CPT 62320 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Nervous System |
| Common Place of Service | • 11 - Office • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 62320 by major payers:
$201.96
$228.82
$244.68
$280.62
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 62320 | ||||||
United | 62320 | $505.00 | 1265495451 - EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC | 141819770 - (NY) EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $168.00 | 1821336371 - EYECARE SURGERY CENTER, LLC | 461073660 - (MS) EYECARE SURGERY CENTER LLC | MS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $329.00 | 1457465338 - METROPOLITAN AMBULATORY UROLOGIC INSTITUTE, L.L.C. | 522030624 - (MD) METROPOLITAN AMBULATORY UROLOGIC INSTITUTE LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $1343.00 | 1174852461 - MAYFIELD SPINE SURGERY CENTER LLC, MAYFIELD SPINE SURGERY CENTER | 271482322 | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $264.00 | 1821093204 - LAUREL LASER & SURGERY CENTER, L.P. | 251852464 - (PA) LAUREL LASER SURGERY CENTER LP | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $255.00 | 1417903899 - JUPITER OUTPATIENT SURGERY CENTER LLC | 650925020 - (FL) JUPITER OUTPATIENT SURGERY CENTER, LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $569.00 | 1194815639 - CEDAR ORTHOPAEDIC SURGERY CENTER, LLC | 200208975 - (UT) CEDAR ORTHOPAEDIC SURGERY CENTER LLC | UT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $552.00 | 1932430816 - SURGCENTER OF GREENBELT, LLC | 270408064 - (MD) SURGCENTER OF GREENBELT LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $1131.00 | 1639783335 - ADVANCED SURGICAL CARE OF WYOMING, LLC | 843562014 - (WY) ADVANCED SURGICAL CARE OF WYOMING LLC | WY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $500.00 | 1083674196 - VISION CARE CENTER OF IDAHO LLC | 820516189 - (ID) VISION CARE CENTER OF IDAHO LLC | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $934.00 | 1871751859 - WESTMINSTER SURGERY CENTER | 262059600 - (MD) WESTMINSTER SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $330.00 | 1376886887 - REEVES EYE SURGERY CENTER LLC | 455006590 - (TN) REEVES EYE SURGERY CENTER LLC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $1392.00 | 1245372531 - NEWPORT BAY SURGERY CENTER, LLC | 562518360 - (CA) NEWPORT BAY SURGERY CENTER, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $745.00 | 1063531911 - NJ VEIN & COSMETIC SURGERY CENTER, PA | 223328362 - (NJ) NJ VEIN COSMETIC SURGERY CENTER PA | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 62320 | $1963.00 | 1396700407 - ARLINGTON SURGERY CENTER, LLC, ARLINGTON SURGERY CENTER ASSOCIATES, LP | 752055800 - (TX) ARLINGTON SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 62320 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62320 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 62320 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 |
|---|---|---|
| 62305-CPT | Moderate | Myelography Via Lumbar Injection Including Radiological Supervision And Interpretation; 2 Or More Regions (Eg Lumbar/Thoracic Cervical/ Thoracic Lumbar/Cervical Lumbar/Thoracic/ Cervical) |
| 62320-CPT | Moderate | Injection(S) Of Diagnostic Or Therapeutic Su- Stance(S) (Eg Anesthetic Antispasmodic Opioid Steroid Other Solution) Not Including Neurolyticsubstances Including Needle Or Catheter Placementinterlaminar Epidural Or Subarachnoid Cervical Or Thoracic; Without Imaging Guidance |
| 62321-CPT | Moderate | Injection(S) Of Diagnostic Or Therapeutic Su- Stance(S) (Eg Anesthetic Antispasmodic Opioid Steroid Other Solution) Not Including Neurolyticsubstances Including Needle Or Catheter Placementinterlaminar Epidural Or Subarachnoid Cervical Or Thoracic; With Imaging Guidance (Ie Fluoro- Scopy Or Ct) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62320 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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