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See a sample rate comparisonCPT 62369 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.
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| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments PN - Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 62369 |
| Medicaid Fee Schedule | View Medicaid rates for 62369 |
National average reimbursement for CPT 62369 by major payers:
$132.51
$152.22
$143.39
$181.46
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CPT 62369
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$1,528.00Published rateYorkville Endoscopy, LLC
Yorkville Endoscopy LLC
$665.00Published ratePacific Cataract And Laser Institute Of Alaska Inc PC
$483.00Published rateCanyon View Asc, LLC, Canyon View Asc
Canyon View Asc LLC
$201.00Published rateMethodist Endoscopy Center LLC
Methodist Endoscopy Center, LLC
$86.00Published rate
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See a sample payer proposalCPT 62369 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62369 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 62369 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 |
|---|---|---|
| 62368-CPT | Low | Analyze Sp Inf Pump W Reprog, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status With Reprogramming |
| 62369-CPT | Low | Anal Sp Inf Pmp W Reprg Fill, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status With Reprogramming And Refill |
| 62370-CPT | Low | Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Or Reservior Status Alarm Status Drug Prescription Status); With Re Programming And Refill (Requiring Skill Of A Physician Or Other Qualified Health Care Professional) (Revised 1/1/2013) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62369. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62369 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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