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See a sample rate comparisonCPT 62005 Fee Schedule
Last Verified: October 2026
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.
Elevation Of Depressed Skull F, Elevation Of Depressed Skull Fracture Compound Orcomminuted Extradural Elevation Of Depressed Skull Fracture Compound Or
| Key Fact | Detail |
|---|---|
| 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 Level | High |
| Medicare Fee Schedule | View Medicare rates for 62005 |
| Medicaid Fee Schedule | View Medicaid rates for 62005 |
National average reimbursement for CPT 62005 by major payers:
$1,573.66
$1,710.89
$1,776.20
$2,026.57
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CPT 62005
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$2,732.00Published rateSummit Ambulatory Surgical Center, LLC
$1,028.00Published rateSpokane Surgery Center Ltd Ps
Spokane Surgery Center Ltd
$650.00Published rateBinz Surgery Center, LLC
Binz Surgery Center LLC
$475.00Published rateArizona Surgical Specialists Center, LLC
Arizona Surgical Specialists Center LLC
$105.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 62000-CPT | High | Elevation Of Depressed Skull F, Elevation Of Depressed Skull Fracture Simple Extraduralelevation Of Depressed Skull Fracture Simple Extradural |
| 62005-CPT | High | Elevation Of Depressed Skull F, Elevation Of Depressed Skull Fracture Compound Orcomminuted Extradural Elevation Of Depressed Skull Fracture Compound Or |
| 62010-CPT | High | Elevation Of Depressed Skull F, Elevation Of Depressed Skull Fracture With Repairof Duraandor Debridement Of Brain Elevation Of Depressed Skull Fracture With Repair Of Dura |
| 62100-CPT | High | Seal Spinal Fluid Leak, Surgery To Seal Off An Opening In The Membrane Covering The Brain. The Opening Has Allowed Cerebrospinal Fluid To Leak Into The Sinuses. |
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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