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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62010 |
| Medicaid Fee Schedule | View Medicaid rates for 62010 |
National average reimbursement for CPT 62010 by major payers:

$1,990.32

$2,085.59

$2,198.67

$2,463.64
Choose a payer to see a sample of rates for CPT 62010.
I4 West Surgical Services LLC
Hutchinson Ambulatory Surgery Center LLC
Hattiesburg Ambulatory Surgery Center Lp
Surgical Specialists Of St. Lucie County, LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62010 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62010 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 62010 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 62010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62010 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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