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See a sample rate comparisonCPT 62380 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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
| 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 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62380 |
| Medicaid Fee Schedule | View Medicaid rates for 62380 |
National average reimbursement for CPT 62380 by major payers:
$2,170.18
$1,390.17
$1,461.15
$2,408.64
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CPT 62380
5 of 25 sample ratesHigher to lower in this preview
Texas Health Orthopedic Surgery Center Alliance, LLC, Texas Health Orthopedic Surgery Center Heritage
Texas Health Orthopedic Surgery Center Alliance LLC
$8,818.00Published rateSt. Michael Surgery Center, LLC
St Michael Surgery Center LLC
$3,750.00Published rateSouth County Outpatient Surgery Center, LLC
South County Outpatient Surgery Center LLC
$2,682.00Published rateIec Surgical Centers LLC, Physicians Surgery Center
Iec Surgical Centers LLC
$1,750.00Published rateNortheast Ambulatory Center Inc
Northeast Ambulatory Center, Inc.
$707.00Published rate
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See a sample payer proposalCPT 62380 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62380 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 62380 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 |
|---|---|---|
| 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 |
| 63001-CPT | High | Remove Spine Lamina 1 2 Crvl, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis 1 Or 2 Vertebral Segments Cervical |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62380 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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