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CMS RVU26D · Effective 2026-10-01

62263 in El Centro

Office / nonfacility

$707.08

Base rate per service

Facility setting

$305.50

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 62263: Multi-session lumbar epidural adhesiolysis

Reports fluoroscopically localized lumbar epidural adhesiolysis performed over multiple sessions to treat pain associated with epidural scarring.

This service treats lumbar epidural adhesions that can tether nerve roots and contribute to persistent pain, often after spine surgery. A pain medicine physician, anesthesiologist, or other qualified proceduralist advances an epidural catheter toward the adhesions and delivers solutions as part of a staged treatment course. Fluoroscopic localization, including contrast when used, is part of the service. The sessions are spread over more than one day, unlike the single-day service in the same code family.

Report 62263 once for the multi-session course, not once for each injection or visit. The record should support the lumbar adhesions being treated, catheter placement and localization, the solutions used, and the staged treatment. Medicare includes related postoperative visits for 10 days in the global period. 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 for this service, and co-surgeons and team surgery are not permitted.

CMS billing rules for 62263

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 RVU4.88 · 25%
  • Practice expense (office) RVU14.56 · 73%
  • Malpractice RVU0.46 · 2%

264

Medicare services in 2024 · #4092 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.

62263 compared with similar codes

Office rates for El Centro, from the same CMS release.

62264

Epidural adhesiolysis

Single-day treatment

$470.28

Choose 62263 for adhesiolysis performed over multiple sessions; 62264 describes the same general treatment completed in one day.

62323

Lumbar epidural injection

Interlaminar or caudal, with imaging guidance

$291.65

62323 reports a lumbar or sacral epidural injection for medication delivery. It does not represent the staged catheter-based treatment of epidural adhesions reported with 62263.

62273

Epidural blood patch

Blood or clot patch

$179.09

62273 is an epidural blood patch, commonly used to treat a cerebrospinal fluid leak. It is not a treatment for epidural adhesions.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 62263 is $708.45—$1.37 higher than the $707.08 rate in El Centro. Both use the same code, release and participation basis.

62263 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $707.08

  2. $1.37 higher than El Centro

  3. Chico

    $707.01

    $0.07 lower than El Centro

  4. Fresno

    $707.01

    $0.07 lower than El Centro

  5. $0.07 lower than El Centro

  6. $48.11 higher than El Centro

  7. Madera

    $707.01

    $0.07 lower than El Centro

Other payment areas listed in California 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, 62263 ranges from $588.66 in Arkansas to $890.43 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
  • Merced

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Modesto

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Napa

    California · 62263

    Office

    $822.04

    Facility

    $339.11

    $114.96 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62263

    Office

    $751.96

    Facility

    $318.87

    $44.88 higher than El Centro for the office setting.

  • Redding

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Rest Of California

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62263

    Office

    $712.04

    Facility

    $310.46

    $4.96 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62263

    Office

    $742.69

    Facility

    $316.55

    $35.61 higher than El Centro for the office setting.

  • Salinas

    California · 62263

    Office

    $739.93

    Facility

    $315.26

    $32.85 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62263

    Office

    $757.85

    Facility

    $319.63

    $50.77 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62263

    Office

    $871.24

    Facility

    $354.61

    $164.16 higher than El Centro for the office setting.

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

    California · 62263

    Office

    $870.72

    Facility

    $354.08

    $163.64 higher than El Centro for the office setting.

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

    California · 62263

    Office

    $890.43

    Facility

    $362.07

    $183.35 higher than El Centro for the office setting.

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

    California · 62263

    Office

    $888.29

    Facility

    $359.93

    $181.21 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62263

    Office

    $727.92

    Facility

    $310.58

    $20.84 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 62263

    Office

    $765.53

    Facility

    $320.34

    $58.45 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 62263

    Office

    $742.84

    Facility

    $315.61

    $35.76 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 62263

    Office

    $773.32

    Facility

    $323.37

    $66.24 higher than El Centro for the office setting.

