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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63620 |
| Medicaid Fee Schedule | View Medicaid rates for 63620 |
National average reimbursement for CPT 63620 by major payers:

$1,358.58

$1,443.73

$1,589.01

$1,765.03
Choose a payer to see a sample of rates for CPT 63620.
Precision Surgical Center Of Northwest Arkansas LLC
Sunrise Skin Cancer Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 63620 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63620 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 63620 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 |
|---|---|---|
| 63600-CPT | High | Treat Spinal Cord Surgically, Surgery To Precisely Remove Or Injure Spinal Cord Tissue. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions. |
| 63610-CPT | High | Stimulation Of Spinal Cord, Surgery To Stimulate A Precise Location In The Spinal Cord. Stereotactic Imaging Maps The Target Location In Three Dimensions. |
| 63620-CPT | High | Surgical Radiation Therapy, Radiosurgery Delivers Radiation Therapy Directly Into The Spine. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions. |
| 63621-CPT | Moderate | Stereotactic Radiosurgery (Par, Stereotactic Radiosurgery (Particle Bean Gamma Ray Or Linear Accelerator) Each Additional Spinal Lesion (List Separately In Adition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63620 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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