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See a sample rate comparisonCPT 62190 Fee Schedule
Last Verified: September 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 Of Shunt Subarachnoi, Creation Of Shunt Subarachnoidsubdural-Atrial -Jugular-Auricular Creation Of Shunt Subarachnoidsubdural-Atrial -Jugular
| Key Fact | Detail |
|---|---|
| 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 Level | High |
| Medicare Fee Schedule | View Medicare rates for 62190 |
| Medicaid Fee Schedule | View Medicaid rates for 62190 |
National average reimbursement for CPT 62190 by major payers:
$1,290.78
$1,229.76
$1,256.68
$1,508.24
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CPT 62190
5 of 25 sample ratesHigher to lower in this preview
North Coast Surgery Center Ltd
$7,071.00Published rateCarolinas Endoscopy Center LLC
$1,049.00Published ratePhysicians Surgery Center Of Chattanooga, LLC, Physicians Surgery Center Of Chattanooga
Physicians Surgery Center Of Chattanooga LLC
$983.00Published rateJackson Heart And Vascular Center LLC
$488.00Published rateTeaneck Gastroenterology&Endoscopy Center
Teaneck Gastroenterologyendoscopy Center
$125.00Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 62180-CPT | High | Ventriculocisternostomy (Torki, Ventriculocisternostomy (Torkildsen Type Operation)Ventriculocisternostomy (Torkildsen Type Operation) |
| 62190-CPT | High | Creation Of Shunt Subarachnoi, Creation Of Shunt Subarachnoidsubdural-Atrial -Jugular-Auricular Creation Of Shunt Subarachnoidsubdural-Atrial -Jugular |
| 62192-CPT | High | Creation Of Shunt Subarachnoi, Creation Of Shunt Subarachnoidsubdural-Peritoneal-Pleural Other Terminus Creation Of Shunt Subarachnoidsubdural-Peritoneal |
| 62220-CPT | High | Creation Of Shunt Ventriculo-, Creation Of Shunt Ventriculo-Atrial -Jugular -Auricularcreation Of Shunt Ventriculo-Atrial -Jugular -Auricular |
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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