  • Stockton

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Vallejo

    California · 62263

    Office

    $821.28

    Facility

    $338.36

    $114.20 higher than El Centro for the office setting.

  • Visalia

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Yuba City

    California · 62263

    Office

    $707.01

    Facility

    $305.42

    $0.07 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62263

    Office

    $761.78

    Facility

    $330.15

    $54.70 higher than El Centro for the office setting.

  • Miami

    Florida · 62263

    Office

    $708.11

    Facility

    $326.68

    $1.03 higher than El Centro for the office setting.

  • Chicago

    Illinois · 62263

    Office

    $688.15

    Facility

    $319.91

    $18.93 lower than El Centro for the office setting.

  • Manhattan

    New York · 62263

    Office

    $762.90

    Facility

    $337.13

    $55.82 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 62263

    Office

    $770.89

    Facility

    $380.66

    $63.81 higher than El Centro for the office setting.

  • Alabama

    Alabama · 62263

    Office

    $597.22

    Facility

    $276.61

    $109.86 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 62263

    Office

    $588.66

    Facility

    $273.91

    $118.42 lower than El Centro for the office setting.

  • Arizona

    Arizona · 62263

    Office

    $647.39

    Facility

    $292.34

    $59.69 lower than El Centro for the office setting.

  • Colorado

    Colorado · 62263

    Office

    $694.39

    Facility

    $304.54

    $12.69 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 62263

    Office

    $708.61

    Facility

    $313.99

    $1.53 higher than El Centro for the office setting.

  • Delaware

    Delaware · 62263

    Office

    $658.11

    Facility

    $296.09

    $48.97 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 62263

    Office

    $683.41

    Facility

    $312.24

    $23.67 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 62263

    Office

    $651.01

    Facility

    $300.72

    $56.07 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 62263

    Office

    $676.04

    Facility

    $303.77

    $31.04 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 62263

    Office

    $615.11

    Facility

    $288.27

    $91.97 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 62263

    Office

    $724.83

    Facility

    $308.23

    $17.75 higher than El Centro for the office setting.

  • Iowa

    Iowa · 62263

    Office

    $614.08

    Facility

    $278.81

    $93.00 lower than El Centro for the office setting.

  • Idaho

    Idaho · 62263

    Office

    $617.68

    Facility

    $280.58

    $89.40 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 62263

    Office

    $641.35

    Facility

    $304.26

    $65.73 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 62263

    Office

    $631.02

    Facility

    $296.49

    $76.06 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 62263

    Office

    $690.81

    Facility

    $314.51

    $16.27 lower than El Centro for the office setting.

  • Indiana

    Indiana · 62263

    Office

    $621.28

    Facility

    $281.62

    $85.80 lower than El Centro for the office setting.

  • Kansas

    Kansas · 62263

    Office

    $610.37

    Facility

    $279.14

    $96.71 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 62263

    Office

    $609.39

    Facility

    $283.65

    $97.69 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 62263

    Office

    $638.07

    Facility

    $293.28

    $69.01 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 62263

    Office

    $608.11

    Facility

    $283.84

    $98.97 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 62263

    Office

    $764.02

    Facility

    $326.53

    $56.94 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62263

    Office

    $689.94

    Facility

    $304.11

    $17.14 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62263

    Office

    $706.43

    Facility

    $313.27

    $0.65 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 62263

    Office

    $670.88

    Facility

    $300.08

    $36.20 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 62263

    Office

    $619.96

    Facility

    $282.87

    $87.12 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 62263

    Office

    $654.63

    Facility

    $291.52

    $52.45 lower than El Centro for the office setting.

  • Detroit

    Michigan · 62263

    Office

    $658.20

    Facility

    $304.61

    $48.88 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 62263

    Office

    $624.35

    Facility

    $289.82

    $82.73 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 62263

    Office

    $667.96

    Facility

    $290.93

    $39.12 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 62263

    Office

    $634.66

    Facility

    $290.60

    $72.42 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 62263

    Office

    $641.37

    Facility

    $292.55

    $65.71 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 62263

    Office

    $597.17

    Facility

    $281.32

    $109.91 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 62263

    Office

    $593.07

    Facility

    $277.59

    $114.01 lower than El Centro for the office setting.

