

    $0.45 higher than Austin for the office setting.

  • Manhattan

    New York · 62280

    Office

    $372.55

    Facility

    $153.65

    $35.35 higher than Austin for the office setting.

  • Alaska*

    Alaska · 62280

    Office

    $378.49

    Facility

    $177.87

    $41.29 higher than Austin for the office setting.

  • Alabama

    Alabama · 62280

    Office

    $292.08

    Facility

    $127.25

    $45.12 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 62280

    Office

    $287.95

    Facility

    $126.13

    $49.25 lower than Austin for the office setting.

  • Arizona

    Arizona · 62280

    Office

    $316.26

    Facility

    $133.72

    $20.94 lower than Austin for the office setting.

  • Bakersfield

    California · 62280

    Office

    $345.01

    Facility

    $138.54

    $7.81 higher than Austin for the office setting.

  • Chico

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • El Centro

    California · 62280

    Office

    $344.25

    Facility

    $137.78

    $7.05 higher than Austin for the office setting.

  • Fresno

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Madera

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Merced

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Modesto

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Napa

    California · 62280

    Office

    $399.06

    Facility

    $150.77

    $61.86 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62280

    Office

    $365.72

    Facility

    $143.06

    $28.52 higher than Austin for the office setting.

  • Redding

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Rest Of California

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62280

    Office

    $347.04

    Facility

    $140.58

    $9.84 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62280

    Office

    $361.27

    Facility

    $142.18

    $24.07 higher than Austin for the office setting.

  • Salinas

    California · 62280

    Office

    $359.92

    Facility

    $141.59

    $22.72 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62280

    Office

    $368.42

    Facility

    $143.11

    $31.22 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62280

    Office

    $422.57

    Facility

    $156.96

    $85.37 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 62280

    Office

    $422.28

    Facility

    $156.66

    $85.08 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 62280

    Office

    $431.90

    Facility

    $160.25

    $94.70 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 62280

    Office

    $430.69

    Facility

    $159.05

    $93.49 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62280

    Office

    $354.12

    Facility

    $139.55

    $16.92 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 62280

    Office

    $371.97

    Facility

    $143.09

    $34.77 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 62280

    Office

    $361.28

    Facility

    $141.63

    $24.08 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 62280

    Office

    $375.74

    Facility

    $144.41

    $38.54 higher than Austin for the office setting.

  • Stockton

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Vallejo

    California · 62280

    Office

    $398.63

    Facility

    $150.35

    $61.43 higher than Austin for the office setting.

  • Visalia

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Yuba City

    California · 62280

    Office

    $344.21

    Facility

    $137.74

    $7.01 higher than Austin for the office setting.

  • Colorado

    Colorado · 62280

    Office

    $338.53

    Facility

    $138.09

    $1.33 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 62280

    Office

    $345.94

    Facility

    $143.05

    $8.74 higher than Austin for the office setting.

  • Delaware

    Delaware · 62280

    Office

    $321.44

    Facility

    $135.32

    $15.76 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 62280

    Office

    $334.67

    Facility

    $143.84

    $2.53 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 62280

    Office

    $318.88

    Facility

    $138.79

    $18.32 lower than Austin for the office setting.

  • Atlanta

    Georgia · 62280

    Office

    $330.35

    Facility

    $138.95

    $6.85 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 62280

    Office

    $301.43

    Facility

    $133.40

    $35.77 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 62280

    Office

    $352.57

    Facility

    $138.39

    $15.37 higher than Austin for the office setting.

  • Iowa

    Iowa · 62280

    Office

    $299.83

    Facility

    $127.46

    $37.37 lower than Austin for the office setting.

  • Idaho

    Idaho · 62280

    Office

    $301.64

    Facility

    $128.33

    $35.56 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 62280

    Office

    $315.03

    Facility

    $141.71

    $22.17 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 62280

    Office

    $309.50

    Facility

    $137.50

    $27.70 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 62280

    Office

    $338.18

    Facility

    $144.71

    $0.98 higher than Austin for the office setting.

  • Indiana

    Indiana · 62280

    Office

    $303.37

    Facility

    $128.74

    $33.83 lower than Austin for the office setting.

