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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 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62361 |
| Medicaid Fee Schedule | View Medicaid rates for 62361 |
National average reimbursement for CPT 62361 by major payers:

$558.28

$564.26

$595.96

$708.83
Choose a payer to see a sample of rates for CPT 62361.
Lowcountry Ambulatory Center LLC
Thibodaux Endoscopy, L.L.C.
Affiliated Physicians Surgeons Ltd
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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
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 62361 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62361 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 62361 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 |
|---|---|---|
| 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. |
| 62361-CPT | Moderate | Implantation Or Replacement Of, Implantation Or Replacement Of Device For Intrathecal Orepidural Drug Infusion Non-Programmable Pump Implantation Or Replacement Of Device For Intrathecal Or |
| 62362-CPT | Moderate | Implant Spine Infusion Pump, Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion Programmable Pump Including Preparation Of Pump With Or Without Programming |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62361. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62361 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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