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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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62350 |
| Medicaid Fee Schedule | View Medicaid rates for 62350 |
National average reimbursement for CPT 62350 by major payers:

$528.89

$561.10

$595.47

$664.19
Choose a payer to see a sample of rates for CPT 62350.
Aesthetic Associates Inc Ps
Advanced Orthopaedic Surgery Center LLC
Melbourne Asc Lp
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 62350 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62350 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 62350 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 |
|---|---|---|
| 62329-CPT | Moderate | Ther Spi Pnxr Csf Fluor Ct, Spinal Puncture Therapeutic For Drainage Of Cerebrospinal Fluid By Needle Or Catheter With Fluoroscopic Or Ct Guidance |
| 62350-CPT | Moderate | Implant Spinal Canal Cath, Implantation Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter For Long Term Medication Administration Via An External Pump Or Implantable Reservoir Infusion Pump Without Laminectomy |
| 62351-CPT | High | Implant Spinal Canal Cath, Implantation Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter For Long Term Medication Administration Via An External Pump Or Implantable Reservoir Infusion Pump With Laminectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62350 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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