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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 | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62355 |
| Medicaid Fee Schedule | View Medicaid rates for 62355 |
National average reimbursement for CPT 62355 by major payers:

$384.89

$395.60

$410.89

$475.60
Choose a payer to see a sample of rates for CPT 62355.
Atlanticare Health System Inc
Springhill Surgery Center
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 62355 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62355 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 62355 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 |
|---|---|---|
| 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 |
| 62355-CPT | Moderate | Remove Medication Device, Surgery To Remove A Tube (Catheter) Implanted Into The Space Around The Spinal Cord. The Catheter Was Used With A Medicine Pump Or Reservoir. |
| 62360-CPT | Moderate | Implant Medication Device, Surgery To Implant Or Re-Implant A Tube (Catheter) Into The Space Around The Spinal Cord. The Catheter Connects To A Pump Or Reservoir For Medication. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62355 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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