$160.40–$178.40
Both codes describe diagnostic lumbar puncture. Choose 62328 when fluoroscopy or CT guides the puncture; 62270 is the non-imaging-guided service.
On this page
CMS RVU26D · Effective 2026-10-01
62328 Lumbar puncture Medicare reimbursement rates in Illinois
Reports a diagnostic lumbar puncture performed with fluoroscopic or CT guidance to obtain cerebrospinal fluid for laboratory analysis. Compare 62328 office and facility rates across CMS payment localities in Illinois.
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 62328 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$205.51–$224.60
4 of 4 localities have a supported rate.
Facility setting
$75.91–$81.72
4 of 4 localities have a supported rate.
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.
Where 62328 pays more and less in Illinois
4 payment localities
$205.51 to $224.60
Radiology
About 62328: Image-guided diagnostic lumbar puncture
Reports a diagnostic lumbar puncture performed with fluoroscopic or CT guidance to obtain cerebrospinal fluid for laboratory analysis.
This service is a diagnostic lumbar puncture in which fluoroscopy or CT guides needle placement into the lumbar thecal sac to collect cerebrospinal fluid. Radiologists, including neuroradiologists, commonly perform it in a hospital imaging department or an outpatient imaging setting. A typical indication is obtaining CSF for laboratory evaluation when image guidance is needed, such as after a difficult or unsuccessful bedside attempt or when patient anatomy makes landmark-based access challenging.
Report the code when the purpose is diagnostic CSF collection and fluoroscopy or CT is used to guide the puncture. The record should identify the diagnostic purpose, imaging guidance, CSF collection, and relevant procedural details. Guidance is part of this service; distinguish it from a therapeutic puncture for CSF drainage and from lumbar access for myelography. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur 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 is statutorily restricted, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 62328
- 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 RVU1.69 · 26%
- Practice expense (office) RVU4.58 · 71%
- Malpractice RVU0.18 · 3%
41.2K
Medicare services in 2024 · #859 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.
62328 compared with similar codes
Office rates for Illinois, from the same CMS release.
$263.11–$290.13
The purpose separates the codes: 62328 obtains CSF for diagnosis, while 62329 drains CSF therapeutically under imaging guidance.
$234.78–$255.68
Code 62302 is for myelography using intrathecal contrast, not diagnostic CSF collection. Do not select it solely because lumbar needle access is used.
Compare 62328 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$224.38
Facility
$81.72
East St. Louis →
Office / nonfacility
$209.29
Facility
$78.70
Rest Of Illinois →
Office / nonfacility
$205.51
Facility
$75.91
Suburban Chicago →
Office / nonfacility
$224.60
Facility
$78.82
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62328 billing questions
When should this code be used instead of 62270?
Use this code for a diagnostic lumbar puncture performed with fluoroscopic or CT guidance. Code 62270 describes a diagnostic lumbar puncture without imaging guidance.
Can imaging guidance be billed separately?
Fluoroscopic or CT guidance is part of this service. Do not report a separate guidance service for the same puncture.
How does this differ from 62329?
This code is for diagnostic CSF collection. Code 62329 is for a guided spinal puncture performed to drain CSF therapeutically.
Is modifier 50 appropriate for bilateral punctures?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be paid for this service?
CMS applies a statutory restriction to assistant-at-surgery payment and does not permit co-surgeon or team-surgery payment for this code.
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.
6,96962325,,Njx interlaminar crv/thrc,A,,2.15,5.60,,0.68,,0.19,7.94,3.02,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97062326,,Njx interlaminar lmbr/sac,A,,1.74,2.70,,0.57,,0.15,4.59,2.46,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97162327,,Njx interlaminar lmbr/sac,A,,1.85,6.18,,0.75,,0.19,8.22,2.79,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97262328,,Dx lmbr spi pnxr w/fluor/ct,A,,1.69,4.58,,0.33,,0.18,6.45,2.20,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97362329,,Ther spi pnxr csf fluor/ct,A,,1.98,5.86,,0.45,,0.35,8.19,2.78,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97462330,,Dcmprn prq rmv lig flv 1lmbr,A,,8.00,5.64,NA,5.64,,0.71,14.35,14.35,0,090,0.11,0.76,0.13,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97562331,,Dcmprn prq rmv lig flv addl,A,,4.25,1.03,NA,1.03,,0.38,5.66,5.66,0,ZZZ,0.00,0.00,0.00,0,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00