No office rate
Choose 62201 when the third-ventricle opening is created by neuroendoscopy; 62200 describes the related procedure without that approach.
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CMS RVU26D · Effective 2026-10-01
62201 Ventriculostomy Medicare reimbursement rates in Connecticut
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 in Connecticut.
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 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1320.24
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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.
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 rates for Connecticut, 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.
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.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$1320.24
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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 62201 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,933
- Code
- 62201
- Physician work
- 15.64
- Practice expense
- 14.53
- Malpractice
- 6.55
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.64 | × 1.020 | 15.9528 |
| Practice expense | 14.53 | × 1.077 | 15.6488 |
| Malpractice | 6.55 | × 1.210 | 7.9255 |
| Total RVUs | 39.5271 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1320.24
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.64 | 1.02 |
| Practice expense | 14.53 | 1.077 |
| Malpractice | 6.55 | 1.21 |
(15.64 × 1.02 + 14.53 × 1.077 + 6.55 × 1.21) × $33.4009 = $1320.24
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.
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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808