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See a sample rate comparisonCPT 63170 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.
Laminecto W/ Myelotomy (Eg Bischof Or Drez Typ) Cervcal Thora, Laminectomy With Myelotomy (Eg Bischof Or Drez Type) Cervical Thora
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 22 - Increased Procedural Services 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63170 |
| Medicaid Fee Schedule | View Medicaid rates for 63170 |
National average reimbursement for CPT 63170 by major payers:
$1,908.41
$2,153.61
$2,188.76
$2,614.97
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CPT 63170
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, East Washington Surgery Center
$7,400.00Published rateAdvanced Surgery Center Of Central Iowa, LLC
Advanced Surgery Center Of Central Iowa LLC
$1,134.00Published rateResurgens Surgery Center LLC
$1,028.00Published rateRsps Fayetteville Asc LLC, Rsps Fayetteville Asc
Rsps Fayetteville Asc LLC
$607.00Published ratePiedmont Endoscopy Center, Inc.
$298.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63170 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63170 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 63170 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 |
|---|---|---|
| 63103-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Lateral Extracavitary Approach With Decompression Of Spinal Cord And Or Nerve Root S Eg For Tumor Or Retropulsed Bone Fragments Thoracic Or Lumbar Each Additional Segment List Separately In Addition To Code For Primary Procedure |
| 63170-CPT | High | Laminecto W/ Myelotomy (Eg Bischof Or Drez Typ) Cervcal Thora, Laminectomy With Myelotomy (Eg Bischof Or Drez Type) Cervical Thora |
| 63172-CPT | High | Drain Cyst On Spinal Cord, Surgery To Remove A Portion Of Vertebra (Spine) And To Drain A Fluid-Filled Sac (Cyst) On The Spinal Cord. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63170 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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