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See a sample rate comparisonCPT 62365 Fee Schedule
Last Verified: September 2026
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.
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.
| 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 AS - PA/NP/CNS assistant at surgery 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62365 |
| Medicaid Fee Schedule | View Medicaid rates for 62365 |
National average reimbursement for CPT 62365 by major payers:
$398.53
$430.19
$439.22
$505.06
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CPT 62365
5 of 25 sample ratesHigher to lower in this preview
Countryside Surgery Center, Ltd
Countryside Surgery Center Ltd
$8,768.00Published rateEndoscopy Center Of Dayton Ltd
$6,365.00Published rateHanover Hills Surgery Center, LLC
$3,700.00Published rateCenter For Day Surgery
$1,760.00Published rateYuma Endoscopy Center
Yuma Endoscopy Center, LLC
$550.00Published rate
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See a sample payer proposalCPT 62365 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62365 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 62365 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 |
|---|---|---|
| 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 |
| 62365-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. |
| 62367-CPT | Low | Analyze Spine Infusion Pump, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status); Without Reprogramming Or Refill |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62365. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62365 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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