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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 SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62323 |
| Medicaid Fee Schedule | View Medicaid rates for 62323 |
National average reimbursement for CPT 62323 by major payers:

$298.47

$344.73

$367.99

$407.00
Choose a payer to see a sample of rates for CPT 62323.
Allina Health System
North Kitsap Ambulatory Center, Inc. Dba Pacific Surgery Center
Ellis Hospital
Ellis Hospital
Albany Med Health System
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Rate Benchmarking
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See a sample payer proposalCPT 62323 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62323 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 62323 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 |
|---|---|---|
| 62322-CPT | Low | Njx Interlaminar Lmbr Sac, 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 Lumbar Or Sacral Caudal Without Imaging Guidance |
| 62323-CPT | Moderate | Njx Interlaminar Lmbr Sac, 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 Lumbar Or Sacral Caudal With Imaging Guidance Ie Fluoroscopy Or Ct |
| 62324-CPT | Low | Njx Interlaminar Crv Thrc, Injection S Including Indwelling Catheter Placement Continuous Infusion Or Intermittent Bolus Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances 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 62323. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62323 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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