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CMS RVU26D · Effective 2026-10-01

62264 in Delaware

Office / nonfacility

$442.41

Base rate per service

Facility setting

$212.73

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 62264: Single-day epidural adhesiolysis

A single-day percutaneous epidural adhesiolysis session uses catheter-based disruption and injectate delivery to address selected epidural scarring associated with persistent spinal pain.

This procedure treats epidural adhesions that may contribute to persistent back or radiating leg pain. A pain-management physician, anesthesiologist, or other physician experienced in spinal interventions advances a catheter into the epidural space, often with fluoroscopic localization, and uses mechanical disruption, injected solution, or both. It is typically performed in an outpatient procedure setting when a one-day adhesiolysis session is planned.

Report 62264 for the single-day treatment course, rather than for each injection or catheter maneuver during that session. The operative note should support the adhesiolysis technique, epidural location, and treatment date; the number of treatment days distinguishes this service from 62263. Related postoperative visits during the 10-day global period are included. When other 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, and co-surgeons and team surgery are not permitted.

CMS billing rules for 62264

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 RVU4.31 · 32%
  • Practice expense (office) RVU8.64 · 65%
  • Malpractice RVU0.42 · 3%

5.1K

Medicare services in 2024 · #1858 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.

62264 compared with similar codes

Office rates for Delaware, from the same CMS release.

62263

Epidural adhesiolysis

Multiple sessions

$658.11

Both describe epidural adhesiolysis; 62264 is for a single-day session, while 62263 is for a treatment course across multiple days.

62323

Lumbar epidural injection

Interlaminar or caudal, with imaging guidance

$270.43

62264 involves epidural adhesiolysis using catheter-based disruption, injectate, or both. 62323 describes a lumbar or sacral epidural injection without adhesiolysis.

62321

Epidural injection

Cervical or thoracic, image-guided

$273.78

62264 is an adhesiolysis service. 62321 is an epidural injection service for the cervical or thoracic region.

The same code, a different location

How does Delaware compare?

62264 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $442.41

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $500.57

    $58.16 higher than Delaware

  3. Dc + Md/Va Suburbs

    $507.30

    $64.89 higher than Delaware

  4. Miami

    $479.85

    $37.44 higher than Delaware

  5. Chicago

    $467.19

    $24.78 higher than Delaware

  6. Manhattan

    $510.75

    $68.34 higher than Delaware

  7. Alaska*

    $531.01

    $88.60 higher than Delaware

Other payment areas listed in Delaware 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, 62264 ranges from $399.08 in Arkansas to $583.45 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

  • Alabama

    Alabama · 62264

    Office

    $404.41

    Facility

    $201.00

    $38.00 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 62264

    Office

    $399.08

    Facility

    $199.38

    $43.33 lower than Delaware for the office setting.

  • Arizona

    Arizona · 62264

    Office

    $435.60

    Facility

    $210.34

    $6.81 lower than Delaware for the office setting.

  • Bakersfield

    California · 62264

    Office

    $471.52

    Facility

    $216.74

    $29.11 higher than Delaware for the office setting.

  • Chico

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • El Centro

    California · 62264

    Office

    $470.28

    Facility

    $215.49

    $27.87 higher than Delaware for the office setting.

  • Fresno

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Madera

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Merced

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Modesto

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Napa

    California · 62264

    Office

    $540.51

    Facility

    $234.11

    $98.10 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62264

    Office

    $497.83

    Facility

    $223.05

    $55.42 higher than Delaware for the office setting.

  • Redding

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Rest Of California

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62264

    Office

    $474.80

    Facility

    $220.02

    $32.39 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62264

    Office

    $492.28

    Facility

    $221.92

    $49.87 higher than Delaware for the office setting.

  • Salinas

    California · 62264

    Office

    $490.41

    Facility

    $220.98

    $48.00 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62264

    Office

    $501.03

    Facility

    $222.99

    $58.62 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62264

    Office

    $570.98

    Facility

    $243.19

    $128.57 higher than Delaware for the office setting.

