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 62230 Fee Schedule
Last Verified: October 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.
Replacement Or Revision Of Csf, Replacement Or Revision Of Csf Shunt Obstructed Valve Ordistal Catheter In Shunt System Replacement Or Revision Of Csf Shunt Obstructed Valve Or
| 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 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62230 |
| Medicaid Fee Schedule | View Medicaid rates for 62230 |
National average reimbursement for CPT 62230 by major payers:
$1,142.87
$1,142.68
$1,271.69
$1,355.63
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 62230.
CPT 62230
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$18,667.11Published rateAllina Health Heart And Vascular Surgery Center LLC
$4,148.00Published rateAbilene Eye Asc Lp, Abilene Cataract And Refractive Surgery Center
Abilene Eye Asc Lp
$2,652.00Published rateFahhad Farukhi
Deaconess Hospital Inc
$1,407.54Published rateCaitlin Miller
Deaconess Hospital Inc
$646.71Published 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 62230 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62230 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 62230 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 |
| 62200-CPT | High | Ventriculocisternostomy,Third Ventricle |
| 62225-CPT | Moderate | Replacement Or Irrigation Ven, Replacement Or Irrigation Ventricular Catheterreplacement Or Irrigation Ventricular Catheter |
| 62230-CPT | High | Replacement Or Revision Of Csf, Replacement Or Revision Of Csf Shunt Obstructed Valve Ordistal Catheter In Shunt System Replacement Or Revision Of Csf Shunt Obstructed Valve Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62230 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 62230) and we'll show you how you compare in 15 minutes or less.