$234.43
Choose 62281 for neurolytic treatment in the cervical or thoracic epidural space. Code 62280 targets the spinal subarachnoid space.
On this page
CMS RVU26D · Effective 2026-10-01
62280 Spinal neurolysis Medicare reimbursement rates in Ohio
Report 62280 for percutaneous delivery of a neurolytic agent into the spinal subarachnoid space to intentionally interrupt pain transmission. Compare 62280 office and facility rates across CMS payment localities in Ohio.
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 62280 in Ohio?
Ohio 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
$304.68
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$132.68
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Pain management
About 62280: Percutaneous spinal intrathecal neurolysis
Report 62280 for percutaneous delivery of a neurolytic agent into the spinal subarachnoid space to intentionally interrupt pain transmission.
Code 62280 represents percutaneous delivery of a neurolytic agent into the spinal subarachnoid space to intentionally interrupt pain transmission. It is used for selected cases of severe, difficult-to-control pain, including cancer-related pain, when chemical neurolysis is the planned treatment. Physicians who manage complex pain and perform intrathecal procedures typically provide this service. It is distinct from routine epidural steroid or anesthetic injections.
The record should support the treatment purpose, the intrathecal target, the neurolytic agent, and the procedure performed. The 10-day global period includes related postoperative visits during that period. When multiple procedures are performed 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 for this code. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 62280
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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 RVU2.56 · 26%
- Practice expense (office) RVU6.90 · 71%
- Malpractice RVU0.26 · 3%
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.
62280 compared with similar codes
Office rates for Ohio, from the same CMS release.
$319.84
Choose 62282 for neurolytic treatment in the lumbar or sacral epidural space. Code 62280 describes intrathecal rather than epidural treatment.
$155.02
Code 62270 is for a diagnostic lumbar puncture to obtain cerebrospinal fluid. Code 62280 is for therapeutic intrathecal neurolysis, not diagnostic fluid collection.
Compare 62280 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
Ohio →
Office / nonfacility
$304.68
Facility
$132.68
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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 62280 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,951
- Code
- 62280
- Physician work
- 2.56
- Practice expense
- 6.90
- Malpractice
- 0.26
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.56 | × 1.000 | 2.5600 |
| Practice expense | 6.90 | × 0.913 | 6.2997 |
| Malpractice | 0.26 | × 1.008 | 0.2621 |
| Total RVUs | 9.1218 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$304.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 6.9 | 0.913 |
| Malpractice | 0.26 | 1.008 |
(2.56 × 1 + 6.9 × 0.913 + 0.26 × 1.008) × $33.4009 = $304.68
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 1.26 | 0.913 |
| Malpractice | 0.26 | 1.008 |
(2.56 × 1 + 1.26 × 0.913 + 0.26 × 1.008) × $33.4009 = $132.68
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.
62280 billing questions
How does 62280 differ from 62281 and 62282?
62280 describes neurolytic treatment in the spinal subarachnoid space. Codes 62281 and 62282 describe neurolytic treatment in the epidural space, with the spinal region determining which sibling applies.
Can a diagnostic lumbar puncture be reported separately?
A diagnostic lumbar puncture is a different service, performed to obtain cerebrospinal fluid for testing. Report it only when a distinct diagnostic procedure was actually performed and separately supported, not simply because needle access was used for 62280.
What documentation supports reporting 62280?
Document the clinical reason for neurolysis, the spinal subarachnoid target, the neurolytic agent, and the technique and work performed. The record should distinguish this treatment from an epidural injection of a non-neurolytic medication.
Can modifier 50 be used for bilateral treatment?
No. The descriptor and anatomy make bilateral adjustment inappropriate for 62280.
Are assistant or co-surgeon claims allowed?
Medicare does not pay an assistant at surgery for 62280. Co-surgeon and team-surgery billing are also 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.
6,94862270,,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
6,95062273,,Inject epidural patch,A,,2.10,2.84,,0.75,,0.21,5.15,3.06,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95162280,,Treat spinal cord lesion,A,,2.56,6.90,,1.26,,0.26,9.72,4.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95262281,,Treat spinal cord lesion,A,,2.59,4.63,,1.29,,0.20,7.42,4.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95362282,,Treat spinal canal lesion,A,,2.27,7.77,,1.40,,0.21,10.25,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,95462284,,Injection for myelogram,A,,1.50,3.73,,0.49,,0.16,5.39,2.15,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703