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See a sample rate comparisonCPT 62252 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Adjust Shunt For Spinal Fluid, Surgery To Adjust Shunt (Passageway) Used To Drain Excess Cerebrospinal Fluid From The Brain.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 62252 |
| Medicaid Fee Schedule | View Medicaid rates for 62252 |
National average reimbursement for CPT 62252 by major payers:
$112.63
$117.65
$126.51
$137.83
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CPT 62252
5 of 25 sample ratesHigher to lower in this preview
Methodist Health Centers, Houston Methodist Willowbrook Hospital
Methodist Hospital
$4,837.00Published rateLebanon Endoscopy Center LLC, Lebanon Endoscopy Center
Lebanon Endoscopy Center LLC
$566.00Published rateThe Minimally Invasive Spine Surgery Center Of Paradise Valley, LLC
The Minimally Invasive Spine Surgery Center Of Paradise Valley LLC
$300.00Published rateSpecialty Surgery Partners Center Of Florida, LLC, Alliance Specialty Surgical Center
Specialty Surgery Partners Center Of Florida LLC
$103.00Published rateKathleen Quatro
Deaconess Hospital Inc
$27.70Published rate
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See a sample payer proposalCPT 62252 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62252 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 62252 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 |
|---|---|---|
| 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 |
| 62252-CPT | Low | Adjust Shunt For Spinal Fluid, Surgery To Adjust Shunt (Passageway) Used To Drain Excess Cerebrospinal Fluid From The Brain. |
| 62256-CPT | Moderate | Removal Of Complete Csf Shunt, Removal Of Complete Csf Shunt System Without Replacementremoval Of Complete Csf Shunt System Without Replacement |
| 62258-CPT | High | Removal Of Complete Csf Shunt, Removal Of Complete Csf Shunt System With Replacement Bysimilar Or Other Shunt At Same Operation Removal Of Complete Csf Shunt System With Replacement By |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62252. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62252 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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