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See a sample rate comparisonCPT 62269 Fee Schedule
Last Verified: September 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 Spinal Cord, A Procedure To Insert A Needle Into The Spinal Cord In Order To Remove Tissue For Testing (Biopsy).
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62269 |
| Medicaid Fee Schedule | View Medicaid rates for 62269 |
National average reimbursement for CPT 62269 by major payers:
$414.16
$474.02
$409.04
$444.45
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CPT 62269
5 of 25 sample ratesHigher to lower in this preview
South Jersey Musculoskeletal Institute, LLC, Advanced Surgical Institute
South Jersey Musculoskeletal Institute, LLC
$2,382.00Published rateTheda Oaks Gastroenterology & Endoscopy Center, LLC
Theda Oaks Gastroenterology & Endoscopy Ctr, Ltd
$1,258.00Published rateWillis Surgicenter, LLC
Willis Surgicenter LLC
$1,152.00Published rateSt Luke'S Surgery Center, LLC
A Positive Focus Counseling LLC
$583.00Published rateStacey Kuder
Deaconess Hospital Inc
$220.97Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 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). |
| 62270-CPT | Low | Spinal Fluid Biopsy, A Procedure To Insert A Needle Into The Spine Of The Lower Back In Order To Remove A Sample Of Spinal Fluid For Testing (Biopsy). This Procedure Is Often Called A Spinal Puncture. |
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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