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See a sample rate comparisonCPT 62370 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.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 62370 |
| Medicaid Fee Schedule | View Medicaid rates for 62370 |
National average reimbursement for CPT 62370 by major payers:
$130.85
$158.75
$153.59
$100.56
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CPT 62370
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Eagle Highlands Surgery Center
$4,613.00Published rateBaptist Surgery Center Lp, Baptist Ambulatory Surgery Center
Baptist Surgery Center Lp
$585.00Published rateWarren Gastro Endoscopy Ctr Inc
$254.00Published rateEndoscopy Center Of Little Rock,LLC, Ric Lr LLC
Endoscopy Center Of Little Rockllc
$125.00Published rateSanta Lucia Surgical Center LLC
$58.00Published rate
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See a sample payer proposalCPT 62370 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62370 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 62370 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 |
|---|---|---|
| 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) |
| 62380-CPT | High | Ndsc Dcmprn 1 Ntrspc Lumbar, Endoscopic Decompression Of Spinal Cord Nerve Root S Including Laminotomy Partial Facetectomy Foraminotomy Discectomy And Or Excision Of Herniated Intervertebral Disc 1 Interspace Lumbar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62370 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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