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CPT 63173 Fee Schedule

Last Verified: November 2025

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

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$446.001487824173 - SEASCAPE SURGERY CENTER LLC800150187 - (FL) SEASCAPE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$862.001073763652 - LEBONHEUR EAST SURGERY CENTER II LP, LEBONHEUR EAST SURGERY CENTER LP800247391 - (TN) LEBONHEUR EAST SURGERY CENTER II LPTNAmbulatory 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$1049.001477569069 - FISH POND SURGERY CENTER, LLC742901471 - (TX) FISH POND SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$649.001104897644 - FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C., FOX VALLEY ORTHOPAEDIC AMBULATORY SURGICAL CENTER362796281 - FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.ILAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$2732.001558564344 - SURGERY CENTER OF ATLANTIS LLC260298828 - (FL) SURGERY CENTER OF ATLANTIS LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$7400.001861657256 - INDIANA ENDOSCOPY CENTERS LLC208398421INAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$13865.001861444838 - LAS CRUCES SURGERY CENTER LP, MOUNTAINVIEW SURGERY CENTER421584742NMAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$1338.001902877715 - AMBULATORY SURGICAL CENTER OF MORRIS COUNTY LLC, RIDGEDALE SURGERY CENTER223104481 - (NJ) AMBULATORY SURGICAL CENTER OF MORRIS COUNTY, INC.NJAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$349.001639365240 - SAVANNAH PAIN CENTER, LLC203978153 - (GA) SAVANNAH PAIN CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$557.001629153770 - COTTMAN AMBULATORY SURGERY CENTER, WILLS SURGERY CENTER OF THE NORTHEAST232786584 - (PA) COTTMAN AMBULATORY SURGERY CENTERPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$3041.001114435856 - EINSTEIN MEDICAL CENTER MONTGOMERY, EINSTEIN ENDOSCOPY CENTER - BLUE BELL204193243 - (PA) ALBERT EINSTEIN HEALTHCARE NETWORKPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$591.001033102140 - SSC HOLDINGS LLC, SEDONA SURGERY CENTER470887316 - (CA) SSC HOLDINGS LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$200.001306958103 - NEI AMBULATORY SURGERY CENTER INC PC232429169 - (PA) NEI AMBULATORY SURGERY CENTER INC PCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63173$1300.001558313544 - MINNESOTA VALLEY SURGERY CENTER LLC203371241 - (MN) MINNESOTA VALLEY SURGERY CENTER LLCMNAmbulatory 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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