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See a sample rate comparisonCPT 62117 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.
Reduction Of Craniomegalic Sku, Reduction Of Craniomegalic Skull (Eg Treatedhydrocephalus) Requiring Craniotomy And Reconstructionwith Or Without Bone Graft (Includes Obtaining G Rafts)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 62 - Co-Surgeons 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62117 |
| Medicaid Fee Schedule | View Medicaid rates for 62117 |
National average reimbursement for CPT 62117 by major payers:
$2,408.21
$2,590.28
$2,677.20
$3,146.91
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CPT 62117
5 of 25 sample ratesHigher to lower in this preview
Monterey Peninsula Surgery Center, LLC, Salinas Surgery Center
Monterey Peninsula Surgery Center, LLC
$6,343.00Published rateSummit Ambulatory Surgical Center, LLC
$1,064.00Published rateConcord Eye Surgery LLC
$814.00Published rateDesert Cliffs Surgery Center LLC
$500.00Published rateCarter Real Estate Properties Inc, North Dallas Surgicare
Carter Real Estate Properties Inc
$112.00Published rate
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See a sample payer proposalCPT 62117 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62117 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 62117 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 |
|---|---|---|
| 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. |
| 62115-CPT | High | Reduct Of Craniomegalic Skull (Eg Treat Hydrocephalus); Not Requ, Reduction Of Craniomegalic Skull (Eg Treated Hydrocephalus); Not Requ |
| 62117-CPT | High | Reduction Of Craniomegalic Sku, Reduction Of Craniomegalic Skull (Eg Treatedhydrocephalus) Requiring Craniotomy And Reconstructionwith Or Without Bone Graft (Includes Obtaining G Rafts) |
| 62121-CPT | High | Surgery For Bulging Brain, Surgery To Close And Reshape The Skull In Order To Repair A Condition Where The Brain Bulges Through A Skull Opening That Did Not Close Completely Before Birth (Encephalocele). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62117. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62117 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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