No office rate
62330 represents the primary lumbar level; 62331 is for each additional level and is reported with 62330.
On this page
CMS RVU26D · Effective 2026-10-01
62331 Lumbar decompression Medicare reimbursement rates in Kentucky
Reports percutaneous removal of hypertrophic ligamentum flavum to decompress neural elements at each additional lumbar level treated after the primary level. Compare 62331 office and facility rates across CMS payment localities in Kentucky.
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 62331 in Kentucky?
Kentucky 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
No supported rate
Facility setting
$184.15
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Spine procedure
About 62331: Percutaneous lumbar ligamentum flavum decompression
Reports percutaneous removal of hypertrophic ligamentum flavum to decompress neural elements at each additional lumbar level treated after the primary level.
This add-on code represents percutaneous decompression for lumbar spinal stenosis associated with hypertrophy of the ligamentum flavum. The physician removes tissue through a percutaneous approach to relieve pressure on neural elements at an additional lumbar level. Interventional pain physicians and spine specialists commonly perform this procedure in an outpatient setting; the operative record should identify the levels treated and describe the decompression performed at each one.
Report 62331 only with the primary-level procedure, 62330, and use it for each additional lumbar level treated. The documentation should distinguish the primary level from the additional level or levels. CMS treats this as an add-on paid within the primary procedure’s global period. The code is already priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 62331
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU4.25 · 75%
- Practice expense (office) RVU1.03 · 18%
- Malpractice RVU0.38 · 7%
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.
62331 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
63048 describes an additional segment in an open lumbar decompression procedure. Use 62331 for an additional level treated with the percutaneous ligamentum flavum approach.
$249.56
62323 is an interlaminar lumbar or sacral injection code. It does not describe percutaneous removal of ligamentum flavum to decompress neural elements.
Compare 62331 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$184.15
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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 62331 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,975
- Code
- 62331
- Physician work
- 4.25
- Practice expense
- 1.03
- Malpractice
- 0.38
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.25 | × 1.000 | 4.2500 |
| Practice expense | 1.03 | × 0.889 | 0.9157 |
| Malpractice | 0.38 | × 0.915 | 0.3477 |
| Total RVUs | 5.5134 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$184.15
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.25 | 1 |
| Practice expense | 1.03 | 0.889 |
| Malpractice | 0.38 | 0.915 |
(4.25 × 1 + 1.03 × 0.889 + 0.38 × 0.915) × $33.4009 = $184.15
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.
62331 billing questions
When is 62331 reported instead of 62330?
Use 62330 for the primary lumbar level and 62331 for each additional level treated during the percutaneous decompression.
Can 62331 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure, 62330.
How many units should be reported?
Report one unit for each additional lumbar level treated beyond the primary level. The operative documentation should identify those additional levels.
Should modifier 50 be appended for bilateral treatment?
CMS prices 62331 as bilateral; modifier 50 does not increase payment.
Is 62331 paid outside the primary procedure’s global period?
No. CMS identifies it as an add-on paid within the primary procedure’s global period.
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.
6,97262328,,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
6,97662350,,Implant spinal canal cath,A,,5.90,4.24,NA,4.24,,1.17,11.31,11.31,0,010,0.10,0.80,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97762351,,Implant spinal canal cath,A,,11.37,11.85,NA,11.85,,4.15,27.37,27.37,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97862355,,Remove spinal canal catheter,A,,3.46,4.09,NA,4.09,,0.86,8.41,8.41,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631