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See a sample rate comparisonCPT 62268 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.
Percutaneous Aspiration,Spinal Cord Cyst
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62268 |
| Medicaid Fee Schedule | View Medicaid rates for 62268 |
National average reimbursement for CPT 62268 by major payers:
$436.60
$449.77
$405.76
$505.00
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CPT 62268
5 of 25 sample ratesHigher to lower in this preview
Court Street Surgery Center, Lp
$2,542.00Published rateSummit Ambulatory Surgical Center, LLC
$967.00Published rateMinnesota Eye Laser & Surgery Centers, LLC, Atlas Surgery Center
Minnesota Eye Laser Surgery Centers LLC
$599.00Published rateHealthqare Services Asc LLC, Healthqare Services Asc LLC
Healthqare Services Asc LLC
$475.00Published rateDoctors Surgical Partnership LLC, Melbourne Same Day Surgery
Doctors Surgical Partnership LLC
$298.00Published rate
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See a sample payer proposalCPT 62268 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62268 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 62268 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 |
|---|---|---|
| 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 |
| 62269-CPT | Moderate | Needle Biopsy Of Spinal Cord, A Procedure To Insert A Needle Into The Spinal Cord In Order To Remove Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62268. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62268 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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