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See a sample rate comparisonCPT 62273 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.
Injection Lumbar Epidural O, Injection Lumbar Epidural Of Blood Or Clot Patchinjection Lumbar Epidural Of Blood Or Clot Patch
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 62273 |
| Medicaid Fee Schedule | View Medicaid rates for 62273 |
National average reimbursement for CPT 62273 by major payers:
$197.23
$233.58
$252.33
$189.88
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CPT 62273
5 of 25 sample ratesHigher to lower in this preview
Isaac Tawfik
Monmouth Medical Center Faculty Practice Plan Inc
$877.28Published rateSharlaina Sircar
Stony Brook Internists P C
$685.37Published rateChristopher Raio
Mercy Medical Center
$321.98Published rateDavid Kim
Town Center Orthopaedic Associates, P.C.
$239.49Published rateCynthia Lewis
Deaconess Hospital Inc
$140.97Published rate
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See a sample payer proposalCPT 62273 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62273 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 62273 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 |
|---|---|---|
| 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 |
| 62280-CPT | Moderate | Treat Spinal Cord Lesion, Injection Infusion Of Neurolytic Substance Eg Alcohol Phenol Iced Saline Solutions With Or Without Other Therapeutic Substance Subarachnoid |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62273. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62273 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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