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See a sample rate comparisonCPT 63746 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.
Remval Of Entire Lumbosubarachnoid Shunt System W/O Replac, Removal Of Entire Lumbosubarachnoid Shunt System Without Replacement
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 63746 |
| Medicaid Fee Schedule | View Medicaid rates for 63746 |
National average reimbursement for CPT 63746 by major payers:
$722.52
$797.71
$830.79
$969.19
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CPT 63746
5 of 25 sample ratesHigher to lower in this preview
Mother Frances Hospital-Winnsboro
$6,102.00Published ratePatient Partners LLC
$2,206.00Published rateJoint Replacement Center Of Louisiana
Joint Replacement Center Of Lous
$1,235.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$1,016.00Published rateLatania Austin
Deaconess Hospital Inc
$463.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63746 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63746 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 63746 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 |
|---|---|---|
| 63710-CPT | High | Repair Leak Of Spinal Fluid, At The End Of A Surgery A Tissue Graft Is Used To Repair An Incision In The Spinal Cord Membrane So That It Doesnt Leak. |
| 63740-CPT | High | Creat Of Shunt Lumbar Subarachnoid-Peritoneal -Pleural, Creation Of Shunt Lumbar Subarachnoid-Peritoneal -Pleural Or Other |
| 63744-CPT | Moderate | Surgery For Drain Tube In Back, Surgery To Replace Rinse Out Or Revise A Tube Inserted Into The Spinal Column For Draining Fluid. |
| 63746-CPT | Moderate | Remval Of Entire Lumbosubarachnoid Shunt System W/O Replac, Removal Of Entire Lumbosubarachnoid Shunt System Without Replacement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63746. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63746 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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