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See a sample rate comparisonCPT 62258 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.
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
| 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 62258 |
| Medicaid Fee Schedule | View Medicaid rates for 62258 |
National average reimbursement for CPT 62258 by major payers:
$1,617.64
$1,520.57
$1,629.08
$1,798.79
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CPT 62258
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, L.L.C.
$7,400.00Published rateCy Fair Surgery Center
$1,081.00Published rateBergen Gastroenterology PC
Bergen Gastroenterology, P.C.
$705.00Published rateMercy South Asc LLC, Mercy Outpatient Surgery Center - West Bend
$589.04Published rateRma Of Philadelphia Surgical Center LLC
$96.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 62258 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62258 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 62258 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 62258. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62258 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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