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See a sample rate comparisonCPT 62220 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 Ventriculo-, Creation Of Shunt Ventriculo-Atrial -Jugular -Auricularcreation Of Shunt Ventriculo-Atrial -Jugular -Auricular
| 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 62 - Co-Surgeons 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62220 |
| Medicaid Fee Schedule | View Medicaid rates for 62220 |
National average reimbursement for CPT 62220 by major payers:
$1,313.66
$1,364.30
$1,402.26
$1,597.12
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CPT 62220
5 of 25 sample ratesHigher to lower in this preview
Outpatient Women'S And Children'S Surgery Center, Ltd
Outpatient Womens And Childrens Surgery Center Ltd
$2,785.00Published rateSouthern New Mexico Surgery Center, LLC
Southern New Mexico Surgery Center
$1,400.00Published rateVivere Health Dallas, LLC, Vivere-Dallas Surgery Center
Vivere Health Dallas LLC
$736.00Published rateGastrointestinal Institute, LLC.
Gastrointestinal Institute LLC
$500.00Published rateAcute & Chronic Pain Management Center PA, Acute & Chronic Pain And Spine Center
Acute And Chronic Pain And Spine Center
$112.00Published rate
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See a sample payer proposalCPT 62220 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62220 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 62220 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 62220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62220 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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