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See a sample rate comparisonCPT 62264 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 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
| 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 RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62264 |
| Medicaid Fee Schedule | View Medicaid rates for 62264 |
National average reimbursement for CPT 62264 by major payers:
$519.37
$590.25
$609.10
$691.24
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CPT 62264
5 of 25 sample ratesHigher to lower in this preview
Freehold Endoscopy Associates, LLC, Endoscopy Center Of Monmouth County
Freehold Endoscopy Associates
$1,886.00Published rateSurgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$893.00Published rateMichigan Endoscopy Center LLC
$627.00Published rateMidatlantic Endoscopy LLC, Mid-Atlantic Gastrointestinal Center II
$440.00Published rateMid-Florida Endoscopy & Surgery Center LLC
Mid-Florida Endoscopy & Surger
$249.00Published rate
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See a sample payer proposalCPT 62264 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62264 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 62264 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 |
|---|---|---|
| 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 |
| 62267-CPT | Moderate | Needle Biopsy Of Spine, A Procedure To Insert A Needle Into The Spine In Order To Remove A Sample Of Tissue For Testing (Biopsy). The Procedure Takes Tissue From Between Or Inside Of The Discs (Vertebrae). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62264. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62264 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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