  • Kansas

    Kansas · 62280

    Office

    $298.22

    Facility

    $127.93

    $38.98 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 62280

    Office

    $298.34

    Facility

    $130.87

    $38.86 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 62280

    Office

    $312.24

    Facility

    $134.97

    $24.96 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 62280

    Office

    $297.79

    Facility

    $131.07

    $39.41 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 62280

    Office

    $371.92

    Facility

    $146.99

    $34.72 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62280

    Office

    $336.48

    Facility

    $138.11

    $0.72 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62280

    Office

    $344.91

    Facility

    $142.77

    $7.71 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 62280

    Office

    $327.57

    Facility

    $136.92

    $9.63 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 62280

    Office

    $302.94

    Facility

    $129.63

    $34.26 lower than Austin for the office setting.

  • Southern Maine

    Maine · 62280

    Office

    $319.38

    Facility

    $132.69

    $17.82 lower than Austin for the office setting.

  • Detroit

    Michigan · 62280

    Office

    $322.55

    Facility

    $140.76

    $14.65 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 62280

    Office

    $305.73

    Facility

    $133.73

    $31.47 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 62280

    Office

    $325.23

    Facility

    $131.38

    $11.97 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 62280

    Office

    $310.40

    Facility

    $133.51

    $26.80 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 62280

    Office

    $313.61

    Facility

    $134.27

    $23.59 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 62280

    Office

    $292.63

    Facility

    $130.24

    $44.57 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 62280

    Office

    $290.36

    Facility

    $128.16

    $46.84 lower than Austin for the office setting.

  • Montana**

    Montana · 62280

    Office

    $324.64

    Facility

    $136.26

    $12.56 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 62280

    Office

    $306.08

    Facility

    $130.32

    $31.12 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 62280

    Office

    $319.50

    Facility

    $131.12

    $17.70 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 62280

    Office

    $301.51

    Facility

    $127.63

    $35.69 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 62280

    Office

    $333.02

    Facility

    $136.92

    $4.18 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 62280

    Office

    $367.51

    Facility

    $148.99

    $30.31 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 62280

    Office

    $350.12

    Facility

    $144.41

    $12.92 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 62280

    Office

    $307.27

    Facility

    $134.53

    $29.93 lower than Austin for the office setting.

  • Nevada**

    Nevada · 62280

    Office

    $323.44

    Facility

    $134.87

    $13.76 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62280

    Office

    $381.13

    Facility

    $157.14

    $43.93 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62280

    Office

    $352.22

    Facility

    $145.95

    $15.02 higher than Austin for the office setting.

  • Queens

    New York · 62280

    Office

    $375.91

    Facility

    $153.25

    $38.71 higher than Austin for the office setting.

  • Rest Of New York

    New York · 62280

    Office

    $310.55

    Facility

    $131.59

    $26.65 lower than Austin for the office setting.

  • Ohio

    Ohio · 62280

    Office

    $304.68

    Facility

    $132.68

    $32.52 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 62280

    Office

    $298.06

    Facility

    $129.84

    $39.14 lower than Austin for the office setting.

  • Portland

    Oregon · 62280

    Office

    $349.38

    Facility

    $140.09

    $12.18 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 62280

    Office

    $321.16

    Facility

    $133.53

    $16.04 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62280

    Office

    $337.32

    Facility

    $141.22

    $0.12 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62280

    Office

    $305.28

    Facility

    $132.35

    $31.92 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 62280

    Office

    $327.06

    Facility

    $136.61

    $10.14 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 62280

    Office

    $332.95

    Facility

    $138.35

    $4.25 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 62280

    Office

    $305.84

    Facility

    $131.77

    $31.36 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 62280

    Office

    $318.89

    Facility

    $130.51

    $18.31 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 62280

    Office

    $299.66

    Facility

    $128.43

    $37.54 lower than Austin for the office setting.

  • Utah

    Utah · 62280

    Office

    $309.94

    Facility

    $132.86

    $27.26 lower than Austin for the office setting.

  • Virginia

    Virginia · 62280

    Office

    $318.19

    Facility

    $133.01

    $19.01 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62280

    Office

    $327.06

    Facility

    $136.61

    $10.14 lower than Austin for the office setting.

  • Vermont

    Vermont · 62280

    Office

    $318.06

    Facility

    $131.56

    $19.14 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 62280

    Office

    $335.91

    Facility

    $137.54

    $1.29 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 62280

    Office

    $379.66

    Facility

    $148.52

    $42.46 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 62280

    Office

    $308.97

    Facility

    $128.50

    $28.23 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 62280

    Office

    $298.21

    Facility

    $134.51

    $38.99 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 62280

    Office

    $322.40

    Facility

    $134.02

    $14.80 lower than Austin for the office setting.

