$352.57
Use 62280 for neurolytic treatment through the lumbar or sacral epidural route; 62282 specifies the subarachnoid route.
On this page
CMS RVU26D · Effective 2026-10-01
62282 Neurolytic injection Medicare reimbursement rates in Hawaii
Reports injection of a neurolytic agent into the subarachnoid space to interrupt pain transmission in selected patients with severe, refractory pain. Compare 62282 office and facility rates across CMS payment localities in Hawaii.
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 62282 in Hawaii?
Hawaii 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
$374.96
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$133.05
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 62282: Subarachnoid Neurolytic Injection
Reports injection of a neurolytic agent into the subarachnoid space to interrupt pain transmission in selected patients with severe, refractory pain.
This service delivers a neurolytic agent into the subarachnoid space to chemically interrupt pain transmission. It may be considered for selected patients with severe, refractory pain, including cancer-related pain, when a neurolytic approach is planned. Pain medicine physicians, anesthesiologists, or neurosurgeons may perform the procedure in a setting equipped for the patient's clinical needs.
Choose this code when documentation supports the subarachnoid route and neurolytic intent. Codes 62280 and 62281 describe neurolytic treatment by an epidural route, with the spinal level distinguishing those codes. Record the indication, agent, route, and procedure performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. 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 multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 62282
- 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 RVU2.27 · 22%
- Practice expense (office) RVU7.77 · 76%
- Malpractice RVU0.21 · 2%
401
Medicare services in 2024 · #3737 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.
62282 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$266.21
Use 62281 for neurolytic treatment through the cervical or thoracic epidural route; 62282 specifies the subarachnoid route.
$299.43
62323 describes a non-neurolytic injection service. Use 62282 when the documented service uses a neurolytic agent through the subarachnoid route.
Compare 62282 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
Hawaii, Guam →
Office / nonfacility
$374.96
Facility
$133.05
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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 62282 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,953
- Code
- 62282
- Physician work
- 2.27
- Practice expense
- 7.77
- Malpractice
- 0.21
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.27 | × 1.000 | 2.2700 |
| Practice expense | 7.77 | × 1.137 | 8.8345 |
| Malpractice | 0.21 | × 0.579 | 0.1216 |
| Total RVUs | 11.2261 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$374.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.27 | 1 |
| Practice expense | 7.77 | 1.137 |
| Malpractice | 0.21 | 0.579 |
(2.27 × 1 + 7.77 × 1.137 + 0.21 × 0.579) × $33.4009 = $374.96
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.27 | 1 |
| Practice expense | 1.4 | 1.137 |
| Malpractice | 0.21 | 0.579 |
(2.27 × 1 + 1.4 × 1.137 + 0.21 × 0.579) × $33.4009 = $133.05
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.
62282 billing questions
How does 62282 differ from 62280 and 62281?
62282 is for neurolytic treatment through the subarachnoid route. Codes 62280 and 62281 are for epidural treatment, distinguished by lumbar or sacral versus cervical or thoracic level.
What documentation supports reporting 62282?
Document the pain indication, the neurolytic agent, the subarachnoid route, and the procedure performed. The record should support that the service was intended to interrupt pain transmission.
Can modifier 50 be reported?
No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How is 62282 paid when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
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.
6,95062273,,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
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014