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See a sample rate comparisonCPT 62267 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.
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).
| 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 GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62267 |
| Medicaid Fee Schedule | View Medicaid rates for 62267 |
National average reimbursement for CPT 62267 by major payers:
$304.77
$351.96
$370.44
$274.44
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CPT 62267
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$4,426.00Published rateArc Worcester Center, L.P.
Arc Worcester Center Lp
$967.00Published rateDenver Diagnostic Asc, LLC
Denver Diagnostic Asc LLC
$675.00Published ratePinnacle Orthopaedics Surgery Center Woodstock, LLC, Pinnacle Orthopaedics Surgery Center Woodstock, LLC
Pinnacle Orthopaedics Surgery Center Woodstock LLC
$405.00Published rateHeritage Eye Center Lc, Heritage Surgery Center Lc
Heritage Eye Center Lc
$258.00Published rate
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See a sample payer proposalCPT 62267 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62267 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 62267 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 |
|---|---|---|
| 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). |
| 62268-CPT | Moderate | Percutaneous Aspiration,Spinal Cord Cyst |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62267. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62267 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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