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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62200 |
| Medicaid Fee Schedule | View Medicaid rates for 62200 |
National average reimbursement for CPT 62200 by major payers:

$1,854.20

$1,877.39

$1,966.08

$2,214.96
Choose a payer to see a sample of rates for CPT 62200.
Hss Palm Beach Ambulatory Surgery Center LLC
San Gabriel Ambulatory Surgery Center Lp
American Access Care Of Richmond Asc LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62200 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62200 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 62200 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 |
|---|---|---|
| 62160-CPT | Moderate | Neuroendoscopy Add On, Neuroendoscopy Intracranial For Placement Or Replacement Of Ventricular Catheter And Attachment To Shunt System Or External Drainage List Separately In Addition To Code For Primary Procedure |
| 62162-CPT | High | Remove Colloid Cyst W Scope, Neuroendoscopy Intracranial With Fenestration Or Excision Of Colloid Cyst Including Placement Of External Ventricular Catheter For Drainage |
| 62200-CPT | High | Ventriculocisternostomy,Third Ventricle |
| 62201-CPT | High | Scope Surgery Spinal Column, Surgery To Create A Drain (Shunt) To Move Excess Cerebrospinal Fluid Into The Spinal Column Where It Can Be Absorbed. The Procedure Is Aided By A Scope (Neuroendoscope) And Stereotactic Imaging Which Precisely Maps A Target Location In Three Dimensions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62200 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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