No office rate
Use 62162 for endoscopic excision of a colloid cyst. Use 62161 when the service is endoscopic fenestration of a cyst.
On this page
CMS RVU26D · Effective 2026-10-01
62162 Neuroendoscopy Medicare reimbursement rates in Pennsylvania
Report this service when a neurosurgeon removes an intracranial colloid cyst using an endoscopic approach, commonly from the third ventricle. Compare 62162 office and facility rates across CMS payment localities in Pennsylvania.
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 62162 in Pennsylvania?
Pennsylvania 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
$1782.97–$1965.43
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 62162: Endoscopic colloid cyst excision
Report this service when a neurosurgeon removes an intracranial colloid cyst using an endoscopic approach, commonly from the third ventricle.
A neurosurgeon uses an endoscope through a small cranial opening to reach and remove an intracranial colloid cyst. A common clinical setting is a third-ventricle cyst near the foramen of Monro, particularly when it obstructs cerebrospinal fluid flow. The procedure is generally performed in a hospital operating room; the operative report should identify the cyst and document endoscopic excision rather than cyst fenestration or removal of another type of tumor.
Report this code for endoscopic excision of the colloid cyst, supported by the operative approach and the lesion treated. It has 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for this midline procedure.
CMS billing rules for 62162
- 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 RVU26.13 · 47%
- Practice expense (office) RVU18.31 · 33%
- Malpractice RVU11.05 · 20%
29
Medicare services in 2024 · #5694 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.
62162 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
62164 concerns endoscopic excision of a brain tumor; 62162 is specific to colloid cyst excision.
No office rate
62165 is for endoscopic excision of a pituitary tumor. It is not the code for a colloid cyst in the ventricular system.
Compare 62162 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 Philadelphia →
Office / nonfacility
Unavailable
Facility
$1965.43
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1782.97
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62162 billing questions
How is this different from 62161?
62162 describes endoscopic excision of a colloid cyst. Use 62161 when the endoscopic procedure is cyst fenestration rather than colloid cyst excision.
What should the operative report document?
Document the intracranial colloid cyst, the endoscopic approach, and the excision performed. The report should distinguish excision from fenestration and identify the treated lesion.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction.
Should modifier 50 be appended?
No. This midline intracranial procedure is not appropriate for bilateral reporting with modifier 50.
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.
6,92262148,,Retr bone flap to fix skull,A,,1.95,0.68,NA,0.68,,0.82,3.45,3.45,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92362160,,Neuroendoscopy add-on,A,,2.93,1.02,NA,1.02,,1.21,5.16,5.16,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92462161,,Dissect brain w/scope,A,,20.70,15.65,NA,15.65,,8.64,44.99,44.99,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92562162,,Remove colloid cyst w/scope,A,,26.13,18.31,NA,18.31,,11.05,55.49,55.49,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92662164,,Remove brain tumor w/scope,A,,28.69,20.85,NA,20.85,,12.13,61.67,61.67,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92762165,,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