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See a sample rate comparisonCPT 62294 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Close Blood Vessels In Spine, An Injection Of Medication That Will Close Off The Blood Supply Through Abnormally Connected Blood Vessels In The Spine.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62294 |
| Medicaid Fee Schedule | View Medicaid rates for 62294 |
National average reimbursement for CPT 62294 by major payers:
$1,069.10
$1,196.74
$1,237.14
$1,486.06
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CPT 62294
5 of 25 sample ratesHigher to lower in this preview
Riverwalk Asc, LLC, Riverwalk Asc
$4,215.00Published rateNorth Shore Same Day Surgery LLC, North Shore Surgical Center
North Shore Same Day Surgery LLC
$967.00Published rateCenters For Pain Solutions,LLC
Centers For Pain Solutionsllc
$700.00Published rateIec Surgical Centers LLC, Physicians Surgery Center
Iec Surgical Centers LLC
$500.00Published rateCarter Real Estate Properties Inc, North Dallas Surgicare
Carter Real Estate Properties Inc
$344.00Published rate
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See a sample payer proposalCPT 62294 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62294 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 62294 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 |
|---|---|---|
| 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. |
| 62294-CPT | High | Close Blood Vessels In Spine, An Injection Of Medication That Will Close Off The Blood Supply Through Abnormally Connected Blood Vessels In The Spine. |
| 62302-CPT | Moderate | Contrast Spinal X-Ray Neck, Radiology Supervision And Interpretation Of X-Rays Taken Of The Spinal Cord Using Contrast Dye (Myelogram). Myelography Is An X-Ray Technique That Shows Movement Of A Contrast Agent Around The Spinal Cord In Real-Time. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62294. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62294 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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