Billing code 62192: CSF shuntMedicare rate & RVUs in Ohio
Reports operative creation of a lumbar subarachnoid-to-peritoneal shunt to divert cerebrospinal fluid when that spinal-to-abdominal route is selected.
CMS doesn’t publish an office rate for 62192 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62192 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $982.58 |
How the 62192 rate is calculated
Each of 62192’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62192
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.02Practice expense 11.91Malpractice 5.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62192
62192 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62192
CSF shunt
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62192
CSF shunt
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62192 without 51 · national facility
$1,015.72
CSF shunt
62192-51 · Second procedure: 50%
$507.86
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62192 compared with similar codes
Compare codes
62192 vs 62180 vs 62190 vs 62223 vs 62194: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62180Brain shunt
- 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.
- 62190CSF shunt
- 62192 is the lumbar-to-peritoneal procedure; 62190 describes a different subarachnoid or subdural shunt route. The operative anatomy and terminus determine the choice.
- 62223CSF shunt creation
- 62192 diverts CSF from the lumbar subarachnoid space. Use 62223 for creation of a shunt originating in a cerebral ventricle.
- 62194Shunt catheter service
- 62192 establishes a shunt. Code 62194 concerns catheter replacement or irrigation rather than creation of the shunt.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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