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CPT 62005 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Elevat.Depress Skull Fx;Cmpnd,Extra
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

23 - Emergency Room

Common Modifiers

None

51 - Multiple procedures

AS - PA/NP/CNS assistant at surgery

Complexity LevelHigh

National average reimbursement for CPT 62005 by major payers:

bcbs

$1,573.66

uhc

$1,710.89

aetna

$1,776.20

cigna

$2,080.50

Preview provider-level rates for...
For billing codeCPT 62005
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 62005

United
62005$490.001922566066 - DELMARVA ENDOSCOPY CENTER LLC831509115 - (MD) DELMARVA ENDOSCOPY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$4300.001982880274 - BURLINGTON COUNTY ENDOSCOPY CENTER LLC208205206 - (NJ) BURLINGTON COUNTY ENDOSCOPY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$803.001033105960 - SURGERY CENTER OF OAK RIDGE, LLC, ADVANCED FAMILY SURGERY CENTER621801416 - (TN) ADVANCED FAMILY SURGERY CENTERTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$1879.001023070026 - TOMS RIVER SURGERY CENTER, LLC, TOMS RIVER SURGERY CENTER752854783 - (NJ) TOMS RIVER SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$2812.001770252868 - STONESPRINGS SURGICENTER, LLC812929320 - (VA) STONESPRINGS SURGICENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$737.001538101373 - DANVILLE POLYCLINIC, LTD, DANVILLE POLYCLINIC LTD ASTC370967248 - (IL) DANVILLE POLYCLINIC, LTD.ILAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$1049.001154956928 - ADVANCED SURGICAL CARE OF CLEARWATER LLC833698204 - (FL) ADVANCED SURGICAL CARE OF CLEARWATER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$1028.001124125604 - MURDOCK AMBULATORY SURGERY CENTER LLC201543128 - (FL) MURDOCK AMBULATORY SURGERY CENTEFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$100.001629133442 - ARIZONA SURGICAL ARTS, INC.860607769 - (AZ) ARIZONA SURGICAL ARTS INCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$1128.001700502150 - MOUNT PLEASANT OUTPATIENT SURGERY CENTER LLC883714959 - (SC) MOUNT PLEASANT OUTPATIENT SURGERY CENTER LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$520.001356412894 - ROCKFORD ORTHOPEDIC SURGERY CENTER, LLC364513047 - (IL) ROCKFORD ORTHOPEDIC SURGERY CENTER, LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$1126.001700838471 - SANTA CRUZ SURGERY CENTER770194916 - (CA) SANTA CRUZ SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$594.001063733095 - WOLFE SURGERY CENTER, LLC272625124 - (IA) WOLFE SURGERY CENTER LLCIAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$350.001639215502 - BOSTON EYE SURGERY & LASER CENTER TRUST, BOSTON EYE SURGERY & LASER CENTER43092292 - (MA) BOSTON EYE SURGERY & LASER CENTER TRUSTMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62005$581.001245868488 - AVON SURGERY CENTER, LLC823987550 - (OH) AVON SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 62005 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 62005 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 62005 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
62000-CPTHighElevat Fx Skull Simple Extradural
62005-CPTHighElevat.Depress Skull Fx;Cmpnd,Extra
62010-CPTHighElevat Fx Skull W Debride Brain
62100-CPTHighCranio-Repr D./Csf Leak,Surg-Rh/Ot

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 62005 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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