Use 62302 when the myelographic examination targets the cervical region; 62303 identifies a thoracic examination.
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CMS RVU26D · Effective 2026-10-01
62303 Myelography Medicare reimbursement rates in Massachusetts
Thoracic myelography is reported when intrathecal contrast is introduced through a lumbar puncture and radiographic evaluation assesses the thoracic spinal canal. Compare 62303 office and facility rates across CMS payment localities in Massachusetts.
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 62303 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$257.47–$283.58
2 of 2 localities have a supported rate.
Facility setting
$102.72–$108.11
2 of 2 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.
Radiology
About 62303: Thoracic myelographic examination
Thoracic myelography is reported when intrathecal contrast is introduced through a lumbar puncture and radiographic evaluation assesses the thoracic spinal canal.
This service covers a myelographic study of the thoracic spine after contrast is placed into the cerebrospinal-fluid space through a lumbar puncture. A radiologist or other qualified physician commonly performs it in a hospital or imaging department when the spinal canal, thecal sac, or nerve-root contours need evaluation, such as when assessing suspected thoracic stenosis or a structural lesion. The examination targets the thoracic region even though access is lumbar.
Report 62303 when the documented target of the myelographic examination is thoracic; select among myelography family codes by the imaged spinal region, not the puncture level. The service includes contrast injection and radiological supervision and interpretation, so those elements are not separately reported as stand-alone parts of this code. Document the indication, contrast administration, thoracic images, and interpretation. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 62303
- 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 RVU2.23 · 30%
- Practice expense (office) RVU5.01 · 67%
- Malpractice RVU0.21 · 3%
227
Medicare services in 2024 · #4215 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.
62303 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
Use 62304 for a lumbar myelographic examination. A lumbar puncture used to access the intrathecal space does not make a thoracic study lumbar.
Use 62305 when the myelographic examination targets the lumbosacral region rather than the thoracic spine.
Compare 62303 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$283.58
Facility
$108.11
Rest Of Massachusetts →
Office / nonfacility
$257.47
Facility
$102.72
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62303 billing questions
How do I distinguish 62303 from the other myelography codes?
Choose 62303 for a thoracic myelographic examination. The neighboring codes identify cervical, lumbar, or lumbosacral imaging regions.
Is the contrast injection included?
Yes. The code includes the injection used to introduce contrast for the myelographic examination; do not report that access solely for contrast administration as a separate service.
Is radiological supervision and interpretation included?
Yes. The code includes radiological supervision and interpretation of the myelographic study.
What documentation supports reporting 62303?
Document the clinical indication, intrathecal contrast administration, thoracic region examined, images obtained, and the physician’s interpretation.
Can modifier 50 be used?
No. The bilateral adjustment is inappropriate for this descriptor and anatomy.
How does payment change when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are paid at 50%. The 0-day global period includes same-day preoperative and postoperative care.
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.
