Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 62223 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-Peritoneal -Pleural Otherterminus Creation Of Shunt Ventriculo-Peritoneal -Pleural Other
| 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 AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62223 |
| Medicaid Fee Schedule | View Medicaid rates for 62223 |
National average reimbursement for CPT 62223 by major payers:
$1,332.19
$1,417.35
$1,535.45
$1,683.10
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 62223.
CPT 62223
5 of 25 sample ratesHigher to lower in this preview
The Outpatient Surgery Center Of Cedar Rapids, LLC, Surgery Center Cedar Rapids
The Outpatient Surgery Center Of Cedar Rapids LLC
$2,882.41Published rateAdvanced Surgical Care Of Clearwater LLC
$1,028.00Published rateAthens Spine Procedural Center LLC
$800.00Published rateOutpatient Services East
Outpatient Services East Ltd
$500.00Published rateLaurel Ambulatory Surgical Center
$183.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62223 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62223 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 62223 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 62223. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62223 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 62223) and we'll show you how you compare in 15 minutes or less.