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See a sample rate comparisonCPT 62164 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.
Scope Surgery For Brain Tumor, Brain Surgery Aided By A Scope (Neuroendoscope) To Remove A Tumor. The Procedure Places A Thin Tube (Catheter) For Drainage.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 52 - Reduced Services 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62164 |
| Medicaid Fee Schedule | View Medicaid rates for 62164 |
National average reimbursement for CPT 62164 by major payers:
$2,710.91
$2,815.28
$2,979.76
$3,331.29
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CPT 62164
5 of 25 sample ratesHigher to lower in this preview
Centrum Surgery Center Ltd
$2,785.00Published rateGrand Island Surgical Center LLC
Grand Island Surgical Center, L.L.C.
$974.00Published rateIssaquah Foot & Ankle Specialists PLLC
$702.00Published rateElkridge Asc LLC
$463.00Published rateEndo-Surgical Center Of Florida
Endosurgical Center Of Florida
$213.00Published rate
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See a sample payer proposalCPT 62164 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62164 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 62164 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 |
|---|---|---|
| 62160-CPT | Moderate | Neuroendoscopy Add On, Neuroendoscopy Intracranial For Placement Or Replacement Of Ventricular Catheter And Attachment To Shunt System Or External Drainage List Separately In Addition To Code For Primary Procedure |
| 62161-CPT | High | Dissect Brain W Scope, Neuroendoscopy Intracranial With Dissection Of Adhesions Fenestration Of Septum Pellucidum Or Intraventricular Cysts Including Placement Replacement Or Removal Of Ventricular Catheter |
| 62164-CPT | High | Scope Surgery For Brain Tumor, Brain Surgery Aided By A Scope (Neuroendoscope) To Remove A Tumor. The Procedure Places A Thin Tube (Catheter) For Drainage. |
| 62165-CPT | High | Remove Pituit Tumor W Scope, Neuroendoscopy Intracranial With Excision Of Pituitary Tumor Transnasal Or Trans Sphenoidal Approach |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62164. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62164 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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