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See a sample rate comparisonCPT 62194 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Replace Catheter Subdural
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 11 - Office |
| Common Modifiers | 58 - Staged or related procedure during postoperative period 51 - Multiple procedures None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62194 |
| Medicaid Fee Schedule | View Medicaid rates for 62194 |
National average reimbursement for CPT 62194 by major payers:
$620.57
$611.06
$667.12
$759.28
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CPT 62194
5 of 25 sample ratesHigher to lower in this preview
Oakwood Surgery Center, Ltd., LLP
Oakwood Surgery Center Ltd LLP
$3,993.00Published rateBoston Out-Patient Surgical Suites, LLC
$2,323.00Published rateMarietta Advanced Surgery Center
$1,660.00Published rateGlendora Ca Endoscopy Asc Lp, Glendora Digestive Disease Institute
$1,134.00Published rateSt Marks Surgical Center LLC
$494.00Published rate
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See a sample payer proposalCPT 62194 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62194 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 62194 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 |
|---|---|---|
| 62192-CPT | High | Creation Of Shunt Subarachnoi, Creation Of Shunt Subarachnoidsubdural-Peritoneal-Pleural Other Terminus Creation Of Shunt Subarachnoidsubdural-Peritoneal |
| 62194-CPT | Moderate | Replace Catheter Subdural |
| 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 62194. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62194 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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