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CMS RVU26D · Effective 2026-10-01

62328 in Austin

Office / nonfacility

$223.74

Base rate per service

Facility setting

$73.55

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.

Radiology

About 62328: Image-guided diagnostic lumbar puncture

Reports a diagnostic lumbar puncture performed with fluoroscopic or CT guidance to obtain cerebrospinal fluid for laboratory analysis.

This service is a diagnostic lumbar puncture in which fluoroscopy or CT guides needle placement into the lumbar thecal sac to collect cerebrospinal fluid. Radiologists, including neuroradiologists, commonly perform it in a hospital imaging department or an outpatient imaging setting. A typical indication is obtaining CSF for laboratory evaluation when image guidance is needed, such as after a difficult or unsuccessful bedside attempt or when patient anatomy makes landmark-based access challenging.

Report the code when the purpose is diagnostic CSF collection and fluoroscopy or CT is used to guide the puncture. The record should identify the diagnostic purpose, imaging guidance, CSF collection, and relevant procedural details. Guidance is part of this service; distinguish it from a therapeutic puncture for CSF drainage and from lumbar access for myelography. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 62328

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
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 RVU1.69 · 26%
  • Practice expense (office) RVU4.58 · 71%
  • Malpractice RVU0.18 · 3%

41.2K

Medicare services in 2024 · #859 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.

62328 compared with similar codes

Office rates for Austin, from the same CMS release.

62270

Lumbar puncture

Diagnostic, no imaging guidance

$170.68

Both codes describe diagnostic lumbar puncture. Choose 62328 when fluoroscopy or CT guides the puncture; 62270 is the non-imaging-guided service.

62329

Therapeutic spinal puncture

Fluoroscopic or CT guidance

$283.71

The purpose separates the codes: 62328 obtains CSF for diagnosis, while 62329 drains CSF therapeutically under imaging guidance.

62302

Myelography

Cervical region

$253.59

Code 62302 is for myelography using intrathecal contrast, not diagnostic CSF collection. Do not select it solely because lumbar needle access is used.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 62328 is $201.24—$22.50 lower than the $223.74 rate in Austin. Both use the same code, release and participation basis.

62328 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $223.74

  2. Beaumont

    $201.24

    $22.50 lower than Austin

  3. Brazoria

    $213.19

    $10.55 lower than Austin

  4. Dallas

    $214.48

    $9.26 lower than Austin

  5. Fort Worth

    $213.03

    $10.71 lower than Austin

  6. Galveston

    $213.78

    $9.96 lower than Austin

  7. Houston

    $217.08

    $6.66 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, 62328 ranges from $190.95 in Arkansas to $286.47 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 · 62328

    Office

    $207.05

    Facility

    $72.34

    $16.69 lower than Austin for the office setting.

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

    California · 62328

    Office

    $243.72

    Facility

    $75.79

    $19.98 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62328

    Office

    $246.39

    Facility

    $79.17

    $22.65 higher than Austin for the office setting.

  • Miami

    Florida · 62328

    Office

    $230.90

    Facility

    $83.13

    $7.16 higher than Austin for the office setting.

  • Chicago

    Illinois · 62328

    Office

    $224.38

    Facility

    $81.72

    $0.64 higher than Austin for the office setting.

  • Manhattan

    New York · 62328

    Office

    $247.35

    Facility

    $82.40

    $23.61 higher than Austin for the office setting.

  • Alaska*

    Alaska · 62328

    Office

    $250.90

    Facility

    $99.72

    $27.16 higher than Austin for the office setting.

  • Alabama

    Alabama · 62328

    Office

    $193.70

    Facility

    $69.49

    $30.04 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 62328

    Office

    $190.95

    Facility

    $69.01

    $32.79 lower than Austin for the office setting.

  • Arizona

    Arizona · 62328

    Office

    $209.83

    Facility

    $72.27

    $13.91 lower than Austin for the office setting.

  • Bakersfield

    California · 62328

    Office

    $228.84

    Facility

    $73.26

    $5.10 higher than Austin for the office setting.

