# CPT 62223: Ventriculoperitoneal shunt, creation of pathway

Medicare CPT 62223 pays $1,023.40 in a non-facility setting and $1,023.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $885.37 in Arkansas to $1,201.94 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/62223-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurological Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,023.40 |
| National facility | $1,023.40 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,201.94 | $1,201.94 |
| Florida | $1,185.04 | $1,185.04 |
| Illinois | $1,165.90 | $1,165.90 |
| New York | $1,151.82 | $1,151.82 |
| District of Columbia | $1,137.82 | $1,137.82 |
| New Jersey | $1,110.90 | $1,110.90 |
| Connecticut | $1,098.65 | $1,098.65 |
| Michigan | $1,068.23 | $1,068.23 |
| Maryland | $1,059.33 | $1,059.33 |
| Massachusetts | $1,058.91 | $1,058.91 |
| Washington | $1,057.59 | $1,057.59 |
| West Virginia | $1,044.45 | $1,044.45 |
| Georgia | $1,039.13 | $1,039.13 |
| California | $1,034.96 | $1,034.96 |
| Pennsylvania | $1,031.08 | $1,031.08 |
| Rhode Island | $1,026.89 | $1,026.89 |
| Puerto Rico | $1,025.22 | $1,025.22 |
| Virgin Islands | $1,025.22 | $1,025.22 |
| New Mexico | $1,024.53 | $1,024.53 |
| Montana | $1,023.06 | $1,023.06 |
| New Hampshire | $1,018.49 | $1,018.49 |
| Colorado | $1,017.18 | $1,017.18 |
| Texas | $1,007.73 | $1,007.73 |
| Hawaii | $1,006.43 | $1,006.43 |
| Delaware | $1,003.83 | $1,003.83 |
| Oregon | $1,001.45 | $1,001.45 |
| Louisiana | $996.87 | $996.87 |
| Nevada | $995.52 | $995.52 |
| Ohio | $990.27 | $990.27 |
| Missouri | $988.11 | $988.11 |
| Arizona | $986.73 | $986.73 |
| Utah | $982.34 | $982.34 |
| Wyoming | $979.37 | $979.37 |
| South Carolina | $967.87 | $967.87 |
| Virginia | $966.88 | $966.88 |
| Kentucky | $965.00 | $965.00 |
| Oklahoma | $943.22 | $943.22 |
| Maine | $942.51 | $942.51 |
| Vermont | $935.78 | $935.78 |
| North Carolina | $935.71 | $935.71 |
| Mississippi | $924.10 | $924.10 |
| North Dakota | $922.81 | $922.81 |
| Minnesota | $915.68 | $915.68 |
| South Dakota | $910.96 | $910.96 |
| Tennessee | $908.92 | $908.92 |
| Indiana | $907.42 | $907.42 |
| Idaho | $902.44 | $902.44 |
| Kansas | $901.35 | $901.35 |
| Alabama | $900.35 | $900.35 |
| Wisconsin | $889.57 | $889.57 |
| Iowa | $887.59 | $887.59 |
| Nebraska | $887.54 | $887.54 |
| Arkansas | $885.37 | $885.37 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 62223 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules