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See a sample rate comparisonCPT 62256 Fee Schedule
Last Verified: October 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.
Removal Of Complete Csf Shunt, Removal Of Complete Csf Shunt System Without Replacementremoval Of Complete Csf Shunt System Without Replacement
| 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 78 - Return to OR - related procedure 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62256 |
| Medicaid Fee Schedule | View Medicaid rates for 62256 |
National average reimbursement for CPT 62256 by major payers:
$861.08
$807.57
$877.10
$978.41
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CPT 62256
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$2,817.00Published rateEndoscopy Center Of Northern Ohio, LLC
Endoscopy Center Of Northern Ohio LLC
$1,258.00Published rateGlen Echo Surgery Center, LLC
Glen Echo Surgery Center LLC
$758.00Published rateMinimally Invasive Neurospine And Pain Institute, P.C., Allspine Surgery Center, P.C.
Minimally Invasive Neurospine And Pain Institute PC
$653.00Published rateUpper Cumberland Physicians Surgery Center LLC
$448.00Published rate
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See a sample payer proposalCPT 62256 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62256 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 62256 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 |
| 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 62256. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62256 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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