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

    California · 62264

    Office

    $570.50

    Facility

    $242.72

    $128.09 higher than Delaware for the office setting.

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

    California · 62264

    Office

    $583.45

    Facility

    $248.23

    $141.04 higher than Delaware for the office setting.

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

    California · 62264

    Office

    $581.50

    Facility

    $246.28

    $139.09 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62264

    Office

    $482.62

    Facility

    $217.84

    $40.21 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 62264

    Office

    $505.13

    Facility

    $222.68

    $62.72 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 62264

    Office

    $492.00

    Facility

    $220.94

    $49.59 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 62264

    Office

    $510.18

    Facility

    $224.70

    $67.77 higher than Delaware for the office setting.

  • Stockton

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Vallejo

    California · 62264

    Office

    $539.82

    Facility

    $233.42

    $97.41 higher than Delaware for the office setting.

  • Visalia

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Yuba City

    California · 62264

    Office

    $470.21

    Facility

    $215.42

    $27.80 higher than Delaware for the office setting.

  • Colorado

    Colorado · 62264

    Office

    $463.69

    Facility

    $216.35

    $21.28 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 62264

    Office

    $474.62

    Facility

    $224.25

    $32.21 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 62264

    Office

    $461.66

    Facility

    $226.16

    $19.25 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 62264

    Office

    $440.93

    Facility

    $218.69

    $1.48 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 62264

    Office

    $454.44

    Facility

    $218.25

    $12.03 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 62264

    Office

    $418.10

    Facility

    $210.73

    $24.31 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 62264

    Office

    $480.20

    Facility

    $215.88

    $37.79 higher than Delaware for the office setting.

  • Iowa

    Iowa · 62264

    Office

    $413.58

    Facility

    $200.87

    $28.83 lower than Delaware for the office setting.

  • Idaho

    Idaho · 62264

    Office

    $416.09

    Facility

    $202.22

    $26.32 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 62264

    Office

    $437.71

    Facility

    $223.84

    $4.70 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 62264

    Office

    $429.36

    Facility

    $217.12

    $13.05 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 62264

    Office

    $466.20

    Facility

    $227.45

    $23.79 higher than Delaware for the office setting.

  • Indiana

    Indiana · 62264

    Office

    $418.29

    Facility

    $202.79

    $24.12 lower than Delaware for the office setting.

  • Kansas

    Kansas · 62264

    Office

    $411.91

    Facility

    $201.75

    $30.50 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 62264

    Office

    $413.34

    Facility

    $206.68

    $29.07 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 62264

    Office

    $431.45

    Facility

    $212.70

    $10.96 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 62264

    Office

    $412.79

    Facility

    $207.06

    $29.62 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 62264

    Office

    $506.91

    Facility

    $229.34

    $64.50 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62264

    Office

    $461.32

    Facility

    $216.53

    $18.91 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62264

    Office

    $473.26

    Facility

    $223.82

    $30.85 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 62264

    Office

    $450.32

    Facility

    $215.06

    $7.91 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 62264

    Office

    $418.18

    Facility

    $204.31

    $24.23 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 62264

    Office

    $438.80

    Facility

    $208.42

    $3.61 lower than Delaware for the office setting.

  • Detroit

    Michigan · 62264

    Office

    $446.09

    Facility

    $221.76

    $3.68 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 62264

    Office

    $423.27

    Facility

    $211.03

    $19.14 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 62264

    Office

    $445.06

    Facility

    $205.85

    $2.65 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 62264

    Office

    $428.64

    Facility

    $210.35

    $13.77 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 62264

    Office

    $432.75

    Facility

    $211.43

    $9.66 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 62264

    Office

    $406.38

    Facility

    $205.99

    $36.03 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 62264

    Office

    $402.80

    Facility

    $202.64

    $39.61 lower than Delaware for the office setting.

