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CPT 62120 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.

Rep. Encephalocele, Skull Vault
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

62 - Co-Surgeons

51 - Multiple procedures

Complexity LevelHigh

National average reimbursement for CPT 62120 by major payers:

bcbs

$2,578.38

uhc

$2,647.50

aetna

$2,783.25

cigna

$3,286.40

Preview provider-level rates for...
For billing codeCPT 62120
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 62120

United
62120$585.001366746752 - NEW ENGLAND FERTILITY SURGICAL CENTER264741111 - (CT) NEW ENGLAND FERTILITY SURGICAL CENTERCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$99.001548226442 - ARTHROSCOPIC & LASER SURGERY CENTER OF SAN DIEGO LP631166884 - (CA) ARTHROSCOPIC & LASER SURGERY CENTER OF SAN DIEGO, LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$1348.001881717627 - SHAH ASSOCIATES MD PA, TRI-COUNTY ENDOSCOPY CENTER462691028MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$600.001609882810 - LAGRECA EYE CLINIC PC, THE EYE CLINIC SURGICENTER LAGRECA EYE CLINIC320016290 - LAGRECA EYE CLINIC, PCMTAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$533.001801094669 - CLEVELAND EYE AND LASER SURGERY CENTER LLC205487161 - (OH) CLEVELAND EYE & LASER SURGERY CENTEROHAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$11123.001225064876 - ROCK HILL SURGERY CENTER, LLC, CAROLINA SURGICAL CENTER752562111 - (SC) ROCK HILL SURGERY CENTER LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$1573.001689029316 - LIBERTY ENDOSCOPY, LLC464588779NYAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$135.001790936847 - RSC SURGERY CENTER, LLC352345966CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$1274.001467405837 - PARKCREEK SURGERY CENTER LLLP843082809FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$461.001225497019 - LANGLEY HOLDINGS, LLC473550370OKAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$1146.001992238661 - OPTIMUM SURGICAL CENTER, LLC, NASCENT PARADISE VALLEY SURGICAL CENTER814730990 - (AZ) OPTIMUM SURGICAL CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$342.001548844384 - GUT ENDO, LLC, CENTER FOR DIGESTIVE HEALTH834462225 - (AL) GUT ENDO, LLCALAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$109.001497720999 - LAKE BLUFF IL ENDOSCOPY ASC LLC, NORTH SHORE ENDOSCOPY201480964 - (IL) LAKE BLUFF IL ENDOSCOPY ASC LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$2732.001720011042 - PREMIER ORTHOPAEDIC SURGERY CENTER, LLC352433859TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62120$1124.001992238661 - OPTIMUM SURGICAL CENTER, LLC, NASCENT PARADISE VALLEY SURGICAL CENTER814730990 - (AZ) OPTIMUM SURGICAL CENTER LLCAZAmbulatory 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 62120 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 62120 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 62120 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
62010-CPTHighElevat Fx Skull W Debride Brain
62100-CPTHighCranio-Repr D./Csf Leak,Surg-Rh/Ot
62120-CPTHighRep. Encephalocele, Skull Vault

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 62120 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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