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See a sample rate comparisonCPT 62272 Fee Schedule
Medicare rates as of October 2026
CPT 62272 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Drain Spinal Fluid, Insertion Of A Needle Into The Spine In Order To Remove Spinal Fluid. The Procedure Is Often Called A Spinal Puncture.
| 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 | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $216.77 national non-facility rate (2026) · View Medicare rates for 62272 |
| Medicaid Fee Schedule | $164.41 median of the 8 states in the free preview · View Medicaid rates for 62272 |
National average reimbursement for CPT 62272 by major payers:
$212.25
BCBS / Anthem
$255.01
UnitedHealthcare
$273.12
Aetna
$153.14
Cigna
Compare published rates across providers.
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CPT 62272
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$2,716.00Published rateAdventhealth Surgery Center Davenport LLC
$934.00Published rateHollywood Surgical Center, LLC
Hollywood Surgical Center LLC
$550.00Published rateDella Evans
Deaconess Hospital Inc
$337.76Published rateDeena Bentley
Deaconess Hospital Inc
$155.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 62272 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62272. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 62272-CPT | Moderate | Drain Spinal Fluid, Insertion Of A Needle Into The Spine In Order To Remove Spinal Fluid. The Procedure Is Often Called A Spinal Puncture. |
| 62273-CPT | Low | Injection Lumbar Epidural O, Injection Lumbar Epidural Of Blood Or Clot Patchinjection Lumbar Epidural Of Blood Or Clot Patch |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62272 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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