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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62290 |
| Medicaid Fee Schedule | View Medicaid rates for 62290 |
National average reimbursement for CPT 62290 by major payers:

$408.41

$469.42

$488.56

$537.41
Choose a payer to see a sample of rates for CPT 62290.
River Valley Asc LLC
The Outpatient Center Of Boynton Beach, Ltd.
Southwestern Eye Center, Ltd.
Georgia Retina Surgery Center LLC
Baltimore Ambulatory Center Fo
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62290 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62290 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 62290 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 |
|---|---|---|
| 62287-CPT | Moderate | Decompression Procedure Percutaneous Of Nucleus Pulposus Of Intervertebral Disc Any Method Utilizing Needle Based Technique To Remove Disc Material Under Fluoroscopic Imaging Or Other Form Of Indirect Visualization With Discography And/Or Epidural Injection(S) At The Treated Level(S) When Performed Single Or Multiple Levels Lumbar. (Desc Revised 1/1/2017) |
| 62290-CPT | Moderate | Inj Proc Diskography Ea Level; Lumb |
| 62291-CPT | Moderate | Inject Proc For Discography Ea Levl; Cervcal Or Thoracic, Injection Procedure For Discography Each Level; Cervical Or Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62290 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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