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See a sample rate comparisonCPT 63688 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery For Spine Implant, Back Surgery For A Device Implanted Into The Spine To Relieve Back Pain. The Surgery May Be Performed In Order To Insert Or Remove The Device Or To Replace The Device Or One Of Its Parts.
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 63688 |
| Medicaid Fee Schedule | View Medicaid rates for 63688 |
National average reimbursement for CPT 63688 by major payers:
$442.21
$506.59
$541.01
$578.94
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CPT 63688
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Pinecroft, LLC
Memorial Hermann Surgery Center Pinecroft LLC
$7,838.00Published rateCapital City Surgery Center, LLC
Capital City Surgery Center LLC
$3,060.00Published rateAlicia Surgery Center LLC
Alicia Surgery Center
$2,348.00Published rateOutpatient Services East
Outpatient Services East Ltd
$1,175.00Published ratePaul Brinton
Deaconess Hospital Inc
$296.02Published rate
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See a sample payer proposalCPT 63688 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63688 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 63688 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 |
|---|---|---|
| 63685-CPT | Moderate | Insertion Or Replacement Of Spinal Neurostimulatorpulse Generator Or Receiver Direct Or Inductive Coupling (Desc Revised 1/1/2005) C |
| 63688-CPT | Moderate | Surgery For Spine Implant, Back Surgery For A Device Implanted Into The Spine To Relieve Back Pain. The Surgery May Be Performed In Order To Insert Or Remove The Device Or To Replace The Device Or One Of Its Parts. |
| 63702-CPT | High | Repair Meningocele >5cm |
| 63707-CPT | High | Repair Leak Of Spinal Fluid, Surgical Repair Of A Cerebrospinal Fluid Leak Due To A Hole In The Membrane Covering 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 63688. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63688 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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