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CPT 62194 Fee Schedule

Last Verified: November 2025

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 FactDetail
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 LevelModerate

National average reimbursement for CPT 62194 by major payers:

bcbs

$620.57

uhc

$611.06

aetna

$667.12

cigna

$777.65

Preview provider-level rates for...
For billing codeCPT 62194
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 62194

United
62194$956.001215263082 - NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C., WFUBMC ENDOSCOPY CENTER270668137 - (NC) NCBH OUTPATIENT ENDOSCOPY CENTER LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$995.001144482753 - CLARKSVILLE EYE SURGERY CENTER261815638 - (TN) CLARKSVILLE EYE SURGERY CENTERTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$814.001578567954 - E. RONALD SALVITTI, M.D., INC., SOUTHWESTERN PA EYE SURGERY CENTER251787703 - (PA) E. RONALD SALVITTI, M.D., INC.PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$957.001548613755 - VERO BEACH FLORIDA ASC LLC, SEBASTIAN RIVER SURGERY CENTER300936810 - (FL) VERO BEACH FLORIDA ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$1490.001740700111 - M. REZA MIZANI, M.D., P.A., TOTAL VASCULAR CARE200743330 - (TX) M. REZA MIZANI MD, PATXAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$818.541568971505 - JAY BHAVSAR350593390 - DEACONESS HOSPITAL INCINHospitalist Physician (208M00000X)
United
62194$376.081578978557 - MELINDA CLARK350593390 - DEACONESS HOSPITAL INCINNurse Practitioner (363L00000X)
United
62194$2740.001306905815 - UAS MANAGEMENT, INC., UNIVERSITY SURGERY CENTER611845381CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$2621.001871032680 - OLIVE AMBULATORY SURGERY CENTER, LLC, NORTH CAMPUS SURGERY CENTER203834012 - (MO) OLIVE AMBULATORY SURGERY CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$934.001578745568 - THE ENDOSCOPY CENTER OF WEST CENTRAL OHIO, LLC260251730 - (OH) THE ENDOSCOPY CENTER OF WEST CENTRAL OHIO LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$7169.001659839686 - AURORA SURGERY CENTERS, LLC811401714 - (WI) AURORA SURGERY CENTERS LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$1152.001134183056 - TOPEKA SURGERY CENTER364500418KSAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$2388.001659625101 - ENDOSCOPY CENTER OF GRAND JUNCTION LLC461251610COAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$2859.001366935074 - SKYWAY SURGERY CENTER, LLC813237016 - (FL) SKYWAY SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
62194$2388.001215548524 - SUMMIT AMBULATORY SURGICAL CENTER, LLC522148280MDAmbulatory 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 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.

CodeComplexityDescription
62192-CPTHighCreate Shunt;Subarach/Subdur-Periton'l-P
62194-CPTModerateReplace Catheter Subdural
62220-CPTHighCreate Shunt;Ventriculo-Atrial,-Jugular,
62223-CPTHighCreation Shunt Ventriculo-Periton

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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