$432.24
Use 62290 for diagnostic lumbar discography alone. Discography performed as part of lumbar chemonucleolysis is included in 62292.
On this page
CMS RVU26D · Effective 2026-10-01
62292 Chemonucleolysis Medicare reimbursement rates in Alaska
Reports injection of an enzymatic agent into a lumbar intervertebral disc to treat herniated disc material, including discography performed as part of the procedure. Compare 62292 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 62292 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$660.95
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Spine procedure
About 62292: Lumbar disc chemonucleolysis injection
Reports injection of an enzymatic agent into a lumbar intervertebral disc to treat herniated disc material, including discography performed as part of the procedure.
This procedure delivers an enzymatic agent into a lumbar intervertebral disc to break down disc material, typically for treatment of a herniated lumbar disc. A physician performs it in a procedural or surgical setting. Discography associated with the chemonucleolysis is included in the service; this is not a code for diagnostic discography alone.
Choose the code when the documented treatment is lumbar intradiscal chemonucleolysis, rather than diagnostic discography or a mechanical percutaneous decompression technique. The record should identify the lumbar disc treated and support the therapeutic injection. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 62292
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.24 · 61%
- Practice expense (office) RVU5.07 · 33%
- Malpractice RVU0.96 · 6%
65
Medicare services in 2024 · #5189 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.
62292 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
62287 describes percutaneous decompression of lumbar nucleus pulposus by a different technique; 62292 is for enzymatic treatment.
$396.42
62291 is for diagnostic discography in the cervical or thoracic region, not lumbar chemonucleolysis.
Compare 62292 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$660.95
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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 62292 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
6,958
- Code
- 62292
- Physician work
- 9.24
- Practice expense
- 5.07
- Malpractice
- 0.96
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.24 | × 1.500 | 13.8600 |
| Practice expense | 5.07 | × 1.065 | 5.3995 |
| Malpractice | 0.96 | × 0.551 | 0.5290 |
| Total RVUs | 19.7885 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$660.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.24 | 1.5 |
| Practice expense | 5.07 | 1.065 |
| Malpractice | 0.96 | 0.551 |
(9.24 × 1.5 + 5.07 × 1.065 + 0.96 × 0.551) × $33.4009 = $660.95
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.
62292 billing questions
When should I report this instead of 62290?
Report 62292 for lumbar chemonucleolysis, including discography performed as part of that treatment. Code 62290 describes diagnostic lumbar discography without chemonucleolysis.
Can I separately report 62290 for discography during this procedure?
Discography associated with the chemonucleolysis is included in 62292. Do not separately report 62290 for that same discography.
How does 62292 differ from 62287?
62292 is for enzymatic treatment of lumbar disc material. Code 62287 describes percutaneous decompression of lumbar nucleus pulposus by a different method.
Does modifier 50 apply when treating a lumbar disc?
No. CMS identifies bilateral adjustment as inapplicable because the service and anatomy do not support modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic 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.
6,95562287,,Dcmprn pq nuc pul 1/mlt lmbr,A,,9.03,6.02,NA,6.02,,0.93,15.98,15.98,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95662290,,Njx px discography lumbar,A,,2.93,7.89,,1.08,,0.26,11.08,4.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95762291,,Njx px discography crv/thrc,A,,2.84,7.02,,0.92,,0.24,10.10,4.00,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95862292,,Njx chemonucleolysis lmbr,A,,9.24,5.07,NA,5.07,,0.96,15.27,15.27,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95962294,,Injection into spinal artery,A,,12.55,10.76,NA,10.76,,5.29,28.60,28.60,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96062302,,Myelography lumbar injection,A,,2.23,4.88,,0.61,,0.22,7.33,3.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96162303,,Myelography lumbar injection,A,,2.23,5.01,,0.61,,0.21,7.45,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609