Fluoroscopy guided lumbar puncture w/ Sedation

Billed together on one claim

62329 99152

Edit codes

Price for scenario

+ Scenario

Edit scenario

Fee schedule

2026 Medicare PFS · RVU26D

Effective October 1, 2026 · CF $33.4009

Locality

San Jose Sunnyvale Santa Clara (Santa Clara Cnty), CA (01112-09)

Setting · provider

Office (non-facility) rates · Physician

Payer

Traditional Medicare

Priced as of

November 13, 2026

Medicare allowed

$430.64

Total the claim is paid on

Medicare pays

$337.62

80%, less 2% sequestration

Patient owes

$86.13

20% coinsurance, once the Part B deductible is met

Billing rules changed it by

—

from $430.64 at full fee schedule

Nothing to resolve before billing: no prior authorization, documentation or coding flags for these codes.

Highest-paid first, the order Medicare ranks multiple procedures

Code	Description	Units	Fee schedule	× Units	Adjustments	Allowed
62329	Ther spi pnxr csf fluor/ct	1	$360.29	$360.29	—	$360.29
99152	Mod sed same phys/qhp 5/>yrs	1	$70.35	$70.35	—	$70.35
Total				$430.64	—	$430.64

Before the Part B deductible

Until the patient meets the annual Part B deductible, they pay the full allowed amount instead of 20% coinsurance.

How each fee is calculated (Work RVU × GPCI + PE RVU × GPCI + MP RVU × GPCI) × conversion factor ▸

Code	Work	Practice expense	Malpractice	Adjusted RVU	× CF	Fee	Global	Multiple procedure	Bilateral (50)	Assistant	Co-surgeon (62)
62329	1.98 × 1.11	5.86 × 1.442 non-facility	0.35 × 0.397	10.7869	33.4009	$360.29	0-day global	Standard (2nd+ at 50%)	No bilateral adjustment	Not paid	Not permitted
99152	0.25 × 1.11	1.26 × 1.442 non-facility	0.03 × 0.397	2.1063	33.4009	$70.35	No global period	Not applicable	Not applicable	Not applicable	Not applicable

GPCIs for San Jose Sunnyvale Santa Clara (Santa Clara Cnty), CA (01112-09) in RVU26D. Imaging fees are capped at the OPPS amount when that's lower.