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CMS RVU26D · Effective 2026-10-01

62192 in Austin

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$1018.80

Base rate per service

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.

Neurosurgery

About 62192: Lumbar subarachnoid-peritoneal shunt creation

Reports operative creation of a lumbar subarachnoid-to-peritoneal shunt to divert cerebrospinal fluid when that spinal-to-abdominal route is selected.

This code describes operative creation of a lumboperitoneal shunt, routing cerebrospinal fluid from the lumbar subarachnoid space to the peritoneal cavity. Neurosurgeons typically perform it in a hospital operating room for a patient who needs CSF diversion through this spinal route. The operative work establishes the connection and places the shunt catheter; it is not a code for a ventricular shunt or for later catheter revision.

Choose the code based on the documented shunt origin and destination, not simply the diagnosis or the presence of hydrocephalus. The operative report should identify the lumbar subarachnoid access, peritoneal terminus, and creation of the shunt. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 62192

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
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU13.02 · 43%
  • Practice expense (office) RVU11.91 · 39%
  • Malpractice RVU5.48 · 18%

102

Medicare services in 2024 · #4871 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.

62192 compared with similar codes

Office rates for Austin, from the same CMS release.

62180

Brain shunt

Intracranial cavity to extracranial site

No office rate

62192 represents a lumbar subarachnoid-to-peritoneal shunt. Choose 62180 when the documented procedure is the different subarachnoid or subdural shunt route described by that code.

62190

CSF shunt

Subarachnoid or subdural origin

No office rate

62192 is the lumbar-to-peritoneal procedure; 62190 describes a different subarachnoid or subdural shunt route. The operative anatomy and terminus determine the choice.

62223

CSF shunt creation

Peritoneal, pleural, or other terminus

No office rate

62192 diverts CSF from the lumbar subarachnoid space. Use 62223 for creation of a shunt originating in a cerebral ventricle.

62194

Shunt catheter service

Replacement or irrigation

No office rate

62192 establishes a shunt. Code 62194 concerns catheter replacement or irrigation rather than creation of the shunt.

The same code, a different location

How does Austin compare?

62192 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    Unavailable

  2. Beaumont

    Unavailable

    No comparable rate is available in this setting.

  3. Brazoria

    Unavailable

    No comparable rate is available in this setting.

  4. Dallas

    Unavailable

    No comparable rate is available in this setting.

  5. Fort Worth

    Unavailable

    No comparable rate is available in this setting.

  6. Galveston

    Unavailable

    No comparable rate is available in this setting.

  7. Houston

    Unavailable

    No comparable rate is available in this setting.

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 62192

    Office

    Unavailable

    Facility

    $977.68

    No comparable office rate is available.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 62192

    Office

    Unavailable

    Facility

    $1044.85

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 62192

    Office

    Unavailable

    Facility

    $1130.70

    No comparable office rate is available.

  • Miami

    Florida · 62192

    Office

    Unavailable

    Facility

    $1311.89

    No comparable office rate is available.

  • Chicago

    Illinois · 62192

    Office

    Unavailable

    Facility

    $1257.79

    No comparable office rate is available.

  • Manhattan

    New York · 62192

    Office

    Unavailable

    Facility

    $1215.26

    No comparable office rate is available.

  • Alaska*

    Alaska · 62192

    Office

    Unavailable

    Facility

    $1176.83

    No comparable office rate is available.

  • Alabama

    Alabama · 62192

    Office

    Unavailable

    Facility

    $886.56

    No comparable office rate is available.

  • Arkansas

    Arkansas · 62192

    Office

    Unavailable

    Facility

    $870.86

    No comparable office rate is available.

  • Arizona

    Arizona · 62192

    Office

    Unavailable

    Facility

    $977.03

    No comparable office rate is available.

  • Bakersfield

    California · 62192

    Office

    Unavailable

    Facility

    $990.61

    No comparable office rate is available.

  • Chico

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • El Centro

    California · 62192

    Office

    Unavailable

    Facility

    $977.29

    No comparable office rate is available.

  • Fresno

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Hanford-Corcoran

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Madera

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Merced

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Modesto

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Napa

    California · 62192

    Office

    Unavailable

    Facility

    $1079.57

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 62192

    Office

    Unavailable

    Facility

    $1031.29

    No comparable office rate is available.

  • Redding

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Rest Of California

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 62192

    Office

    Unavailable

    Facility

    $1034.83

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 62192

    Office

    Unavailable

    Facility

    $1011.29

    No comparable office rate is available.

