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.
On this page
CMS RVU26D · Effective 2026-10-01
62192 CSF shunt Medicare reimbursement rates in Minnesota
Reports operative creation of a lumbar subarachnoid-to-peritoneal shunt to divert cerebrospinal fluid when that spinal-to-abdominal route is selected. Compare 62192 office and facility rates across CMS payment localities in Minnesota.
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 62192 in Minnesota?
Minnesota 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
$898.40
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 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 Minnesota, from the same CMS release.
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.
No office rate
62192 diverts CSF from the lumbar subarachnoid space. Use 62223 for creation of a shunt originating in a cerebral ventricle.
No office rate
62192 establishes a shunt. Code 62194 concerns catheter replacement or irrigation rather than creation of the shunt.
Compare 62192 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$898.40
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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 62192 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,930
- Code
- 62192
- Physician work
- 13.02
- Practice expense
- 11.91
- Malpractice
- 5.48
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.02 | × 1.000 | 13.0200 |
| Practice expense | 11.91 | × 1.029 | 12.2554 |
| Malpractice | 5.48 | × 0.296 | 1.6221 |
| Total RVUs | 26.8975 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$898.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.02 | 1 |
| Practice expense | 11.91 | 1.029 |
| Malpractice | 5.48 | 0.296 |
(13.02 × 1 + 11.91 × 1.029 + 5.48 × 0.296) × $33.4009 = $898.40
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.
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.
6,92762165,,Remove pituit tumor w/scope,A,,22.65,12.66,NA,12.66,,6.62,41.93,41.93,0,090,0.11,0.76,0.13,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92862180,,Establish brain cavity shunt,A,,22.02,15.79,NA,15.79,,9.28,47.09,47.09,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92962190,,Establish brain cavity shunt,A,,11.87,11.51,NA,11.51,,4.99,28.37,28.37,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002