No office rate
Choose 62201 when the third-ventricle opening is created by neuroendoscopy; 62200 describes the related procedure without that approach.
On this page
CMS RVU26D · Effective 2026-10-01
62201 Ventriculostomy Medicare reimbursement rates
Reports endoscopic creation of an internal cerebrospinal fluid pathway from the third ventricle, commonly to treat selected cases of obstructive hydrocephalus. Compare 62201 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 62201?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 62201 pays more and less
Neurosurgery
About 62201: Endoscopic third ventriculostomy
Reports endoscopic creation of an internal cerebrospinal fluid pathway from the third ventricle, commonly to treat selected cases of obstructive hydrocephalus.
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.
CMS billing rules for 62201
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.64 · 43%
- Practice expense (office) RVU14.53 · 40%
- Malpractice RVU6.55 · 18%
145
Medicare services in 2024 · #4588 by national volume
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.
62201 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
62220 establishes a ventricular shunt to a venous destination. This code creates an internal cerebrospinal fluid pathway through the third-ventricle floor.
No office rate
62223 establishes a ventricular shunt to a body cavity, such as the peritoneum. This code creates an internal pathway without that shunt destination.
See how rates vary across the country
62201 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 62201 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1070.87 |
| Alaska* | Office Unavailable | Facility $1420.99 |
| Arizona | Office Unavailable | Facility $1179.93 |
| Arkansas | Office Unavailable | Facility $1051.95 |
| Atlanta | Office Unavailable | Facility $1279.79 |
| Austin | Office Unavailable | Facility $1230.73 |
| Bakersfield | Office Unavailable | Facility $1197.46 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1322.12 |
| Beaumont | Office Unavailable | Facility $1167.27 |
| Brazoria | Office Unavailable | Facility $1178.16 |
| Chicago | Office Unavailable | Facility $1515.88 |
| Chico | Office Unavailable | Facility $1180.44 |
| Colorado | Office Unavailable | Facility $1215.90 |
| Connecticut | Office Unavailable | Facility $1320.24 |
| Dallas | Office Unavailable | Facility $1198.18 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1365.80 |
| Delaware | Office Unavailable | Facility $1201.17 |
| Detroit | Office Unavailable | Facility $1359.58 |
| East St. Louis | Office Unavailable | Facility $1409.49 |
| El Centro | Office Unavailable | Facility $1181.53 |
| Fort Lauderdale | Office Unavailable | Facility $1409.56 |
| Fort Worth | Office Unavailable | Facility $1196.17 |
| Fresno | Office Unavailable | Facility $1180.44 |
| Galveston | Office Unavailable | Facility $1189.63 |
| Hanford-Corcoran | Office Unavailable | Facility $1180.44 |
| Hawaii, Guam | Office Unavailable | Facility $1200.86 |
| Houston | Office Unavailable | Facility $1309.52 |
| Idaho | Office Unavailable | Facility $1072.36 |
| Indiana | Office Unavailable | Facility $1078.60 |
| Iowa | Office Unavailable | Facility $1053.31 |
| Kansas | Office Unavailable | Facility $1071.38 |
| Kentucky | Office Unavailable | Facility $1154.02 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1263.20 |
| Madera | Office Unavailable | Facility $1180.44 |
| Manhattan | Office Unavailable | Facility $1466.74 |
| Merced | Office Unavailable | Facility $1180.44 |
| Metropolitan Boston | Office Unavailable | Facility $1317.98 |
| Metropolitan Kansas City | Office Unavailable | Facility $1191.84 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1298.01 |
| Metropolitan St. Louis | Office Unavailable | Facility $1203.62 |
| Miami | Office Unavailable | Facility $1580.89 |
| Minnesota | Office Unavailable | Facility $1086.54 |
| Mississippi | Office Unavailable | Facility $1101.92 |
| Modesto | Office Unavailable | Facility $1180.44 |
| Montana** | Office Unavailable | Facility $1226.04 |
| Napa | Office Unavailable | Facility $1306.08 |
| Nebraska | Office Unavailable | Facility $1053.03 |
| Nevada** | Office Unavailable | Facility $1190.43 |
| New Hampshire | Office Unavailable | Facility $1219.03 |
| New Mexico | Office Unavailable | Facility $1230.17 |
| New Orleans | Office Unavailable | Facility $1227.60 |