  • Montana**

    Montana · 62264

    Office

    $446.54

    Facility

    $214.07

    $4.13 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 62264

    Office

    $422.17

    Facility

    $205.28

    $20.24 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 62264

    Office

    $438.24

    Facility

    $205.77

    $4.17 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 62264

    Office

    $415.62

    Facility

    $201.05

    $26.79 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 62264

    Office

    $456.65

    Facility

    $214.65

    $14.24 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 62264

    Office

    $502.77

    Facility

    $233.10

    $60.36 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 62264

    Office

    $480.24

    Facility

    $226.38

    $37.83 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 62264

    Office

    $425.44

    Facility

    $212.26

    $16.97 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 62264

    Office

    $444.52

    Facility

    $211.81

    $2.11 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62264

    Office

    $522.35

    Facility

    $245.94

    $79.94 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62264

    Office

    $483.41

    Facility

    $228.85

    $41.00 higher than Delaware for the office setting.

  • Queens

    New York · 62264

    Office

    $514.51

    Facility

    $239.73

    $72.10 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 62264

    Office

    $427.97

    Facility

    $207.13

    $14.44 lower than Delaware for the office setting.

  • Ohio

    Ohio · 62264

    Office

    $421.58

    Facility

    $209.33

    $20.83 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 62264

    Office

    $412.56

    Facility

    $204.97

    $29.85 lower than Delaware for the office setting.

  • Portland

    Oregon · 62264

    Office

    $477.31

    Facility

    $219.04

    $34.90 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 62264

    Office

    $441.25

    Facility

    $209.71

    $1.16 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62264

    Office

    $463.70

    Facility

    $221.70

    $21.29 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62264

    Office

    $422.13

    Facility

    $208.73

    $20.28 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 62264

    Office

    $449.53

    Facility

    $214.51

    $7.12 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 62264

    Office

    $457.31

    Facility

    $217.17

    $14.90 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 62264

    Office

    $422.53

    Facility

    $207.73

    $19.88 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 62264

    Office

    $437.26

    Facility

    $204.78

    $5.15 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 62264

    Office

    $413.81

    Facility

    $202.50

    $28.60 lower than Delaware for the office setting.

  • Austin

    Texas · 62264

    Office

    $462.00

    Facility

    $216.04

    $19.59 higher than Delaware for the office setting.

  • Beaumont

    Texas · 62264

    Office

    $419.60

    Facility

    $208.05

    $22.81 lower than Delaware for the office setting.

  • Brazoria

    Texas · 62264

    Office

    $442.04

    Facility

    $211.66

    $0.37 lower than Delaware for the office setting.

  • Dallas

    Texas · 62264

    Office

    $444.72

    Facility

    $213.18

    $2.31 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 62264

    Office

    $442.02

    Facility

    $212.80

    $0.39 lower than Delaware for the office setting.

  • Galveston

    Texas · 62264

    Office

    $443.29

    Facility

    $212.45

    $0.88 higher than Delaware for the office setting.

  • Houston

    Texas · 62264

    Office

    $450.98

    Facility

    $220.13

    $8.57 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 62264

    Office

    $430.49

    Facility

    $209.88

    $11.92 lower than Delaware for the office setting.

  • Utah

    Utah · 62264

    Office

    $427.82

    Facility

    $209.30

    $14.59 lower than Delaware for the office setting.

  • Virginia

    Virginia · 62264

    Office

    $437.54

    Facility

    $209.02

    $4.87 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62264

    Office

    $449.53

    Facility

    $214.51

    $7.12 higher than Delaware for the office setting.

