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CPT 63173 Fee Schedule

Last Verified: January 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.

Laminectomy W Drainage Cyst;To Peritonea
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

Common Modifiers

None

62 - Co-Surgeons

22 - Increased Procedural Services

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 63173

National average reimbursement for CPT 63173 by major payers:

bcbs

$2,190.48

uhc

$2,342.99

aetna

$2,376.61

cigna

$2,832.20

Preview provider-level rates for...
For billing codeCPT 63173
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 63173

United
63173$2375.001528335148 - SHRINERS HOSPITALS FOR CHILDREN, SHRINERS HOSPITALS FOR CHILDREN - ERIE AMBULATORY SURGERY CENTER362193608 - SHRINERS HOSPITALS FOR CHILDRENPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$494.001942808571 - SIGHT PARTNERS PHYSICIANS, P.C., THE HARMAN EYE CLINIC911719913 - SIGHT PARTNERS, LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$1274.001104974310 - NORTHWEST SURGERY CENTER, LLP, NORTHWEST SURGERY CENTER205537270 - (TX) NORTHWEST SURGERY CENTER LLPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$500.001841290103 - CENTRAL FLORIDA EYE INSTITUTE PL421621290 - (FL) CENTRAL FLORIDA EYE INSTITUTE PLFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$333.001891724936 - ARKLAMISS SURGERY CENTER,LLC870741444 - (LA) ARKLAMISS SURGERY CENTERLLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$349.001639365240 - SAVANNAH PAIN CENTER, LLC203978153 - (GA) SAVANNAH PAIN CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$163.001205872108 - THE SURGERY & ENDOSCOPY CENTER LLC43747286 - (FL) THE SURGERY ENDOSCOPY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$606.001497314181 - OPHTHALMOLOGY SURGERY CENTER OF ILLINOIS, LLC832118109 - (IL) OPHTHALMOLOGY SURGERY CENTER OF ILLINOIS LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$3931.001417922915 - FRANCONIA-SPRINGFIELD SURGERY CENTER, LLC, INOVA SURGERY CENTER @ FRANCONIA-SPRINGFIELD542018390 - (VA) INOVA AMBULATORY SURGICAL CENTERSVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$2705.001225091721 - EL PASO SURGERY CENTERS LP621846494 - (TX) EL PASO SURGERY CENTERS LPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$9043.001225064736 - NMC SURGERY CENTER, L.P., THE SURGERY CENTER OF NACOGDOCHES752793512 - (TX) NMC SURGERY CENTER LPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$700.001154046019 - GEORGIA INTERVENTIONAL PAIN880572909 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$1842.001760035158 - LEIGH ORTHOPEDIC SURGERY CENTER, LLC832402528 - (VA) LEIGH ORTHOPEDIC SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$875.001730540600 - RICHMOND ASC LLC, RICHMOND PAIN MANAGEMENT ASC472882195 - (NY) RICHMOND ASC LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$1028.001972869881 - ADVANCED SURGERY CENTER OF BETHESDA, LLC454376136 - (MD) ASC BETHESDAMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 63173 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 63173 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 63173 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.

CodeComplexityDescription
63172-CPTHighDrain Spinal Cyst To Subarachnoid
63173-CPTHighLaminectomy W Drainage Cyst;To Peritonea
63185-CPTHighRhizotomy <2 Segments

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63173. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 63173 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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