CPT code 62200: CSF shunt2026 Medicare rate & RVUs in Georgia
Reports surgical creation of a cerebrospinal fluid shunt from an intracranial cavity to a drainage terminus, rather than revision of an existing shunt.
CMS doesn’t publish an office rate for 62200 in Georgia.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta, GA | Unavailable | $1,422.00 |
| Rest of Georgia | Unavailable | $1,359.91 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62200
CSF 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.
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
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%).
62200 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62201Ventriculostomy
- This code reports shunt creation without the endoscopic distinction. Code 62201 is used when the shunt creation is performed with an endoscope.
- 62223CSF shunt creation
- Code 62223 is for ventricular-origin shunt creation. Use this code when the documented source cavity and route meet its descriptor instead.
- 62230Shunt revision
- Code 62230 covers revision of an existing CSF shunt system. It is not the code for creating a new shunt.
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
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