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CPT code 62200: CSF shunt, new intracranial shunt2026 Medicare rate & RVUs

Reports surgical creation of a cerebrospinal fluid shunt from an intracranial cavity to a drainage terminus, rather than revision of an existing shunt.

CMS RVU26DEffective Oct 1, 2026109 payment localities30 Medicare services in 2024

Medicare pays $1,359.42 for 62200 nationally in a facility.

Medicare rate · 62200

CSF shunt, new intracranial shunt

Office or facility?

Work RVUs
18.81
Total RVUs
40.70
Global days
090

National rate · 2026

$1,359.42

Facility setting, before claim adjustments.

See every locality for 62200 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 62200 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 62200 covers

A neurosurgeon creates a new pathway to divert cerebrospinal fluid from an intracranial cavity to a drainage terminus. The operation is generally performed in a hospital operating room for a patient who needs CSF diversion; the operative report should identify the source cavity, destination, and newly constructed shunt. This code is distinct from endoscopic shunt creation and from procedures that revise or remove an existing system.

Report the code for the shunt creation actually performed, supported by the operative details and the route used. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 62200 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

62200 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,186.18
AlaskaUnavailable$1,584.93
ArizonaUnavailable$1,306.82
ArkansasUnavailable$1,165.21
Atlanta, GAUnavailable$1,422.00
Austin, TXUnavailable$1,357.52
Bakersfield, CAUnavailable$1,312.55
Baltimore area, MDUnavailable$1,466.28
Beaumont, TXUnavailable$1,298.65
Brazoria, TXUnavailable$1,301.98

62200 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
62200 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 62200 rate is calculated

Each of 62200’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 62200

RVUs × geographic indexes × conversion factor

Office or facility?

Work18.81

18.81 RVUs× 1.000 GPCI

Practice expense13.96

13.96 RVUs× 1.000 GPCI

Malpractice7.93

7.93 RVUs× 1.000 GPCI

Adjusted RVUs

40.7000

Conversion factor

$33.4009

Medicare rate

$1,359.42

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 62200

62200 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 62200

CSF shunt, new intracranial shunt

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 62200

CSF shunt, new intracranial shunt

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62200 without 51 · national facility

$1,359.42

CSF shunt, new intracranial shunt

62200-51 · Second procedure: 50%

$679.71

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

62200 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 62200

    CSF shunt, new intracranial shunt18.81 wRVU

    Not priced

  • 62201

    Ventriculostomy, by neuroendoscopy15.64 wRVU

    Not priced

  • 62223

    CSF shunt creation, peritoneal, pleural, or other terminus13.7 wRVU

    Not priced

  • 62230

    Shunt revision, component revision, not full-system replacement11.14 wRVU

    Not priced

How to choose

62201VentriculostomyBy neuroendoscopy
This code reports shunt creation without the endoscopic distinction. Code 62201 is used when the shunt creation is performed with an endoscope.
62223CSF shunt creationPeritoneal, pleural, or other terminus
Code 62223 is for ventricular-origin shunt creation. Use this code when the documented source cavity and route meet its descriptor instead.
62230Shunt revisionComponent revision, not full-system replacement
Code 62230 covers revision of an existing CSF shunt system. It is not the code for creating a new shunt.

Codes related to 62200

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 62200
CodeHow it relatesNational office range
Same family
62201Ventriculostomy, by neuroendoscopyRelated shunt-creation service distinguished by use of an endoscope.No office rate
62230Shunt revision, component revision, not full-system replacementCovers revision of an existing CSF shunt rather than creation of a new one.No office rate
Used instead
62223CSF shunt creation, peritoneal, pleural, or other terminusUse for ventricular-origin shunt creation when that route is documented.No office rate
62220CSF shunt, to extracranial siteRelated CSF shunt-creation code; choose according to the operative anatomy and route.No office rate

62200 billing questions

How does this differ from 62201?

Code 62201 is the related shunt-creation service performed with an endoscope. Use the code that matches the operative technique documented.

How does this differ from 62223?

Code 62223 describes creation of a ventricular-origin shunt. Select based on the CSF source and route documented in the operative report.

Can the preoperative visit and routine postoperative care be billed separately?

The day-before preoperative visit and related postoperative care during the 90-day global period are included in this surgical service.

Can modifier 50 be used for a shunt placed on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided, and team surgery is not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 62200PPRRVU2026_Oct_nonQPP.csv, line 6,932 (RVU26D)

Open CMS sourceHow we calculate rates

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