  • Salinas

    California · 62192

    Office

    Unavailable

    Facility

    $1007.52

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 62192

    Office

    Unavailable

    Facility

    $1022.91

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62192

    Office

    Unavailable

    Facility

    $1121.11

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 62192

    Office

    Unavailable

    Facility

    $1114.89

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 62192

    Office

    Unavailable

    Facility

    $1154.46

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 62192

    Office

    Unavailable

    Facility

    $1129.02

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 62192

    Office

    Unavailable

    Facility

    $993.48

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 62192

    Office

    Unavailable

    Facility

    $1025.45

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 62192

    Office

    Unavailable

    Facility

    $1009.00

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 62192

    Office

    Unavailable

    Facility

    $1034.54

    No comparable office rate is available.

  • Stockton

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Vallejo

    California · 62192

    Office

    Unavailable

    Facility

    $1070.60

    No comparable office rate is available.

  • Visalia

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Yuba City

    California · 62192

    Office

    Unavailable

    Facility

    $976.37

    No comparable office rate is available.

  • Colorado

    Colorado · 62192

    Office

    Unavailable

    Facility

    $1006.31

    No comparable office rate is available.

  • Connecticut

    Connecticut · 62192

    Office

    Unavailable

    Facility

    $1093.49

    No comparable office rate is available.

  • Delaware

    Delaware · 62192

    Office

    Unavailable

    Facility

    $994.64

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 62192

    Office

    Unavailable

    Facility

    $1168.79

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 62192

    Office

    Unavailable

    Facility

    $1090.29

    No comparable office rate is available.

  • Atlanta

    Georgia · 62192

    Office

    Unavailable

    Facility

    $1060.18

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 62192

    Office

    Unavailable

    Facility

    $1007.90

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 62192

    Office

    Unavailable

    Facility

    $993.16

    No comparable office rate is available.

  • Iowa

    Iowa · 62192

    Office

    Unavailable

    Facility

    $871.54

    No comparable office rate is available.

  • Idaho

    Idaho · 62192

    Office

    Unavailable

    Facility

    $887.44

    No comparable office rate is available.

  • East St. Louis

    Illinois · 62192

    Office

    Unavailable

    Facility

    $1169.50

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 62192

    Office

    Unavailable

    Facility

    $1084.16

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 62192

    Office

    Unavailable

    Facility

    $1170.81

    No comparable office rate is available.

  • Indiana

    Indiana · 62192

    Office

    Unavailable

    Facility

    $892.60

    No comparable office rate is available.

  • Kansas

    Kansas · 62192

    Office

    Unavailable

    Facility

    $886.75

    No comparable office rate is available.

  • Kentucky

    Kentucky · 62192

    Office

    Unavailable

    Facility

    $956.01

    No comparable office rate is available.

  • New Orleans

    Louisiana · 62192

    Office

    Unavailable

    Facility

    $1017.14

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 62192

    Office

    Unavailable

    Facility

    $962.29

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 62192

    Office

    Unavailable

    Facility

    $1090.59

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 62192

    Office

    Unavailable

    Facility

    $1006.61

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 62192

    Office

    Unavailable

    Facility

    $1095.10

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 62192

    Office

    Unavailable

    Facility

    $1009.83

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 62192

    Office

    Unavailable

    Facility

    $914.71

    No comparable office rate is available.

  • Southern Maine

    Maine · 62192

    Office

    Unavailable

    Facility

    $944.60

    No comparable office rate is available.

  • Detroit

    Michigan · 62192

    Office

    Unavailable

    Facility

    $1127.36

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 62192

    Office

    Unavailable

    Facility

    $1004.72

    No comparable office rate is available.

  • Minnesota

    Minnesota · 62192

    Office

    Unavailable

    Facility

    $898.40

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 62192

    Office

    Unavailable

    Facility

    $987.25

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 62192

    Office

    Unavailable

    Facility

    $996.99

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 62192

    Office

    Unavailable

    Facility

    $956.07

    No comparable office rate is available.

  • Mississippi

    Mississippi · 62192

    Office

    Unavailable

    Facility

    $912.65

    No comparable office rate is available.

  • Montana**

    Montana · 62192

    Office

    Unavailable

    Facility

    $1015.36

    No comparable office rate is available.

  • North Carolina

    North Carolina · 62192

    Office

    Unavailable

    Facility

    $922.99

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 62192

    Office

    Unavailable

    Facility

    $907.00

    No comparable office rate is available.

  • Nebraska

    Nebraska · 62192

    Office

    Unavailable

    Facility

    $871.24

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 62192

    Office

    Unavailable

    Facility

    $1009.15

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 62192

    Office

    Unavailable

    Facility

    $1119.21

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 62192

    Office

    Unavailable

    Facility

    $1087.47

    No comparable office rate is available.