  • Chico

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • El Centro

    California · 62328

    Office

    $228.32

    Facility

    $72.74

    $4.58 higher than Austin for the office setting.

  • Fresno

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Madera

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Merced

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Modesto

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Napa

    California · 62328

    Office

    $264.68

    Facility

    $77.59

    $40.94 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62328

    Office

    $242.59

    Facility

    $74.80

    $18.85 higher than Austin for the office setting.

  • Redding

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Rest Of California

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62328

    Office

    $230.25

    Facility

    $74.67

    $6.51 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62328

    Office

    $239.61

    Facility

    $74.52

    $15.87 higher than Austin for the office setting.

  • Salinas

    California · 62328

    Office

    $238.72

    Facility

    $74.19

    $14.98 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62328

    Office

    $244.36

    Facility

    $74.58

    $20.62 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62328

    Office

    $280.27

    Facility

    $80.11

    $56.53 higher than Austin for the office setting.

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

    California · 62328

    Office

    $280.06

    Facility

    $79.91

    $56.32 higher than Austin for the office setting.

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

    California · 62328

    Office

    $286.47

    Facility

    $81.77

    $62.73 higher than Austin for the office setting.

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

    California · 62328

    Office

    $285.64

    Facility

    $80.94

    $61.90 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62328

    Office

    $234.87

    Facility

    $73.18

    $11.13 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 62328

    Office

    $246.72

    Facility

    $74.25

    $22.98 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 62328

    Office

    $239.62

    Facility

    $74.10

    $15.88 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 62328

    Office

    $249.22

    Facility

    $74.90

    $25.48 higher than Austin for the office setting.

  • Stockton

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Vallejo

    California · 62328

    Office

    $264.39

    Facility

    $77.29

    $40.65 higher than Austin for the office setting.

  • Visalia

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Yuba City

    California · 62328

    Office

    $228.29

    Facility

    $72.71

    $4.55 higher than Austin for the office setting.

  • Colorado

    Colorado · 62328

    Office

    $224.59

    Facility

    $73.55

    $0.85 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 62328

    Office

    $229.61

    Facility

    $76.72

    $5.87 higher than Austin for the office setting.

  • Delaware

    Delaware · 62328

    Office

    $213.28

    Facility

    $73.02

    $10.46 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 62328

    Office

    $222.28

    Facility

    $78.48

    $1.46 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 62328

    Office

    $211.73

    Facility

    $76.02

    $12.01 lower than Austin for the office setting.

  • Atlanta

    Georgia · 62328

    Office

    $219.26

    Facility

    $75.04

    $4.48 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 62328

    Office

    $200.07

    Facility

    $73.45

    $23.67 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 62328

    Office

    $233.86

    Facility

    $72.46

    $10.12 higher than Austin for the office setting.

  • Iowa

    Iowa · 62328

    Office

    $198.81

    Facility

    $68.92

    $24.93 lower than Austin for the office setting.

  • Idaho

    Idaho · 62328

    Office

    $200.03

    Facility

    $69.43

    $23.71 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 62328

    Office

    $209.29

    Facility

    $78.70

    $14.45 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 62328

    Office

    $205.51

    Facility

    $75.91

    $18.23 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 62328

    Office

    $224.60

    Facility

    $78.82

    $0.86 higher than Austin for the office setting.

  • Indiana

    Indiana · 62328

    Office

    $201.18

    Facility

    $69.59

    $22.56 lower than Austin for the office setting.

  • Kansas

    Kansas · 62328

    Office

    $197.77

    Facility

    $69.44

    $25.97 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 62328

    Office

    $197.94

    Facility

    $71.75

    $25.80 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 62328

    Office

    $207.23

    Facility

    $73.65

    $16.51 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 62328

    Office

    $197.59

    Facility

    $71.96

    $26.15 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 62328

    Office

    $246.77

    Facility

    $77.27

    $23.03 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62328

    Office

    $223.23

    Facility

    $73.75

    $0.51 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62328

    Office

    $228.93

    Facility

    $76.61

    $5.19 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 62328

    Office

    $217.34

    Facility

    $73.69

    $6.40 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 62328

    Office

    $200.93

    Facility

    $70.33

    $22.81 lower than Austin for the office setting.

  • Southern Maine

    Maine · 62328

    Office

    $211.84

    Facility

    $71.16

    $11.90 lower than Austin for the office setting.

  • Detroit

    Michigan · 62328

    Office

    $214.21

    Facility

    $77.22

    $9.53 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 62328

    Office

    $202.90

    Facility

    $73.30

    $20.84 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 62328

    Office

    $215.64

    Facility

    $69.57

    $8.10 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 62328

    Office

    $205.97

    Facility

    $72.67

    $17.77 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 62328

    Office

    $208.10

    Facility

    $72.96

    $15.64 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 62328

    Office

    $194.17

    Facility

    $71.80

    $29.57 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 62328

    Office

    $192.60

    Facility

    $70.38

    $31.14 lower than Austin for the office setting.

  • Montana**

    Montana · 62328

    Office

    $215.42

    Facility

    $73.47

    $8.32 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 62328

    Office

    $203.02

    Facility

    $70.57

    $20.72 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 62328

    Office

    $211.86

    Facility

    $69.91

    $11.88 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 62328

    Office

    $199.92

    Facility

    $68.89

    $23.82 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 62328

    Office

    $220.96

    Facility

    $73.18

    $2.78 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 62328

    Office

    $243.88

    Facility

    $79.21

    $20.14 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 62328

    Office

    $232.35

    Facility

    $77.34

    $8.61 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 62328

    Office

    $203.95

    Facility

    $73.78

    $19.79 lower than Austin for the office setting.

  • Nevada**

    Nevada · 62328

    Office

    $214.58

    Facility

    $72.49

    $9.16 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62328

    Office

    $253.11

    Facility

    $84.33

    $29.37 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62328

    Office

    $233.77

    Facility

    $78.33

    $10.03 higher than Austin for the office setting.

  • Queens

    New York · 62328

    Office

    $249.55

    Facility

    $81.76

    $25.81 higher than Austin for the office setting.

  • Rest Of New York

    New York · 62328

    Office

    $206.00

    Facility

    $71.15

    $17.74 lower than Austin for the office setting.

  • Ohio

    Ohio · 62328

    Office

    $202.17

    Facility

    $72.57

    $21.57 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 62328

    Office

    $197.73

    Facility

    $70.96

    $26.01 lower than Austin for the office setting.

  • Portland

    Oregon · 62328

    Office

    $231.78

    Facility

    $74.07

    $8.04 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 62328

    Office

    $213.04

    Facility

    $71.65

    $10.70 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62328

    Office

    $223.88

    Facility

    $76.11

    $0.14 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62328

    Office

    $202.56

    Facility

    $72.25

    $21.18 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 62328

    Office

    $217.03

    Facility

    $73.51

    $6.71 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 62328

    Office

    $220.91

    Facility

    $74.27

    $2.83 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 62328

    Office

    $202.91

    Facility

    $71.74

    $20.83 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 62328

    Office

    $211.44

    Facility

    $69.49

    $12.30 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 62328

    Office

    $198.73

    Facility

    $69.70

    $25.01 lower than Austin for the office setting.

  • Utah

    Utah · 62328

    Office

    $205.64

    Facility

    $72.21

    $18.10 lower than Austin for the office setting.

  • Virginia

    Virginia · 62328

    Office

    $211.07

    Facility

    $71.53

    $12.67 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62328

    Office

    $217.03

    Facility

    $73.51

    $6.71 lower than Austin for the office setting.

  • Vermont

    Vermont · 62328

    Office

    $210.94

    Facility

    $70.40

    $12.80 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 62328

    Office

    $222.84

    Facility

    $73.36

    $0.90 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 62328

    Office

    $251.88

    Facility

    $77.71

    $28.14 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 62328

    Office

    $204.85

    Facility

    $68.86

    $18.89 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 62328

    Office

    $197.99

    Facility

    $74.63

    $25.75 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 62328

    Office

    $213.87

    Facility

    $71.92

    $9.87 lower than Austin for the office setting.

