$194.17–$208.10
Use 62329 when CSF is drained for treatment; use 62328 when the puncture is diagnostic. Both include fluoroscopic or CT guidance.
On this page
CMS RVU26D · Effective 2026-10-01
62329 Therapeutic spinal puncture Medicare reimbursement rates in Missouri
Report this service when a clinician drains cerebrospinal fluid through a spinal puncture for therapeutic purposes using fluoroscopic or CT guidance. Compare 62329 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 62329 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
$246.24–$264.18
3 of 3 localities have a supported rate.
Facility setting
$90.48–$92.16
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 62329 pays more and less in Missouri
3 payment localities
$246.24 to $264.18
Spinal procedures
About 62329: Image-guided therapeutic spinal puncture
Report this service when a clinician drains cerebrospinal fluid through a spinal puncture for therapeutic purposes using fluoroscopic or CT guidance.
This service involves placing a needle or catheter into the spinal canal to drain cerebrospinal fluid for treatment, with fluoroscopy or CT used to guide placement. A typical clinical use is therapeutic drainage to reduce elevated CSF pressure, such as in a patient with idiopathic intracranial hypertension. Radiologists, neurologists, and other clinicians who perform image-guided spinal procedures may provide it in a hospital or outpatient setting.
Select this code when the puncture is performed to drain CSF therapeutically and imaging guidance is used; a diagnostic CSF sample alone points to a different service. The record should identify the therapeutic reason, the drainage performed, and the imaging guidance used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 62329
- 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 RVU1.98 · 24%
- Practice expense (office) RVU5.86 · 72%
- Malpractice RVU0.35 · 4%
2.5K
Medicare services in 2024 · #2304 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.
62329 compared with similar codes
Office rates for Missouri, from the same CMS release.
$195.71–$209.62
Use 62329 for therapeutic drainage with fluoroscopic or CT guidance. Use 62272 for therapeutic drainage without that guidance.
$148.80–$159.47
62270 describes a diagnostic spinal puncture without imaging guidance. It is not the choice for image-guided therapeutic CSF drainage.
Compare 62329 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
$261.35
Facility
$91.67
Metropolitan St. Louis →
Office / nonfacility
$264.18
Facility
$92.16
Rest Of Missouri →
Office / nonfacility
$246.24
Facility
$90.48
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62329 billing questions
How does this differ from 62328?
62329 is for therapeutic CSF drainage; 62328 is for a diagnostic spinal puncture with imaging guidance. Choose based on the purpose of the puncture, not simply whether CSF is collected.
How does this differ from 62272?
Both describe therapeutic CSF drainage, but 62329 includes fluoroscopic or CT guidance. 62272 is the counterpart when the therapeutic puncture is performed without that imaging guidance.
Can imaging guidance be reported separately?
Fluoroscopic or CT guidance is part of 62329. The record should support the guidance used as part of the puncture service.
What documentation supports therapeutic rather than diagnostic intent?
Document the clinical reason for CSF drainage, the therapeutic drainage performed, and the use of fluoroscopic or CT guidance. A diagnostic workup or CSF sampling by itself does not establish therapeutic intent.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and the other procedures are paid at 50%. The service has a 0-day global period, with same-day preoperative and postoperative care included.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 62329. Co-surgeons and team surgery are not permitted.
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.
6,97062326,,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
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