Use 62270 for a diagnostic lumbar puncture to obtain cerebrospinal fluid. Use 62284 when spinal access is performed to inject contrast for myelography or CT myelography.
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CMS RVU26D · Effective 2026-10-01
62284 Myelogram injection Medicare reimbursement rates in Rhode Island
Reports spinal access and contrast injection for myelography or CT myelography when the examination involves a spinal site other than C1-C2 or the posterior fossa. Compare 62284 office and facility rates across CMS payment localities in Rhode Island.
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 62284 in Rhode Island?
Rhode Island 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
$184.52
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$72.73
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Radiology
About 62284: Spinal contrast injection for myelography
Reports spinal access and contrast injection for myelography or CT myelography when the examination involves a spinal site other than C1-C2 or the posterior fossa.
This service covers placing a spinal needle and injecting contrast into the spinal canal for a myelographic examination or CT performed after intrathecal contrast. A radiologist, neuroradiologist, or other qualified physician typically performs it in a hospital or imaging center. The injection supports evaluation of the spinal canal, nerve roots, or related structures when myelography is requested.
Report 62284 for the contrast injection procedure, with documentation identifying the indication, spinal access, contrast administration, and related imaging examination. Report the applicable myelographic imaging service separately when 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 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery and does not permit co-surgeons or team surgery for this service.
CMS billing rules for 62284
- 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 RVU1.50 · 28%
- Practice expense (office) RVU3.73 · 69%
- Malpractice RVU0.16 · 3%
11.9K
Medicare services in 2024 · #1380 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.
62284 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
72265 reports lumbosacral myelographic imaging and its interpretation. 62284 reports the spinal access and contrast injection that supports the examination.
62290 is an injection into an intervertebral disc for discography. 62284 injects contrast into the spinal canal for myelographic imaging.
Compare 62284 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
Rhode Island →
Office / nonfacility
$184.52
Facility
$72.73
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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 62284 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,954
- Code
- 62284
- Physician work
- 1.50
- Practice expense
- 3.73
- Malpractice
- 0.16
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.50 | × 1.019 | 1.5285 |
| Practice expense | 3.73 | × 1.033 | 3.8531 |
| Malpractice | 0.16 | × 0.892 | 0.1427 |
| Total RVUs | 5.5243 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$184.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1.019 |
| Practice expense | 3.73 | 1.033 |
| Malpractice | 0.16 | 0.892 |
(1.5 × 1.019 + 3.73 × 1.033 + 0.16 × 0.892) × $33.4009 = $184.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1.019 |
| Practice expense | 0.49 | 1.033 |
| Malpractice | 0.16 | 0.892 |
(1.5 × 1.019 + 0.49 × 1.033 + 0.16 × 0.892) × $33.4009 = $72.73
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.
62284 billing questions
How is 62284 different from a diagnostic lumbar puncture?
62284 reports spinal access with contrast injection for myelography or CT myelography. A diagnostic lumbar puncture such as 62270 is for obtaining cerebrospinal fluid, rather than injecting contrast for imaging.
Can the myelographic imaging be reported separately?
Yes. Report the applicable imaging service, such as cervical or lumbosacral myelography, separately when performed; 62284 describes the injection procedure.
Should modifier 50 be appended for injections on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure reduction affect 62284?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the other procedures to 50%.
Are assistant or co-surgeon claims payable?
CMS does not pay an assistant at surgery for 62284 and does not permit co-surgeons or team surgery.
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.
