No office rate
Use 62225 for irrigation or replacement of the ventricular catheter. Use 62230 when the operative service revises or replaces the CSF shunt, including work beyond the ventricular catheter.
On this page
CMS RVU26D · Effective 2026-10-01
62225 Ventricular catheter Medicare reimbursement rates in Kentucky
Report this service when a neurosurgeon irrigates or replaces a ventricular catheter in an existing cerebrospinal fluid drainage system. Compare 62225 office and facility rates across CMS payment localities in Kentucky.
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 62225 in Kentucky?
Kentucky 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
$533.22
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 62225: Ventricular catheter replacement or irrigation
Report this service when a neurosurgeon irrigates or replaces a ventricular catheter in an existing cerebrospinal fluid drainage system.
A neurosurgeon uses this code for operative irrigation or replacement of a ventricular catheter in an existing cerebrospinal fluid drainage system. The procedure may be performed when the catheter needs attention during treatment of impaired cerebrospinal fluid drainage. It is typically provided in a hospital operating room as part of neurosurgical care; the operative report should identify the ventricular catheter and describe whether it was irrigated or replaced.
Report the code based on the work performed on the ventricular catheter, rather than for adjustment of a programmable valve or replacement of an entire shunt system. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 62225
- 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 RVU6.04 · 35%
- Practice expense (office) RVU8.58 · 50%
- Malpractice RVU2.51 · 15%
585
Medicare services in 2024 · #3415 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.
62225 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$95.26
62252 is for reprogramming a programmable CSF shunt; 62225 involves operative irrigation or replacement of the ventricular catheter.
No office rate
62258 describes removal and replacement of the complete CSF shunt system. 62225 is limited to the ventricular catheter service.
Compare 62225 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$533.22
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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 62225 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,936
- Code
- 62225
- Physician work
- 6.04
- Practice expense
- 8.58
- Malpractice
- 2.51
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.04 | × 1.000 | 6.0400 |
| Practice expense | 8.58 | × 0.889 | 7.6276 |
| Malpractice | 2.51 | × 0.915 | 2.2967 |
| Total RVUs | 15.9643 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$533.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.04 | 1 |
| Practice expense | 8.58 | 0.889 |
| Malpractice | 2.51 | 0.915 |
(6.04 × 1 + 8.58 × 0.889 + 2.51 × 0.915) × $33.4009 = $533.22
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.
62225 billing questions
How does 62225 differ from 62230?
62225 describes irrigation or replacement of the ventricular catheter. Use 62230 when the operative work is revision or replacement of the cerebrospinal fluid shunt, such as work involving other shunt components.
Does 62225 describe replacement of the entire shunt system?
No. It addresses the ventricular catheter. Removal and replacement of a complete shunt system is represented by a different code, such as 62258.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What should the operative report document?
Document the existing ventricular catheter, the clinical reason for intervention, and whether the catheter was irrigated or replaced. The report should make clear that the service was directed to the ventricular catheter.
Is postoperative care included in the payment?
The 90-day major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,93362201,,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
6,93762230,,Replace/revise brain shunt,A,,11.14,9.63,NA,9.63,,4.36,25.13,25.13,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93862252,,Csf shunt reprogram,A,,0.72,2.11,,2.11,NA,0.28,3.11,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,93962252,26,Csf shunt reprogram,A,,0.72,0.49,,0.49,,0.27,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631