Billing code 62263: Epidural adhesiolysisMedicare rate & RVUs in Florida
Reports fluoroscopically localized lumbar epidural adhesiolysis performed over multiple sessions to treat pain associated with epidural scarring.
Medicare pays $651.01–$708.11 for 62263 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62263 covers
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.
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.
Where 62263 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$651.01 to $708.11
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $683.41 | $312.24 |
| Miami | $708.11 | $326.68 |
| Rest Of Florida | $651.01 | $300.72 |
How the 62263 rate is calculated
Each of 62263’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62263
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.88Practice expense 14.56Malpractice 0.46
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62263
62263 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62263
Epidural adhesiolysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62263
Epidural adhesiolysis
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62263 without 51 · national office
$664.68
Epidural adhesiolysis
62263-51 · Second procedure: 50%
$332.34
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62263 compared with similar codes
Compare codes
62263 vs 62264 vs 62323 vs 62273: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62264Epidural adhesiolysis
- Choose 62263 for adhesiolysis performed over multiple sessions; 62264 describes the same general treatment completed in one day.
- 62323Lumbar epidural injection
- 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.
- 62273Epidural blood patch
- 62273 is an epidural blood patch, commonly used to treat a cerebrospinal fluid leak. It is not a treatment for epidural adhesions.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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