$227.71
Use 62302 when the myelographic contrast injection is at the cervical region; 62304 is for the lumbar region.
On this page
CMS RVU26D · Effective 2026-10-01
62304 Myelography injection Medicare reimbursement rates in Nebraska
Reports lumbar intrathecal contrast injection for myelographic imaging or CT when the examination requires evaluation of the lumbar spinal canal. Compare 62304 office and facility rates across CMS payment localities in Nebraska.
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 62304 in Nebraska?
Nebraska 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
$225.45
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$94.73
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Diagnostic radiology
About 62304: Lumbar myelographic contrast injection
Reports lumbar intrathecal contrast injection for myelographic imaging or CT when the examination requires evaluation of the lumbar spinal canal.
A clinician places a needle into the lumbar subarachnoid space and injects contrast for myelographic imaging or CT of the spinal canal. Radiologists commonly perform the procedure in a hospital or outpatient imaging department when evaluation of lumbar narrowing, nerve-root compression, or postoperative anatomy calls for myelography. The code is specific to injection at the lumbar region; the extent of the imaging examination does not change the injection site selection.
Report 62304 when the documented procedure injects contrast at the lumbar level for myelography or CT, rather than a diagnostic spinal puncture without myelographic contrast. Documentation should identify the lumbar puncture, contrast injection, and imaging purpose. It has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 62304
- 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 RVU2.19 · 30%
- Practice expense (office) RVU4.85 · 67%
- Malpractice RVU0.22 · 3%
6K
Medicare services in 2024 · #1765 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.
62304 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$231.59
Use 62303 for a thoracic-region myelographic injection. The injection site, not the suspected diagnosis, distinguishes it from 62304.
$246.05
62305 represents myelographic injection involving combined spinal regions; 62304 is the lumbar-region code.
$199.92
62328 is for diagnostic lumbar spinal puncture with imaging guidance. Choose 62304 when lumbar intrathecal contrast is injected for myelography or CT.
Compare 62304 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
Nebraska →
Office / nonfacility
$225.45
Facility
$94.73
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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 62304 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,962
- Code
- 62304
- Physician work
- 2.19
- Practice expense
- 4.85
- Malpractice
- 0.22
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.19 | × 1.000 | 2.1900 |
| Practice expense | 4.85 | × 0.923 | 4.4765 |
| Malpractice | 0.22 | × 0.378 | 0.0832 |
| Total RVUs | 6.7497 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$225.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.19 | 1 |
| Practice expense | 4.85 | 0.923 |
| Malpractice | 0.22 | 0.378 |
(2.19 × 1 + 4.85 × 0.923 + 0.22 × 0.378) × $33.4009 = $225.45
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.19 | 1 |
| Practice expense | 0.61 | 0.923 |
| Malpractice | 0.22 | 0.378 |
(2.19 × 1 + 0.61 × 0.923 + 0.22 × 0.378) × $33.4009 = $94.73
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.
62304 billing questions
How is 62304 distinguished from the other myelography injection codes?
Select 62304 for injection at the lumbar region. The cervical, thoracic, and combined-region codes reflect different injection sites or extent.
Is 62304 the same as a diagnostic lumbar puncture?
No. 62304 is for lumbar contrast injection for myelography or CT; 62328 describes a diagnostic lumbar spinal puncture with imaging guidance.
What documentation supports 62304?
Document the lumbar puncture site, intrathecal contrast administration, and the myelographic or CT examination being performed.
Should modifier 50 be appended for bilateral lumbar findings?
No. The CMS bilateral adjustment does not apply to 62304, and modifier 50 is inappropriate for this descriptor.
How does the multiple-procedure reduction affect 62304?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
Can an assistant or co-surgeon be reported for this procedure?
Assistant-at-surgery payment is statutorily restricted. 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.
6,95962294,,Injection into spinal artery,A,,12.55,10.76,NA,10.76,,5.29,28.60,28.60,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96062302,,Myelography lumbar injection,A,,2.23,4.88,,0.61,,0.22,7.33,3.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96162303,,Myelography lumbar injection,A,,2.23,5.01,,0.61,,0.21,7.45,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96262304,,Myelography lumbar injection,A,,2.19,4.85,,0.61,,0.22,7.26,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96362305,,Myelography lumbar injection,A,,2.29,5.41,,0.63,,0.22,7.92,3.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96462320,,Njx interlaminar crv/thrc,A,,1.76,2.93,,0.66,,0.21,4.90,2.63,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96562321,,Njx interlaminar crv/thrc,A,,1.90,6.20,,0.78,,0.18,8.28,2.86,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068