$257.97
62304 describes myelography limited to the lumbar region. Choose 62305 when the myelographic examination covers at least two spinal regions.
On this page
CMS RVU26D · Effective 2026-10-01
62305 Myelography Medicare reimbursement rates in Connecticut
Reports lumbar intrathecal contrast administration with radiologic imaging of at least two spinal regions during a myelographic examination. Compare 62305 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 62305 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
$281.52
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$109.57
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.
Radiology
About 62305: Multi-region lumbar-injection myelography
Reports lumbar intrathecal contrast administration with radiologic imaging of at least two spinal regions during a myelographic examination.
This service covers introducing contrast into the spinal fluid through a lumbar puncture and imaging two or more spinal regions to assess the spinal canal and nerve-root sleeves. A radiologist or other qualified physician typically performs and interprets the study in a hospital or imaging center. The service includes radiological supervision and interpretation of the myelogram; it is not an epidural steroid injection or a CT scan alone.
Select this code when the myelographic examination covers at least two spinal regions; use the corresponding single-region code when only one region is examined. Document the lumbar route, regions imaged, and interpretation. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 62305
- 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 RVU2.29 · 29%
- Practice expense (office) RVU5.41 · 68%
- Malpractice RVU0.22 · 3%
3.4K
Medicare services in 2024 · #2101 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.
62305 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$260.41
62302 is for a cervical-region myelographic examination alone; 62305 is for an examination spanning two or more regions.
$179.80
72132 reports CT imaging of the lumbar spine with contrast. It is not a substitute for the lumbar contrast administration and myelographic interpretation represented by 62305.
Compare 62305 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
$281.52
Facility
$109.57
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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 62305 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,963
- Code
- 62305
- Physician work
- 2.29
- Practice expense
- 5.41
- Malpractice
- 0.22
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.29 | × 1.020 | 2.3358 |
| Practice expense | 5.41 | × 1.077 | 5.8266 |
| Malpractice | 0.22 | × 1.210 | 0.2662 |
| Total RVUs | 8.4286 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$281.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.29 | 1.02 |
| Practice expense | 5.41 | 1.077 |
| Malpractice | 0.22 | 1.21 |
(2.29 × 1.02 + 5.41 × 1.077 + 0.22 × 1.21) × $33.4009 = $281.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.29 | 1.02 |
| Practice expense | 0.63 | 1.077 |
| Malpractice | 0.22 | 1.21 |
(2.29 × 1.02 + 0.63 × 1.077 + 0.22 × 1.21) × $33.4009 = $109.57
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.
62305 billing questions
When should 62305 be chosen over 62304?
Use 62305 when the myelographic examination covers two or more spinal regions. Use 62304 when it covers the lumbar region alone.
Is the CT scan after myelography included?
The code includes radiological supervision and interpretation of the myelogram, not a separately performed CT examination. Report the appropriate CT spine code when CT imaging is performed and separately supported.
Should modifier 50 be reported for both sides?
No. The service describes a multi-region examination, not a bilateral procedure, so modifier 50 is inappropriate.
How many units should be reported for multiple regions?
Report one unit for the examination covering two or more spinal regions; do not report a separate unit for each region.
What documentation supports this code?
Record the lumbar contrast-administration route, the spinal regions examined, and the radiologist's interpretation. The record should show that the examination covered at least two regions.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing 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.
6,96062302,,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
6,96262304,,Myelography lumbar injection,A,,2.19,4.85,,0.61,,0.22,7.26,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96362305,,Myelography lumbar injection,A,,2.29,5.41,,0.63,,0.22,7.92,3.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96462320,,Njx interlaminar crv/thrc,A,,1.76,2.93,,0.66,,0.21,4.90,2.63,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96562321,,Njx interlaminar crv/thrc,A,,1.90,6.20,,0.78,,0.18,8.28,2.86,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96662322,,Njx interlaminar lmbr/sac,A,,1.51,2.70,,0.56,,0.15,4.36,2.22,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,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