  • Vermont

    Vermont · 62264

    Office

    $436.75

    Facility

    $206.61

    $5.66 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 62264

    Office

    $460.38

    Facility

    $215.59

    $17.97 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 62264

    Office

    $516.71

    Facility

    $231.47

    $74.30 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 62264

    Office

    $424.74

    Facility

    $202.04

    $17.67 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 62264

    Office

    $414.81

    Facility

    $212.80

    $27.60 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 62264

    Office

    $442.92

    Facility

    $210.45

    $0.51 higher than Delaware for the office setting.

See how rates vary across the country

62264 · 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.

$399.08

$531.01

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$531.011
AL$404.411
AR$399.081
AZ$435.601
CA$470.21–$583.4529
CO$463.691
CT$474.621
DC$507.301
DE$442.411
FL$440.93–$479.853
GA$418.10–$454.442
GU$480.201
HI$480.201
IA$413.581
ID$416.091
IL$429.36–$467.194
IN$418.291
KS$411.911
KY$413.341
LA$412.79–$431.452
MA$461.32–$506.912
MD$450.32–$507.303
ME$418.18–$438.802
MI$423.27–$446.092
MN$445.061
MO$406.38–$432.753
MS$402.801
MT$446.541
NC$422.171
ND$438.241
NE$415.621
NH$456.651
NJ$480.24–$502.772
NM$425.441
NV$444.521
NY$427.97–$522.355
OH$421.581
OK$412.561
OR$441.25–$477.312
PA$422.13–$463.702
PR$449.531
RI$457.311
SC$422.531
SD$437.261
TN$413.811
TX$419.60–$462.008
UT$427.821
VA$437.54–$507.302
VI$449.531
VT$436.751
WA$460.38–$516.712
WI$424.741
WV$414.811
WY$442.921

Explore 62264 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 62264 in Delaware, the physician’s office rate is $442.41 and the facility-setting rate is $212.73: a difference of $229.68.

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 62264 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$486.65

$442.41 × 110% = $486.65

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 62264 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

6,944

Code
62264
Physician work
4.31
Practice expense
8.64
Malpractice
0.42

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 62264 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.31× 1.0054.3315
Practice expense8.64× 0.9888.5363
Malpractice0.42× 0.8990.3776
Total RVUs13.2454
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$442.41

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

Open 62264 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.311.005
Practice expense8.640.988
Malpractice0.420.899

(4.31 × 1.005 + 8.64 × 0.988 + 0.42 × 0.899) × $33.4009 = $442.41

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.311.005
Practice expense1.680.988
Malpractice0.420.899

(4.31 × 1.005 + 1.68 × 0.988 + 0.42 × 0.899) × $33.4009 = $212.73

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

62264 · Office / nonfacility

$442.41

Effective 2026-10-01

The base rate is $25.42 higher than on 2025-10-01, moving from $416.99 to $442.41 (6.1%).

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

    $416.99changed to$442.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.42 changed to 4.31
    • Practice expense RVU 8.05 changed to 8.64
    • Malpractice RVU 0.47 changed to 0.42
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $416.99

    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$442.41$212.73RVU26D
2026-07-01$442.41$212.73RVU26C
2026-04-01$442.41$212.73RVU26B
2026-01-01$442.41$212.73RVU26A
2025-10-01$416.99$237.62RVU25D
2025-07-01$416.99$237.62RVU25C
2025-04-01$416.99$237.62RVU25B
2025-01-01$416.99$237.62RVU25A

62264 billing questions

How do I choose between 62264 and 62263?

Use 62264 for a single-day adhesiolysis treatment. Use 62263 when the treatment course extends across multiple days.

Can 62264 be reported for each injection or catheter maneuver?

No. Report the code for the single-day treatment session, not separately for each injection or maneuver within it.

Should modifier 50 be appended?

No. Modifier 50 is inappropriate for this procedure.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure.

What documentation supports reporting 62264?

Document the epidural adhesiolysis technique, the treatment location, and that the service was performed as a single-day session.

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 62264PPRRVU2026_Oct_nonQPP.csv, line 6,944 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet