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CPT 62190 Fee Schedule

Last Verified: January 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.

Creation Shunt Subdural-Atrial
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

Common Modifiers

None

78 - Return to OR - related procedure

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 62190

National average reimbursement for CPT 62190 by major payers:

bcbs

$1,290.78

uhc

$1,229.76

aetna

$1,256.68

cigna

$1,508.24

Preview provider-level rates for...
For billing codeCPT 62190
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 62190

United
62190$1049.001780128553 - CAROLINAS ENDOSCOPY CENTER LLC814599818 - CAROLINAS ENDOSCOPY CENTER LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$983.001003861998 - PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC, PHYSICIANS SURGERY CENTER OF CHATTANOOGA621817952 - (TN) PHYSICIANS SURGERY CENTER OF CHATTANOOGA LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$408.001821067554 - OLD TOWN ENDOSCOPY CENTER LLC, DIGESTIVE HEALTH CENTER OF DALLAS752774028 - (TX) OLD TOWN ENDOSCOPY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$1064.001104246446 - PACIFIC ENDOSCOPY CENTER LLC203905706 - (HI) PACIFIC ENDOSCOPY CENTER, LLCHIAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$1049.001992706899 - SURGERY CENTER OF PEORIA, LLC, SURGERY CENTER OF PEORIA731538768 - (AZ) SURGERY CENTER OF PEORIA LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$1028.001336246099 - VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC, PLATINUM SURGERY CENTER871904768TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$2775.001902401748 - LANDMARK SURGICAL SUITES, LLC851130696 - (IN) LANDMARK SURGICAL SUITES LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$1883.001497705883 - MISSION AMBULATORY SURGICENTER LTD., MISSION SURGERY CENTER330355575 - (CA) MISSION AMBULATORY SURGICENTER LTDCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$600.001275184293 - JOHNS HOPKINS SURGERY CENTERS SERIES, BEL AIR SURGERY CENTER208707724 - (MD) JOHNS HOPKINS SURGERY CENTER SERIESMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$1001.001376634683 - MONTGOMERY SURGICAL CENTER, LTD752365748 - (AL) MONTGOMERY SURGICAL CENTER LTDALAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$384.001336605351 - KURESMART PAIN MANAGEMENT SURGERY CENTER, CLEARWAY SURGERY CENTER OF DUNDALK832407319 - (MD) KURESMART PAIN MANAGEMENT SURGERY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$680.001225042575 - PACIFIC SURGERY CENTER LLC931265552 - PACIFIC SURGERY CENTER, LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$724.001194790808 - DIGESTIVE ENDOSCOPY CENTER LLC311508446 - (OH) DIGESTIVE ENDOSCOPY CENTER, LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$488.001760196984 - JACKSON HEART AND VASCULAR CENTER LLC870947298 - (MS) JACKSON HEART AND VASCULAR CENTER LLCMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
62190$1028.001538126362 - WINTER HAVEN AMBULATORY SURGICAL CENTER LLC593659906 - (FL) WINTER HAVEN AMBULATORY SURGICAL CENTER, LLCFLAmbulatory 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 62190 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 62190 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 62190 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
62180-CPTHighVentriculocisternostomy Torkildsen Type
62190-CPTHighCreation Shunt Subdural-Atrial
62192-CPTHighCreate Shunt;Subarach/Subdur-Periton'l-P
62220-CPTHighCreate Shunt;Ventriculo-Atrial,-Jugular,

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 62190 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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