No office rate
Choose 62267 for diagnostic aspiration of lumbar disc material. Choose 62287 for percutaneous decompression of lumbar disc material as treatment.
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CMS RVU26D · Effective 2026-10-01
62267 Disc aspiration Medicare reimbursement rates in Pennsylvania
Reports percutaneous sampling of lumbar intervertebral disc material for diagnostic evaluation, such as investigating suspected disc infection. Compare 62267 office and facility rates across CMS payment localities in Pennsylvania.
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 62267 in Pennsylvania?
Pennsylvania 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
$245.95–$268.89
2 of 2 localities have a supported rate.
Facility setting
$132.20–$139.90
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.
Spine procedure
About 62267: Percutaneous lumbar disc aspiration
Reports percutaneous sampling of lumbar intervertebral disc material for diagnostic evaluation, such as investigating suspected disc infection.
A physician obtains material from a lumbar intervertebral disc by percutaneous needle access for diagnostic testing. Interventional radiologists, neuroradiologists, and spine specialists may perform the procedure, commonly when imaging and clinical findings raise concern for disc-space infection and a specimen is needed for laboratory analysis. The aspirate may be submitted for culture and other indicated testing. This is sampling of the disc itself, not a lumbar puncture to collect cerebrospinal fluid or a procedure to decompress a herniated disc.
Report the service when the documented procedure is diagnostic aspiration of lumbar disc material. The record should identify the indication, level or levels treated, needle approach, and specimen obtained. The code covers single or multiple lumbar levels; document the levels rather than reporting a separate unit for each level. It has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 62267
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.93 · 38%
- Practice expense (office) RVU4.49 · 58%
- Malpractice RVU0.33 · 4%
2.9K
Medicare services in 2024 · #2203 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.
62267 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$347.99–$384.32
62290 describes lumbar discography using contrast injection for diagnostic imaging; 62267 describes aspiration to obtain disc material.
$317.68–$350.22
62291 is discography for cervical or thoracic levels. 62267 is diagnostic aspiration of lumbar disc material.
Compare 62267 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 Philadelphia →
Office / nonfacility
$268.89
Facility
$139.90
Rest Of Pennsylvania →
Office / nonfacility
$245.95
Facility
$132.20
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62267 billing questions
How is this different from lumbar discography?
This code is for obtaining disc material by aspiration for diagnostic testing. Lumbar discography injects contrast into a disc as part of a diagnostic imaging evaluation.
How is this different from percutaneous disc decompression?
Aspiration is reported for diagnostic sampling. Use the decompression code when the procedure reduces disc material to treat a symptomatic lumbar disc condition.
Can multiple lumbar levels be reported as separate units?
The code covers one or multiple lumbar levels. Document each level treated; do not bill a separate unit for each level.
What documentation supports reporting the service?
Document the diagnostic reason for sampling, the lumbar level or levels accessed, the percutaneous aspiration performed, and the specimen obtained for testing.
Is same-day postoperative care separately included?
No. The code has a 0-day global period, and same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeon and team-surgery billing 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.
6,94262258,,Replace brain cavity shunt,A,,15.25,11.77,NA,11.77,,6.07,33.09,33.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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