  • Montana**

    Montana · 62263

    Office

    $664.65

    Facility

    $298.24

    $42.43 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 62263

    Office

    $626.55

    Facility

    $284.69

    $80.53 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 62263

    Office

    $655.55

    Facility

    $289.14

    $51.53 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 62263

    Office

    $617.67

    Facility

    $279.48

    $89.41 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 62263

    Office

    $682.70

    Facility

    $301.27

    $24.38 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 62263

    Office

    $753.80

    Facility

    $328.77

    $46.72 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 62263

    Office

    $717.43

    Facility

    $317.31

    $10.35 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 62263

    Office

    $627.40

    Facility

    $291.41

    $79.68 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 62263

    Office

    $662.60

    Facility

    $295.82

    $44.48 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62263

    Office

    $780.19

    Facility

    $344.53

    $73.11 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62263

    Office

    $721.44

    Facility

    $320.22

    $14.36 higher than El Centro for the office setting.

  • Queens

    New York · 62263

    Office

    $770.41

    Facility

    $337.32

    $63.33 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 62263

    Office

    $635.80

    Facility

    $287.71

    $71.28 lower than El Centro for the office setting.

  • Ohio

    Ohio · 62263

    Office

    $622.49

    Facility

    $287.96

    $84.59 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 62263

    Office

    $609.22

    Facility

    $282.01

    $97.86 lower than El Centro for the office setting.

  • Portland

    Oregon · 62263

    Office

    $717.33

    Facility

    $310.25

    $10.25 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 62263

    Office

    $658.17

    Facility

    $293.23

    $48.91 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62263

    Office

    $690.52

    Facility

    $309.09

    $16.56 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62263

    Office

    $623.95

    Facility

    $287.59

    $83.13 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 62263

    Office

    $669.80

    Facility

    $299.36

    $37.28 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 62263

    Office

    $682.16

    Facility

    $303.66

    $24.92 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 62263

    Office

    $625.41

    Facility

    $286.85

    $81.67 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 62263

    Office

    $654.48

    Facility

    $288.07

    $52.60 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 62263

    Office

    $613.31

    Facility

    $280.24

    $93.77 lower than El Centro for the office setting.

  • Austin

    Texas · 62263

    Office

    $691.46

    Facility

    $303.80

    $15.62 lower than El Centro for the office setting.

  • Beaumont

    Texas · 62263

    Office

    $619.82

    Facility

    $286.39

    $87.26 lower than El Centro for the office setting.

  • Brazoria

    Texas · 62263

    Office

    $658.22

    Facility

    $295.11

    $48.86 lower than El Centro for the office setting.

  • Dallas

    Texas · 62263

    Office

    $662.02

    Facility

    $297.08

    $45.06 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 62263

    Office

    $657.35

    Facility

    $296.08

    $49.73 lower than El Centro for the office setting.

  • Galveston

    Texas · 62263

    Office

    $659.93

    Facility

    $296.09

    $47.15 lower than El Centro for the office setting.

  • Houston

    Texas · 62263

    Office

    $668.35

    Facility

    $304.51

    $38.73 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 62263

    Office

    $638.39

    Facility

    $290.66

    $68.69 lower than El Centro for the office setting.

  • Utah

    Utah · 62263

    Office

    $633.93

    Facility

    $289.51

    $73.15 lower than El Centro for the office setting.

  • Virginia

    Virginia · 62263

    Office

    $651.89

    Facility

    $291.71

    $55.19 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62263

    Office

    $669.80

    Facility

    $299.36

    $37.28 lower than El Centro for the office setting.

  • Vermont

    Vermont · 62263

    Office

    $652.22

    Facility

    $289.48

    $54.86 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 62263

    Office

    $688.90

    Facility

    $303.07

    $18.18 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 62263

    Office

    $780.41

    Facility

    $330.83

    $73.33 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 62263

    Office

    $633.62

    Facility

    $282.60

    $73.46 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 62263

    Office

    $607.59

    Facility

    $289.18

    $99.49 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 62263

    Office

    $660.68

    Facility

    $294.28

    $46.40 lower than El Centro for the office setting.

