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See a sample rate comparisonCPT 62291 Fee Schedule
Last Verified: October 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.
Inject Proc For Discography Ea Levl; Cervcal Or Thoracic, Injection Procedure For Discography Each Level; Cervical Or Thoracic
| 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 76 - Repeat procedure by same physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62291 |
| Medicaid Fee Schedule | View Medicaid rates for 62291 |
National average reimbursement for CPT 62291 by major payers:
$372.49
$442.60
$450.35
$499.87
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CPT 62291
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$1,551.00Published rateScottsdale Endoscopy Asc LLC
$566.00Published rateTopeka Surgery Center
$281.00Published ratePumpkin Patch Ambulatory Surgical Center, LLC, Orlando Avenue Surgery Center, LLC
Pumpkin Patch Ambulatory Surgical Center LLC
$135.00Published rateChesapeake Ambulatory Surgery Center
$36.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 62291 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62291 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 62291 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 |
|---|---|---|
| 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 |
| 62292-CPT | Moderate | Treat Bulging Disc In Spine, Injection Of Dye Near A Vertebra To Highlight The Area On Images. At The Same Time Medication Is Injected To Treat A Herniated (Bulging) Disc. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62291. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62291 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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