  • New Mexico

    New Mexico · 62192

    Office

    Unavailable

    Facility

    $1019.49

    No comparable office rate is available.

  • Nevada**

    Nevada · 62192

    Office

    Unavailable

    Facility

    $985.55

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 62192

    Office

    Unavailable

    Facility

    $1275.60

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 62192

    Office

    Unavailable

    Facility

    $1111.52

    No comparable office rate is available.

  • Queens

    New York · 62192

    Office

    Unavailable

    Facility

    $1196.86

    No comparable office rate is available.

  • Rest Of New York

    New York · 62192

    Office

    Unavailable

    Facility

    $941.47

    No comparable office rate is available.

  • Ohio

    Ohio · 62192

    Office

    Unavailable

    Facility

    $982.58

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 62192

    Office

    Unavailable

    Facility

    $932.34

    No comparable office rate is available.

  • Portland

    Oregon · 62192

    Office

    Unavailable

    Facility

    $1019.98

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 62192

    Office

    Unavailable

    Facility

    $959.77

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 62192

    Office

    Unavailable

    Facility

    $1075.19

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 62192

    Office

    Unavailable

    Facility

    $973.03

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 62192

    Office

    Unavailable

    Facility

    $1017.35

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 62192

    Office

    Unavailable

    Facility

    $1017.34

    No comparable office rate is available.

  • South Carolina

    South Carolina · 62192

    Office

    Unavailable

    Facility

    $958.03

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 62192

    Office

    Unavailable

    Facility

    $894.18

    No comparable office rate is available.

  • Tennessee

    Tennessee · 62192

    Office

    Unavailable

    Facility

    $894.78

    No comparable office rate is available.

  • Utah

    Utah · 62192

    Office

    Unavailable

    Facility

    $973.18

    No comparable office rate is available.

  • Virginia

    Virginia · 62192

    Office

    Unavailable

    Facility

    $955.15

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 62192

    Office

    Unavailable

    Facility

    $1017.35

    No comparable office rate is available.

  • Vermont

    Vermont · 62192

    Office

    Unavailable

    Facility

    $921.32

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 62192

    Office

    Unavailable

    Facility

    $998.71

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 62192

    Office

    Unavailable

    Facility

    $1094.27

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 62192

    Office

    Unavailable

    Facility

    $872.35

    No comparable office rate is available.

  • West Virginia

    West Virginia · 62192

    Office

    Unavailable

    Facility

    $1042.50

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 62192

    Office

    Unavailable

    Facility

    $968.13

    No comparable office rate is available.

See how rates vary across the country

62192 · 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 / territoryRate 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

Explore 62192 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 62192 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1120.68

$1018.80 × 110% = $1120.68

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 62192 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,930

Code
62192
Physician work
13.02
Practice expense
11.91
Malpractice
5.48

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Facility calculation for 62192 in Austin
ComponentRVULocality factorAdjusted
Physician work13.02× 1.00213.0460
Practice expense11.91× 1.05812.6008
Malpractice5.48× 0.8864.8553
Total RVUs30.5021
Conversion factor× 33.4009

Facility rate, Austin$1018.80

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 62192 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work13.021.002
Practice expense11.911.058
Malpractice5.480.886

(13.02 × 1.002 + 11.91 × 1.058 + 5.48 × 0.886) × $33.4009 = $1018.80

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

62192 · 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

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$1018.80RVU26D
2026-07-01Not available in this setting$1018.80RVU26C
2026-04-01Not available in this setting$1018.80RVU26B
2026-01-01Not available in this setting$1018.80RVU26A
2025-10-01Not available in this setting$990.39RVU25D
2025-07-01Not available in this setting$990.39RVU25C
2025-04-01Not available in this setting$990.39RVU25B
2025-01-01Not available in this setting$990.39RVU25A

62192 billing questions

How does this differ from 62180 or 62190?

Use 62192 for a lumbar subarachnoid-to-peritoneal shunt. Codes 62180 and 62190 describe other subarachnoid or subdural shunt routes; select based on the documented origin and terminus.

Is this the code for a ventriculoperitoneal shunt?

No. This code represents a spinal subarachnoid-to-peritoneal route. A shunt originating in a brain ventricle is a different procedure, such as the service represented by 62223.

Can the surgeon report modifier 50?

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

What documentation supports reporting 62192?

The operative report should establish that the shunt originates in the lumbar subarachnoid space and terminates in the peritoneal cavity, and describe creation of that connection.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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.

RVUs for 62192PPRRVU2026_Oct_nonQPP.csv, line 6,930 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)