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See a sample rate comparisonCPT 62201 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.
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.
| 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 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62201 |
| Medicaid Fee Schedule | View Medicaid rates for 62201 |
National average reimbursement for CPT 62201 by major payers:
$1,496.02
$1,629.42
$1,777.49
$1,942.01
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CPT 62201
5 of 25 sample ratesHigher to lower in this preview
Ucsd Ambulatory Surgery Center, LLC, University Ambulatory Surgery Center
$4,225.00Published rateEndoscopy Center Of Dayton North LLC
$1,064.00Published rateSurgical Specialty Center, LLC
Surgical Specialty Center LLC
$950.00Published rateAdvanced Endoscopy & Surgical Center LLC, Advanced Endoscopy & Surgical Center
Advanced Endoscopy Surgical Center LLC
$565.00Published rateAds Healthcare LLC, Ads Ambulatory Surgery Center
Ads Healthcare LLC
$150.00Published rate
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See a sample payer proposalCPT 62201 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62201 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 62201 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 |
| 62161-CPT | High | Dissect Brain W Scope, Neuroendoscopy Intracranial With Dissection Of Adhesions Fenestration Of Septum Pellucidum Or Intraventricular Cysts Including Placement Replacement Or Removal Of Ventricular Catheter |
| 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 62201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62201 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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