CPT 62328 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 | • 21 - Inpatient Hospital • 22 - On Campus-Outpatient Hospital |
| Common Modifiers | • None • GC - Service has been performed in part by a resident under the direction of a teaching physician • AG - Primary physician |
| Complexity Level | Moderate |
National average reimbursement for CPT 62328 by major payers:
$308.67
$354.67
$350.54
$397.25
| 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 62328 | ||||||
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CPT 62328 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62328 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 62328 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 |
|---|---|---|
| 62327 | Moderate | Injection(S) Including Indwelling Catheter Place-Ment Continuous Infusion Or Intermittent Bolus Ofdiagnostic Or Therapeutic Substance(S) (Eg Anes- Thetic Antispasmodic Opioid Steroid Other So- Lution Not Including Neurolytic Substances Inter-Laminar Epidural Or Subarachnoid Lumbar Or Sacral(Caudal); With Imaging Guidance (Ie Fluoroscopy Or Ct) |
| 62328 | Moderate | Removal Of Spinal Fluid With Lower Back Spinal Tap For Diagnostic Test Using Imaging Guidance |
| 62329 | Moderate | Spinal Puncture Therapeutic For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62328 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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