CPT code 62223: CSF shunt creation2026 Medicare rate & RVUs in Georgia
Reports creation of a new diversion from a brain ventricle to the peritoneal cavity, pleural space, or another distal site, commonly for hydrocephalus.
CMS doesn’t publish an office rate for 62223 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.
Your location
On this page 9 sections
What 62223 covers
A neurosurgeon creates a new route for cerebrospinal fluid to leave a brain ventricle and reach the peritoneal cavity, pleural space, or another distal site. The operation commonly treats hydrocephalus and is performed in an operating room, with ventricular and distal catheters connected through the shunt system. The operative report should identify the ventricular origin, distal destination, and creation of a new diversion rather than adjustment or repair of an existing shunt.
Report 62223 for the new shunt when its distal destination fits this code; an atrial, jugular, or auricular destination points to 62220. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires 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 62223 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta, GA | Unavailable | $1,065.16 |
| Rest of Georgia | Unavailable | $1,013.10 |
How the 62223 rate is calculated
Each of 62223’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 · 62223
RVUs × geographic indexes × conversion factor
Work13.70
13.70 RVUs× 1.000 GPCI
Practice expense11.87
11.87 RVUs× 1.000 GPCI
Malpractice5.07
5.07 RVUs× 1.000 GPCI
Adjusted RVUs
30.6400
Conversion factor
$33.4009
Medicare rate
$1,023.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62223
62223 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62223
CSF shunt creation
| 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 · 62223
CSF shunt creation
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
62223 without 51 · national facility
$1,023.40
CSF shunt creation
62223-51 · Second procedure: 50%
$511.70
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%).
62223 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 62220CSF shunt
- Choose 62220 for a ventricular shunt ending in the atrial, jugular, or auricular circulation; 62223 covers peritoneal, pleural, or other destinations.
- 62200CSF shunt
- 62200 covers ventricular catheter placement with a reservoir or drain. 62223 is for creation of a shunt carrying CSF to a distal body site.
- 62230Shunt revision
- 62230 describes revision or replacement of an existing shunt component; 62223 reports creation of a new ventricular shunt diversion.
- 62225Ventricular catheter
- 62225 concerns replacement or irrigation of a ventricular catheter, not construction of a new shunt to a distal site.
62223 billing questions
How does 62223 differ from 62220?
62223 is for a new ventricular shunt ending in the peritoneal cavity, pleural space, or another destination. Use 62220 when the distal endpoint is atrial, jugular, or auricular.
When would 62200 be more appropriate?
62200 describes ventricular catheter placement with a reservoir or drain, rather than creation of the distal shunt diversion reported with 62223. Base the choice on the procedure actually performed and documented.
Can the shunt components be reported separately?
The new ventricular-to-distal diversion is the service represented by 62223; do not separately report its integral catheter and shunt-system work as additional procedures.
Can modifier 50 be used for bilateral shunts?
No. CMS identifies bilateral adjustment as inappropriate for 62223, so modifier 50 is not appropriate.
How are an assistant or co-surgeon handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and the others are subject to the standard 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
Fee sheets
Put 62223 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →