CPT 62280: Spinal neurolysisMedicare rate & RVUs in Utah
Report 62280 for percutaneous delivery of a neurolytic agent into the spinal subarachnoid space to intentionally interrupt pain transmission.
Medicare pays $309.94 for 62280 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62280 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $309.94 | $132.86 |
How the 62280 rate is calculated
Each of 62280’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62280
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.56Practice expense 6.90Malpractice 0.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62280
62280 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62280
Spinal neurolysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62280
Spinal neurolysis
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62280 without 51 · national office
$324.66
Spinal neurolysis
62280-51 · Second procedure: 50%
$162.33
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62280 compared with similar codes
Compare codes
62280 vs 62281 vs 62282 vs 62270: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62281Neurolytic injection
- Choose 62281 for neurolytic treatment in the cervical or thoracic epidural space. Code 62280 targets the spinal subarachnoid space.
- 62282Neurolytic injection
- Choose 62282 for neurolytic treatment in the lumbar or sacral epidural space. Code 62280 describes intrathecal rather than epidural treatment.
- 62270Lumbar puncture
- Code 62270 is for a diagnostic lumbar puncture to obtain cerebrospinal fluid. Code 62280 is for therapeutic intrathecal neurolysis, not diagnostic fluid collection.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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