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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 | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62305 |
| Medicaid Fee Schedule | View Medicaid rates for 62305 |
National average reimbursement for CPT 62305 by major payers:

$321.97

$372.18

$392.71

$228.42
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Ophthalmology Surgery Center Of Dallas
Bronx Sc LLC Dba Empire State Ambulatory Surgery Center
Skyline Surgery Center, LLC
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Rate Benchmarking
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See a sample payer proposalCPT 62305 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62305 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 62305 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 |
|---|---|---|
| 62304-CPT | Moderate | Contrast X-Ray Low Back, 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. |
| 62305-CPT | Moderate | Contrast Spinal X-Ray Back, 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. |
| 62320-CPT | Moderate | Njx Interlaminar Crv Thrc, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Cervical Or Thoracic Without Imaging Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62305 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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