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See a sample rate comparisonCPT 62263 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.
Epidural Lysis Mult Sessions, Percutaneous Lysis Of Epidural Adhesions Using Solution Injection Eg Hypertonic Saline Enzyme Or Mechanical Means Eg Catheter Including Radiologic Localization Includes Contrast When Administered Multiple Adhesiolysis Sessions 2 Or More Days
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None SG - Scene to Hospital ESRD facility LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62263 |
| Medicaid Fee Schedule | View Medicaid rates for 62263 |
National average reimbursement for CPT 62263 by major payers:
$810.92
$863.82
$888.98
$1,027.56
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CPT 62263
5 of 25 sample ratesHigher to lower in this preview
White Fence Surgical Suites, LLC
White Fence Surgical Suites LLC
$1,850.00Published ratePoint Of Rocks Surgery Center, LLC
$953.00Published rateNorthglenn Endoscopy Center LLC
$675.00Published rateColonie Asc LLC, Specialty Eye Surgery & Laser Center Of The Capital Region
Colonie Asc LLC
$410.00Published ratePoole Endoscopy Center, LLC
$207.00Published rate
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See a sample payer proposalCPT 62263 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62263 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 62263 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 |
|---|---|---|
| 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 |
| 62263-CPT | Moderate | Epidural Lysis Mult Sessions, Percutaneous Lysis Of Epidural Adhesions Using Solution Injection Eg Hypertonic Saline Enzyme Or Mechanical Means Eg Catheter Including Radiologic Localization Includes Contrast When Administered Multiple Adhesiolysis Sessions 2 Or More Days |
| 62264-CPT | Moderate | Epidural Lysis On Single Day, Percutaneous Lysis Of Epidural Adhesions Using Solution Injection Eg Hypertonic Saline Enzyme Or Mechanical Means Eg Catheter Including Radiologic Localization Includes Contrast When Administered Multiple Adhesiolysis Sessions 1 Day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62263 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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