| North Carolina | Office Unavailable | Facility $1114.99 |
| North Dakota** | Office Unavailable | Facility $1096.53 |
| Northern Nj | Office Unavailable | Facility $1351.92 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1539.13 |
| Ohio | Office Unavailable | Facility $1186.01 |
| Oklahoma | Office Unavailable | Facility $1125.77 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1246.96 |
| Portland | Office Unavailable | Facility $1232.70 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1342.04 |
| Puerto Rico | Office Unavailable | Facility $1228.54 |
| Queens | Office Unavailable | Facility $1444.94 |
| Redding | Office Unavailable | Facility $1180.44 |
| Rest Of California | Office Unavailable | Facility $1180.44 |
| Rest Of Florida | Office Unavailable | Facility $1315.17 |
| Rest Of Georgia | Office Unavailable | Facility $1216.07 |
| Rest Of Illinois | Office Unavailable | Facility $1307.43 |
| Rest Of Louisiana | Office Unavailable | Facility $1161.48 |
| Rest Of Maine | Office Unavailable | Facility $1104.96 |
| Rest Of Maryland | Office Unavailable | Facility $1219.59 |
| Rest Of Massachusetts | Office Unavailable | Facility $1216.15 |
| Rest Of Michigan | Office Unavailable | Facility $1212.48 |
| Rest Of Missouri | Office Unavailable | Facility $1153.82 |
| Rest Of New Jersey | Office Unavailable | Facility $1313.25 |
| Rest Of New York | Office Unavailable | Facility $1137.24 |
| Rest Of Oregon | Office Unavailable | Facility $1159.56 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1174.65 |
| Rest Of Texas | Office Unavailable | Facility $1180.51 |
| Rest Of Washington | Office Unavailable | Facility $1206.71 |
| Rhode Island | Office Unavailable | Facility $1228.79 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1250.31 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1222.88 |
| Salinas | Office Unavailable | Facility $1218.33 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1237.08 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1356.73 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1349.29 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1396.94 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1366.53 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1201.31 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1240.28 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1220.16 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1251.29 |
| Seattle (King Cnty) | Office Unavailable | Facility $1322.73 |
| South Carolina | Office Unavailable | Facility $1156.78 |
| South Dakota** | Office Unavailable | Facility $1081.21 |
| Southern Maine | Office Unavailable | Facility $1141.38 |
| Stockton | Office Unavailable | Facility $1180.44 |
| Suburban Chicago | Office Unavailable | Facility $1412.14 |
| Tennessee | Office Unavailable | Facility $1081.02 |
| Utah | Office Unavailable | Facility $1175.05 |
| Vallejo | Office Unavailable | Facility $1295.36 |
| Vermont | Office Unavailable | Facility $1113.55 |
| Virgin Islands | Office Unavailable | Facility $1228.54 |
| Virginia | Office Unavailable | Facility $1153.91 |
| Visalia | Office Unavailable | Facility $1180.44 |
| West Virginia | Office Unavailable | Facility $1257.20 |
| Wisconsin | Office Unavailable | Facility $1054.70 |
| Wyoming** | Office Unavailable | Facility $1169.60 |
| Yuba City | Office Unavailable | Facility $1180.44 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,93062192,,Establish brain cavity shunt,A,,13.02,11.91,NA,11.91,,5.48,30.41,30.41,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93162194,,Replace/irrigate catheter,A,,5.64,7.78,NA,7.78,,2.35,15.77,15.77,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93262200,,Establish brain cavity shunt,A,,18.81,13.96,NA,13.96,,7.93,40.70,40.70,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93362201,,Brain cavity shunt w/scope,A,,15.64,14.53,NA,14.53,,6.55,36.72,36.72,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93462220,,Establish brain cavity shunt,A,,13.75,9.96,NA,9.96,,5.32,29.03,29.03,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93562223,,Establish brain cavity shunt,A,,13.70,11.87,NA,11.87,,5.07,30.64,30.64,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93662225,,Replace/irrigate catheter,A,,6.04,8.58,NA,8.58,,2.51,17.13,17.13,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00