See how rates vary across the country

62328 · 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.

$190.95

$257.38

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$250.901
AL$193.701
AR$190.951
AZ$209.831
CA$228.29–$286.4729
CO$224.591
CT$229.611
DC$246.391
DE$213.281
FL$211.73–$230.903
GA$200.07–$219.262
GU$233.861
HI$233.861
IA$198.811
ID$200.031
IL$205.51–$224.604
IN$201.181
KS$197.771
KY$197.941
LA$197.59–$207.232
MA$223.23–$246.772
MD$217.34–$246.393
ME$200.93–$211.842
MI$202.90–$214.212
MN$215.641
MO$194.17–$208.103
MS$192.601
MT$215.421
NC$203.021
ND$211.861
NE$199.921
NH$220.961
NJ$232.35–$243.882
NM$203.951
NV$214.581
NY$206.00–$253.115
OH$202.171
OK$197.731
OR$213.04–$231.782
PA$202.56–$223.882
PR$217.031
RI$220.911
SC$202.911
SD$211.441
TN$198.731
TX$201.24–$223.748
UT$205.641
VA$211.07–$246.392
VI$217.031
VT$210.941
WA$222.84–$251.882
WI$204.851
WV$197.991
WY$213.871

Explore 62328 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 62328 in Austin, the physician’s office rate is $223.74 and the facility-setting rate is $73.55: a difference of $150.19.

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 62328 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$246.11

$223.74 × 110% = $246.11

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 62328 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,972

Code
62328
Physician work
1.69
Practice expense
4.58
Malpractice
0.18

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 62328 in Austin
ComponentRVULocality factorAdjusted
Physician work1.69× 1.0021.6934
Practice expense4.58× 1.0584.8456
Malpractice0.18× 0.8860.1595
Total RVUs6.6985
Conversion factor× 33.4009

Office / nonfacility rate, Austin$223.74

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 62328 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.691.002
Practice expense4.581.058
Malpractice0.180.886

(1.69 × 1.002 + 4.58 × 1.058 + 0.18 × 0.886) × $33.4009 = $223.74

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.691.002
Practice expense0.331.058
Malpractice0.180.886

(1.69 × 1.002 + 0.33 × 1.058 + 0.18 × 0.886) × $33.4009 = $73.55

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

62328 · Office / nonfacility

$223.74

Effective 2026-10-01

The base rate is $5.04 higher than on 2025-10-01, moving from $218.70 to $223.74 (2.3%).

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

    $218.70changed to$223.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.73 changed to 1.69
    • Practice expense RVU 4.67 changed to 4.58
    • Malpractice RVU 0.16 changed to 0.18
    • 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: $218.70

    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$223.74$73.55RVU26D
2026-07-01$223.74$73.55RVU26C
2026-04-01$223.74$73.55RVU26B
2026-01-01$223.74$73.55RVU26A
2025-10-01$218.70$82.34RVU25D
2025-07-01$218.70$82.34RVU25C
2025-04-01$218.70$82.34RVU25B
2025-01-01$218.70$82.34RVU25A

62328 billing questions

When should this code be used instead of 62270?

Use this code for a diagnostic lumbar puncture performed with fluoroscopic or CT guidance. Code 62270 describes a diagnostic lumbar puncture without imaging guidance.

Can imaging guidance be billed separately?

Fluoroscopic or CT guidance is part of this service. Do not report a separate guidance service for the same puncture.

How does this differ from 62329?

This code is for diagnostic CSF collection. Code 62329 is for a guided spinal puncture performed to drain CSF therapeutically.

Is modifier 50 appropriate for bilateral punctures?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can an assistant or co-surgeon be paid for this service?

CMS applies a statutory restriction to assistant-at-surgery payment and does not permit co-surgeon or team-surgery payment for this code.

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 62328PPRRVU2026_Oct_nonQPP.csv, line 6,972 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet