# CPT 62270: Spinal puncture, lumbar, diagnostic

Medicare CPT 62270 pays $165.00 in a non-facility setting and $58.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.01 in Arkansas to $188.81 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/62270-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $165.00 |
| National facility | $58.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $188.81 | $63.69 |
| Alaska | $188.04 | $74.92 |
| New York | $183.73 | $65.23 |
| California | $183.17 | $57.49 |
| New Jersey | $182.41 | $62.81 |
| Washington | $180.39 | $59.30 |
| Massachusetts | $178.89 | $59.56 |
| Hawaii | $176.76 | $55.99 |
| Connecticut | $176.73 | $62.33 |
| Florida | $174.56 | $67.99 |
| Maryland | $171.18 | $60.45 |
| Colorado | $170.75 | $57.74 |
| Illinois | $170.07 | $67.43 |
| Oregon | $168.82 | $56.93 |
| New Hampshire | $168.53 | $57.96 |
| Rhode Island | $168.52 | $58.80 |
| Puerto Rico | $166.13 | $58.74 |
| Virgin Islands | $166.13 | $58.74 |
| Montana | $164.98 | $58.77 |
| Pennsylvania | $163.66 | $59.62 |
| Nevada | $163.50 | $57.18 |
| Delaware | $162.83 | $57.89 |
| Texas | $162.74 | $58.17 |
| Wyoming | $162.48 | $56.27 |
| Michigan | $161.90 | $62.16 |
| Georgia | $161.65 | $60.32 |
| Minnesota | $161.53 | $52.24 |
| Virginia | $160.19 | $55.78 |
| Arizona | $160.02 | $57.10 |
| North Dakota | $159.25 | $53.03 |
| Vermont | $159.06 | $53.91 |
| South Dakota | $158.57 | $52.35 |
| New Mexico | $157.36 | $59.96 |
| Utah | $157.08 | $57.24 |
| Maine | $156.24 | $54.76 |
| Louisiana | $155.40 | $58.43 |
| Missouri | $155.33 | $57.86 |
| Ohio | $155.02 | $58.05 |
| South Carolina | $154.76 | $56.62 |
| West Virginia | $154.04 | $61.74 |
| North Carolina | $153.76 | $54.66 |
| Wisconsin | $153.44 | $51.69 |
| Indiana | $151.59 | $53.12 |
| Kentucky | $151.35 | $56.92 |
| Idaho | $150.65 | $52.93 |
| Oklahoma | $150.47 | $55.62 |
| Nebraska | $150.08 | $52.04 |
| Tennessee | $150.00 | $53.45 |
| Iowa | $149.34 | $52.15 |
| Kansas | $149.10 | $53.08 |
| Mississippi | $146.41 | $54.96 |
| Alabama | $146.35 | $53.41 |
| Arkansas | $144.01 | $52.77 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 62270 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules