CPT code 62201: Ventriculostomy, by neuroendoscopy2026 Medicare rate & RVUs in New Mexico

Reports endoscopic creation of an internal cerebrospinal fluid pathway from the third ventricle, commonly to treat selected cases of obstructive hydrocephalus.

CMS RVU26DEffective Oct 1, 2026One payment locality145 Medicare services in 2024

In New Mexico, Medicare pays $1,230.17 for 62201 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,230.17Hospital or facility

Check a contract rate as a % of Medicare · 62201 nationwide

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

We’ll open 62201 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 62201 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 62201 covers

A neurosurgeon uses a ventricular endoscope to create an opening in the floor of the third ventricle, allowing cerebrospinal fluid to flow into the basal cisterns and bypass an obstruction. The procedure is used for selected patients with obstructive hydrocephalus, such as from aqueductal stenosis. It is generally performed in an operating room through a cranial access route; it creates an internal drainage pathway rather than implanting a shunt to another body cavity.

Report this code when the third-ventricle opening is created by neuroendoscopy. The operative report should support the endoscopic approach and the creation of the ventriculocisternostomy; a separately placed ventriculoperitoneal or ventriculoatrial shunt is a different service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are 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.

How New Mexico compares for 62201

Across 109 of 109 payment localities, the facility rate for 62201 runs from $1,051.95 in Arkansas to $1,580.89 in Miami, FL. New Mexico pays $1,230.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

62201 in New Mexico vs other payment areas
  1. New Mexico · this page$1,230.17
  2. Los Angeles, CA · California$1,263.20+$33.03
  3. Washington, DC area · District of Columbia$1,365.80+$135.63
  4. Miami, FL · Florida$1,580.89+$350.72
  5. Chicago, IL · Illinois$1,515.88+$285.71
  6. Manhattan, NY · New York$1,466.74+$236.57
  7. Alaska · Alaska$1,420.99+$190.82

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

62201 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,070.87
ArkansasArkansas—$1,051.95
ArizonaArizona—$1,179.93
Bakersfield, CACalifornia—$1,197.46
Chico, CACalifornia—$1,180.44
El Centro, CACalifornia—$1,181.53
Fresno, CACalifornia—$1,180.44
Hanford, CACalifornia—$1,180.44

62201 rates by state

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

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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
62201 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

See 62201 in every payment locality

How the 62201 rate is calculated

Each of 62201’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 · 62201

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.64

15.64 RVUs× 1.000 GPCI

Practice expense14.53

14.53 RVUs× 1.000 GPCI

Malpractice6.55

6.55 RVUs× 1.000 GPCI

Adjusted RVUs

36.7200

Conversion factor

$33.4009

Medicare rate

$1,226.48

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,933

Code
62201
Physician work
15.64
Practice expense
14.53
Malpractice
6.55

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 62201 in New Mexico
ComponentRVULocality factorAdjusted
Physician work15.64× 1.00015.6400
Practice expense14.53× 0.91713.3240
Malpractice6.55× 1.2017.8666
Total RVUs36.8306
Conversion factor× 33.4009

Facility rate, New Mexico$1230.17

Facility: (15.64 × 1 + 14.53 × 0.917 + 6.55 × 1.201) × $33.4009 = $1230.17

Open 62201 in the RVU calculator

Payment rules and modifiers for 62201

62201 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 62201

Ventriculostomy, by neuroendoscopy

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 62201

Ventriculostomy, by neuroendoscopy

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

62201 without 51 · national facility

$1,226.48

Ventriculostomy, by neuroendoscopy

62201-51 · Second procedure: 50%

$613.24

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

How 62201 has changed in New Mexico

62201 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,230.17RVU26D
2026-07-01Not available in this setting$1,230.17RVU26C
2026-04-01Not available in this setting$1,230.17RVU26B
2026-01-01Not available in this setting$1,230.17RVU26A
2025-10-01Not available in this setting$1,201.83RVU25D
2025-07-01Not available in this setting$1,201.83RVU25C
2025-04-01Not available in this setting$1,201.83RVU25B
2025-01-01Not available in this setting$1,201.83RVU25A
2024-10-01Not available in this setting$1,231.76RVU24D
2024-07-01Not available in this setting$1,231.76RVU24C
2024-04-01Not available in this setting$1,231.76RVU24B
2024-03-09Not available in this setting$1,231.76RVU24AR
2024-01-01Not available in this setting$1,211.65RVU24A
2023-10-01Not available in this setting$1,239.58RVU23D
2023-07-01Not available in this setting$1,239.58RVU23C
2023-04-01Not available in this setting$1,239.58RVU23B
2023-01-01Not available in this setting$1,239.58RVU23A
2022-10-01Not available in this setting$1,234.08RVU22D
2022-07-01Not available in this setting$1,234.08RVU22C
2022-04-01Not available in this setting$1,234.08RVU22B
2022-01-01Not available in this setting$1,234.08RVU22A
2021-10-01Not available in this setting$1,233.65RVU21D
2021-07-01Not available in this setting$1,233.65RVU21C
2021-04-01Not available in this setting$1,233.65RVU21B
2021-01-01Not available in this setting$1,233.65RVU21A
2020-10-01Not available in this setting$1,256.97RVU20D
2020-07-01Not available in this setting$1,256.97RVU20C
2020-04-01Not available in this setting$1,256.97RVU20B
2020-01-01Not available in this setting$1,256.97RVU20A
2019-10-01Not available in this setting$1,298.34RVU19D
2019-07-01Not available in this setting$1,298.34RVU19C
2019-04-01Not available in this setting$1,298.34RVU19B
2019-01-01Not available in this setting$1,298.34RVU19A
2018-10-01Not available in this setting$1,289.45RVU18D
2018-07-01Not available in this setting$1,289.45RVU18C
2018-04-01Not available in this setting$1,289.45RVU18B
2018-01-01Not available in this setting$1,289.45RVU18AR1
2017-10-01Not available in this setting$1,277.78RVU17D
2017-07-01Not available in this setting$1,277.78RVU17C
2017-04-01Not available in this setting$1,277.78RVU17B
2017-01-01Not available in this setting$1,277.78RVU17A
2016-10-01Not available in this setting$1,271.58RVU16D
2016-07-01Not available in this setting$1,271.58RVU16C
2016-04-01Not available in this setting$1,271.58RVU16B
2016-01-01Not available in this setting$1,271.58RVU16A
2015-10-01Not available in this setting$1,282.60RVU15D
2015-07-01Not available in this setting$1,282.60RVU15C
2015-04-01Not available in this setting$1,276.22RVU15B
2015-01-01Not available in this setting$1,276.22RVU15A
2014-10-01Not available in this setting$1,207.68RVU14D
2014-07-01Not available in this setting$1,207.68RVU14C
2014-04-01Not available in this setting$1,207.68RVU14B
2014-01-01Not available in this setting$1,207.68RVU14A
2013-10-01Not available in this setting$1,179.83RVU13D
2013-07-01Not available in this setting$1,179.83RVU13C
2013-04-01Not available in this setting$1,179.83RVU13B
2013-01-01Not available in this setting$1,179.83RVU13AR

Price 62201 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

62201 billing questions

How does this differ from 62200?

This code is for creating the third-ventricle opening by neuroendoscopy. Code 62200 is the related non-endoscopic ventriculocisternostomy approach.

Is this the same as placing a ventriculoperitoneal shunt?

No. This procedure creates an internal route for cerebrospinal fluid through the third-ventricle floor; a ventriculoperitoneal shunt diverts fluid to the peritoneal cavity.

Does the 90-day global period include related postoperative care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.

Can modifier 50 be used for bilateral performance?

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

How does the multiple-procedure reduction work in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

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 62201PPRRVU2026_Oct_nonQPP.csv, line 6,933 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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