See how rates vary across the country

62263 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$588.66

$798.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$770.891
AL$597.221
AR$588.661
AZ$647.391
CA$707.01–$890.4329
CO$694.391
CT$708.611
DC$761.781
DE$658.111
FL$651.01–$708.113
GA$615.11–$676.042
GU$724.831
HI$724.831
IA$614.081
ID$617.681
IL$631.02–$690.814
IN$621.281
KS$610.371
KY$609.391
LA$608.11–$638.072
MA$689.94–$764.022
MD$670.88–$761.783
ME$619.96–$654.632
MI$624.35–$658.202
MN$667.961
MO$597.17–$641.373
MS$593.071
MT$664.651
NC$626.551
ND$655.551
NE$617.671
NH$682.701
NJ$717.43–$753.802
NM$627.401
NV$662.601
NY$635.80–$780.195
OH$622.491
OK$609.221
OR$658.17–$717.332
PA$623.95–$690.522
PR$669.801
RI$682.161
SC$625.411
SD$654.481
TN$613.311
TX$619.82–$691.468
UT$633.931
VA$651.89–$761.782
VI$669.801
VT$652.221
WA$688.90–$780.412
WI$633.621
WV$607.591
WY$660.681

Explore 62263 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Why are the office and facility amounts different?

For 62263 in El Centro, the physician’s office rate is $707.08 and the facility-setting rate is $305.50: a difference of $401.58.

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 62263 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$777.79

$707.08 × 110% = $777.79

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 62263 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

6,943

Code
62263
Physician work
4.88
Practice expense
14.56
Malpractice
0.46

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 62263 in El Centro
ComponentRVULocality factorAdjusted
Physician work4.88× 1.0174.9630
Practice expense14.56× 1.09615.9578
Malpractice0.46× 0.5410.2489
Total RVUs21.1696
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$707.08

Open 62263 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.881.017
Practice expense14.561.096
Malpractice0.460.541

(4.88 × 1.017 + 14.56 × 1.096 + 0.46 × 0.541) × $33.4009 = $707.08

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.881.017
Practice expense3.591.096
Malpractice0.460.541

(4.88 × 1.017 + 3.59 × 1.096 + 0.46 × 0.541) × $33.4009 = $305.50

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

62263 · Office / nonfacility

$707.08

Effective 2026-10-01

The base rate is $57.99 higher than on 2025-10-01, moving from $649.09 to $707.08 (8.9%).

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

    $649.09changed to$707.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.00 changed to 4.88
    • Practice expense RVU 13.46 changed to 14.56
    • Malpractice RVU 0.50 changed to 0.46
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $649.09

    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$707.08$305.50RVU26D
2026-07-01$707.08$305.50RVU26C
2026-04-01$707.08$305.50RVU26B
2026-01-01$707.08$305.50RVU26A
2025-10-01$649.09$324.53RVU25D
2025-07-01$649.09$324.53RVU25C
2025-04-01$649.09$324.53RVU25B
2025-01-01$649.09$324.53RVU25A

62263 billing questions

When should 62263 be chosen instead of 62264?

Use 62263 when lumbar epidural adhesiolysis is performed over multiple sessions. Use 62264 when the treatment is completed in a single day.

How many units should be reported for the treatment course?

Report one unit of 62263 for the multi-session course, rather than a unit for each injection or session.

Can fluoroscopic guidance be billed separately?

Radiologic localization, including contrast when performed, is included in 62263. Do not separately report fluoroscopic guidance for that same localization.

Does modifier 50 apply when adhesiolysis is performed on both sides?

No. Medicare's bilateral adjustment does not apply to 62263, and modifier 50 is inappropriate for this service.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 62263. Co-surgeons and team surgery are not permitted for this service.

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 62263PPRRVU2026_Oct_nonQPP.csv, line 6,943 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)