See how rates vary across the country

62280 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$287.95

$388.05

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$378.491
AL$292.081
AR$287.951
AZ$316.261
CA$344.21–$431.9029
CO$338.531
CT$345.941
DC$371.281
DE$321.441
FL$318.88–$347.383
GA$301.43–$330.352
GU$352.571
HI$352.571
IA$299.831
ID$301.641
IL$309.50–$338.184
IN$303.371
KS$298.221
KY$298.341
LA$297.79–$312.242
MA$336.48–$371.922
MD$327.57–$371.283
ME$302.94–$319.382
MI$305.73–$322.552
MN$325.231
MO$292.63–$313.613
MS$290.361
MT$324.641
NC$306.081
ND$319.501
NE$301.511
NH$333.021
NJ$350.12–$367.512
NM$307.271
NV$323.441
NY$310.55–$381.135
OH$304.681
OK$298.061
OR$321.16–$349.382
PA$305.28–$337.322
PR$327.061
RI$332.951
SC$305.841
SD$318.891
TN$299.661
TX$303.30–$337.208
UT$309.941
VA$318.19–$371.282
VI$327.061
VT$318.061
WA$335.91–$379.662
WI$308.971
WV$298.211
WY$322.401

Explore 62280 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 62280 in Austin, the physician’s office rate is $337.20 and the facility-setting rate is $137.90: a difference of $199.30.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 62280 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$370.92

$337.20 × 110% = $370.92

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 62280 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,951

Code
62280
Physician work
2.56
Practice expense
6.90
Malpractice
0.26

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 62280 in Austin
ComponentRVULocality factorAdjusted
Physician work2.56× 1.0022.5651
Practice expense6.90× 1.0587.3002
Malpractice0.26× 0.8860.2304
Total RVUs10.0957
Conversion factor× 33.4009

Office / nonfacility rate, Austin$337.20

Open 62280 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.561.002
Practice expense6.91.058
Malpractice0.260.886

(2.56 × 1.002 + 6.9 × 1.058 + 0.26 × 0.886) × $33.4009 = $337.20

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.561.002
Practice expense1.261.058
Malpractice0.260.886

(2.56 × 1.002 + 1.26 × 1.058 + 0.26 × 0.886) × $33.4009 = $137.90

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

62280 · Office / nonfacility

$337.20

Effective 2026-10-01

The base rate is $15.13 higher than on 2025-10-01, moving from $322.07 to $337.20 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $322.07changed to$337.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.63 changed to 2.56
    • Practice expense RVU 6.76 changed to 6.90
    • Malpractice RVU 0.28 changed to 0.26
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $322.07

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$337.20$137.90RVU26D
2026-07-01$337.20$137.90RVU26C
2026-04-01$337.20$137.90RVU26B
2026-01-01$337.20$137.90RVU26A
2025-10-01$322.07$157.97RVU25D
2025-07-01$322.07$157.97RVU25C
2025-04-01$322.07$157.97RVU25B
2025-01-01$322.07$157.97RVU25A

62280 billing questions

How does 62280 differ from 62281 and 62282?

62280 describes neurolytic treatment in the spinal subarachnoid space. Codes 62281 and 62282 describe neurolytic treatment in the epidural space, with the spinal region determining which sibling applies.

Can a diagnostic lumbar puncture be reported separately?

A diagnostic lumbar puncture is a different service, performed to obtain cerebrospinal fluid for testing. Report it only when a distinct diagnostic procedure was actually performed and separately supported, not simply because needle access was used for 62280.

What documentation supports reporting 62280?

Document the clinical reason for neurolysis, the spinal subarachnoid target, the neurolytic agent, and the technique and work performed. The record should distinguish this treatment from an epidural injection of a non-neurolytic medication.

Can modifier 50 be used for bilateral treatment?

No. The descriptor and anatomy make bilateral adjustment inappropriate for 62280.

Are assistant or co-surgeon claims allowed?

Medicare does not pay an assistant at surgery for 62280. Co-surgeon and team-surgery billing are also 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 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.

RVUs for 62280PPRRVU2026_Oct_nonQPP.csv, line 6,951 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet