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See a sample rate comparisonCPT 62192 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-Peritoneal-Pleural Other Terminus Creation Of Shunt Subarachnoidsubdural-Peritoneal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62192 |
| Medicaid Fee Schedule | View Medicaid rates for 62192 |
National average reimbursement for CPT 62192 by major payers:
$1,405.61
$1,330.04
$1,367.44
$1,584.89
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CPT 62192
5 of 25 sample ratesHigher to lower in this preview
South Arlington Surgical Providers, LLC, Same Day Surgicare
South Arlington Surgical Providers LLC
$6,068.00Published rateTenn Sm LLC
$1,064.00Published rateMassachusetts Avenue Surgery Center
Massachusetts Avenue Surgery Center, LLC
$700.00Published rateCentral Delaware Endoscopy Unit LLC
$359.00Published rateAsc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 62192 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62192 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 62192 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 |
|---|---|---|
| 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 |
| 62223-CPT | High | Creation Of Shunt Ventriculo-, Creation Of Shunt Ventriculo-Peritoneal -Pleural Otherterminus Creation Of Shunt Ventriculo-Peritoneal -Pleural Other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62192. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62192 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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