$237.87–$251.68
Select 62267 when the percutaneous target is an intervertebral disc. Select 62268 when the target is a cyst within the spinal cord.
On this page
CMS RVU26D · Effective 2026-10-01
62268 Cord cyst drainage Medicare reimbursement rates in Missouri
Reports percutaneous aspiration or drainage of a spinal cord cyst, such as a syrinx, when the target is the cyst rather than disc or cerebrospinal fluid. Compare 62268 office and facility rates across CMS payment localities in Missouri.
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 62268 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$302.89–$313.66
3 of 3 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 62268 pays more and less in Missouri
Neurosurgery
About 62268: Percutaneous spinal cord cyst drainage
Reports percutaneous aspiration or drainage of a spinal cord cyst, such as a syrinx, when the target is the cyst rather than disc or cerebrospinal fluid.
A neurosurgeon typically performs this percutaneous procedure to aspirate or drain a fluid-filled cyst within the spinal cord, such as a syrinx. It is distinct from draining cerebrospinal fluid through a spinal puncture and from aspirating material in an intervertebral disc. The service is generally performed in a procedural setting equipped for spinal access.
Choose the code when the documented target is a spinal cord cyst and the procedure uses a percutaneous approach. The operative report should identify the cyst’s location, the approach, and the aspiration or drainage performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur 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; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 62268
- 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 RVU4.61 · 48%
- Practice expense (office) RVU2.98 · 31%
- Malpractice RVU1.94 · 20%
91
Medicare services in 2024 · #4952 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.
62268 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
62269 describes percutaneous needle biopsy of the spinal cord for tissue sampling; 62268 describes aspiration or drainage of a spinal cord cyst.
$195.71–$209.62
62272 is therapeutic spinal puncture to drain cerebrospinal fluid. It does not describe drainage of a cyst within the spinal cord.
Compare 62268 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$310.75
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$313.66
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$302.89
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62268 billing questions
How is this different from 62269?
62268 is for percutaneous aspiration or drainage of a spinal cord cyst. Use 62269 when the percutaneous spinal cord procedure is a needle biopsy to obtain tissue.
How is this different from 62267?
62267 targets an intervertebral disc for aspiration or injection. 62268 targets a cyst within the spinal cord.
Is modifier 50 appropriate for cysts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Is same-day care included in the payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant surgeon or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeon or team-surgery reporting.
What documentation supports reporting 62268?
Document that the target was a spinal cord cyst, its location, the percutaneous approach, and the aspiration or drainage performed. The record should distinguish the cyst from an intervertebral disc or cerebrospinal fluid.
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.
6,94362263,,Epidural lysis mult sessions,A,,4.88,14.56,,3.59,,0.46,19.90,8.93,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94462264,,Epidural lysis on single day,A,,4.31,8.64,,1.68,,0.42,13.37,6.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94562267,,Interdiscal perq aspir dx,A,,2.93,4.49,,0.78,,0.33,7.75,4.04,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94662268,,Drain spinal cord cyst,A,,4.61,2.98,NA,2.98,,1.94,9.53,9.53,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94762269,,Needle biopsy spinal cord,A,,4.88,1.31,NA,1.31,,0.46,6.65,6.65,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94862270,,Dx lmbr spi pnxr,A,,1.19,3.46,,0.28,,0.29,4.94,1.76,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,94962272,,Ther spi pnxr drg csf,A,,1.54,4.48,,0.53,,0.47,6.49,2.54,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00