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See a sample rate comparisonCPT 62272 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.
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 | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62272 |
| Medicaid Fee Schedule | View Medicaid rates for 62272 |
National average reimbursement for CPT 62272 by major payers:
$212.25
$255.01
$273.12
$153.14
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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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See a sample payer proposalCPT 62272 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62272 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 62272 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 |
|---|---|---|
| 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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