No office rate
Choose 62223 when the operative work includes insertion of a catheter into the brain. Code 62220 describes the shunt to an extracranial site without that specific distinction in its descriptor.
On this page
CMS RVU26D · Effective 2026-10-01
62220 CSF shunt Medicare reimbursement rates in Massachusetts
Reports creation of a cerebrospinal fluid pathway from an intracranial space to an extracranial destination such as the peritoneal or pleural cavity. Compare 62220 office and facility rates across CMS payment localities in Massachusetts.
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 62220 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$958.54–$1033.45
2 of 2 localities have a supported rate.
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 62220: Intracranial cerebrospinal fluid shunt creation
Reports creation of a cerebrospinal fluid pathway from an intracranial space to an extracranial destination such as the peritoneal or pleural cavity.
A neurosurgeon creates a route for cerebrospinal fluid to drain from a subarachnoid, subdural, or ventricular space to the peritoneal cavity, pleural cavity, or another extracranial site. These procedures are commonly performed in a hospital operating room to divert CSF in patients with hydrocephalus or another condition requiring drainage. The operative report should identify the intracranial space, the destination, and the shunt work performed.
Select this code when the documented procedure establishes that intracranial-to-extracranial shunt; code 62223 is the nearby choice when the work includes insertion of a catheter into the brain. This is a major surgery with a 90-day 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 the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62220
- 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 RVU13.75 · 47%
- Practice expense (office) RVU9.96 · 34%
- Malpractice RVU5.32 · 18%
205
Medicare services in 2024 · #4310 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.
62220 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
62200 establishes a shunt to the nasal cavity. Use 62220 for a destination such as the peritoneal or pleural cavity, or another extracranial site.
No office rate
62230 describes revision or replacement of an existing shunt. Use 62220 for creating the shunt pathway rather than revising an established one.
Compare 62220 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1033.45
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$958.54
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62220 billing questions
How does 62220 differ from 62223?
Both establish an intracranial-to-extracranial CSF shunt. Use 62223 when the operative work includes insertion of a catheter into the brain, as specified for that code.
Does the shunt destination affect code selection?
62220 covers a route to the peritoneal cavity, pleural cavity, or another extracranial site. The operative report should make the destination clear.
Can modifier 50 be reported for bilateral shunt creation?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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.
6,93162194,,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
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