$345.94
Choose 62280 when the neurolytic agent is administered into the subarachnoid space. This code is for the cervical or thoracic epidural route.
On this page
CMS RVU26D · Effective 2026-10-01
62281 Neurolytic injection Medicare reimbursement rates in Connecticut
Report this service for epidural administration of a neurolytic agent in the cervical or thoracic region to interrupt pain transmission. Compare 62281 office and facility rates across CMS payment localities in Connecticut.
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 62281 in Connecticut?
Connecticut 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
$262.88
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$142.73
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Pain management
About 62281: Cervical or thoracic epidural neurolysis
Report this service for epidural administration of a neurolytic agent in the cervical or thoracic region to interrupt pain transmission.
This procedure places a neurolytic agent, such as phenol or alcohol, into the cervical or thoracic epidural space to interrupt pain transmission. It may be used for selected cases of severe, persistent pain, including cancer-related pain. Anesthesiologists and pain medicine physicians commonly perform it; other physicians with appropriate expertise may also provide the service in an office or procedural setting.
Select this code for the cervical or thoracic epidural route, not for a subarachnoid injection or a lumbar or sacral epidural injection. The record should identify the indication, spinal region and route, and neurolytic agent administered. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 62281
- 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 RVU2.59 · 35%
- Practice expense (office) RVU4.63 · 62%
- Malpractice RVU0.20 · 3%
33
Medicare services in 2024 · #5603 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.
62281 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$365.33
Choose 62282 for a lumbar or sacral epidural neurolytic injection; this code covers the cervical or thoracic epidural region.
$295.04
Code 62321 describes a cervical or thoracic epidural injection of a therapeutic or diagnostic substance, rather than a neurolytic injection.
Compare 62281 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
Connecticut →
Office / nonfacility
$262.88
Facility
$142.73
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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 62281 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,952
- Code
- 62281
- Physician work
- 2.59
- Practice expense
- 4.63
- Malpractice
- 0.20
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.59 | × 1.020 | 2.6418 |
| Practice expense | 4.63 | × 1.077 | 4.9865 |
| Malpractice | 0.20 | × 1.210 | 0.2420 |
| Total RVUs | 7.8703 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$262.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.59 | 1.02 |
| Practice expense | 4.63 | 1.077 |
| Malpractice | 0.2 | 1.21 |
(2.59 × 1.02 + 4.63 × 1.077 + 0.2 × 1.21) × $33.4009 = $262.88
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.59 | 1.02 |
| Practice expense | 1.29 | 1.077 |
| Malpractice | 0.2 | 1.21 |
(2.59 × 1.02 + 1.29 × 1.077 + 0.2 × 1.21) × $33.4009 = $142.73
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.
62281 billing questions
How does this code differ from 62280?
This code is for neurolytic administration through the cervical or thoracic epidural route. Code 62280 describes the subarachnoid route.
Is a steroid epidural injection reported with this code?
This code represents administration of a neurolytic agent. A non-neurolytic epidural injection is a different service; distinguish the agent and procedure documented.
What documentation supports reporting this service?
Document the pain indication, cervical or thoracic epidural route, and neurolytic agent administered. The record should make the treated region clear.
Can modifier 50 or an assistant-at-surgery be reported?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service.
Are related postoperative visits included?
Yes. Related postoperative visits during the 10-day global period are included.
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.
6,94962272,,Ther spi pnxr drg csf,A,,1.54,4.48,,0.53,,0.47,6.49,2.54,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95062273,,Inject epidural patch,A,,2.10,2.84,,0.75,,0.21,5.15,3.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95162280,,Treat spinal cord lesion,A,,2.56,6.90,,1.26,,0.26,9.72,4.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95262281,,Treat spinal cord lesion,A,,2.59,4.63,,1.29,,0.20,7.42,4.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95362282,,Treat spinal canal lesion,A,,2.27,7.77,,1.40,,0.21,10.25,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95462284,,Injection for myelogram,A,,1.50,3.73,,0.49,,0.16,5.39,2.15,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95562287,,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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808