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CPT 62269 Fee Schedule

Last Verified: December 2025

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.

Biopsy Spinal Cord Percutaneous
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

59 - Distinct Procedural Service

51 - Multiple procedures

Complexity LevelModerate

National average reimbursement for CPT 62269 by major payers:

bcbs

$414.16

uhc

$474.02

aetna

$409.04

cigna

$490.07

Preview provider-level rates for...
For billing codeCPT 62269
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 62269

United
62269$1438.001518634732 - MEDSTAR HEALTH ENDOSCOPY CENTER872341245 - (MD) MEDSTAR HEALTH ENDOSCOPY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$1233.001144331760 - RESURGENS SURGERY CENTER LLC582397841 - (GA) RESURGENS SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$1175.001700419678 - METHODIST MANSFIELD AMBULATORY SURGERY CENTER, LLC260869371 - (TX) METHODIST MANSFIELD AMBULATORY SURGERY CENTER LLTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$390.001326494147 - CENTER FOR SPINE & PAIN MEDICINE PC, CSPM GAINESVILLE ASC341976829 - CENTER FOR SPINE AND PAIN MEDICIGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$565.001306134838 - ASC DEVELOPMENT COMPANY LLC203405773 - (MD) ASC DEVELOPMENT COMPANY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$624.001275700957 - PACIFIC CATARACT AND LASER INSTITUTE INC PC911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$473.001841733326 - AU SURGERY CENTER, LLC814545748 - (GA) AU SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$1243.001508965401 - MILLENNIUM SURGERY CENTER INC770513445 - (CA) MILLENNIUM SURGERY CENTER INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$1196.001437250248 - GEORGIA SURGICAL CENTER ON PEACHTREE, LLC582394271 - (GA) GEORGIA SURGICAL CENTER ON PEACHTREE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$385.001447599659 - SOUTHEAST EYE SURGERY CENTER, LLC455054338 - (TN) SOUTHEAST EYE SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$1196.001609872597 - COLISEUM SAME DAY SURGERY CENTER LP621805346 - (GA) COLISEUM SAME DAY SURGERY CENTER LPGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$615.001962453175 - THE SURGERY CENTER OF ATHENS, LLC.800812776TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$505.001699863258 - ROBERT E WAILES MD A PROFESSIONAL, PACIFIC SURGERY CENTER330113109CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$800.001083299747 - IRVING SPECIALISTS SURGICAL CENTER LLC852271899 - (TX) IRVING SPECIALISTS SURGICAL CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
62269$1484.001396896684 - DREYER AMBULATORY SURGERY CENTER, LLC363890298 - (IL) DREYER AMBULATORY SURGERY CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 62269 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 62269 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 62269 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.

CodeComplexityDescription
62268-CPTModeratePercutaneous Aspiration,Spinal Cord Cyst
62269-CPTModerateBiopsy Spinal Cord Percutaneous
62270-CPTLowRemoval Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62269. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 62269 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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