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See a sample rate comparisonCPT 61050 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cisternal Or Lateral Cervcal (C1-C2) Punctur; W/O Inject (Sep, Cisternal Or Lateral Cervical (C1-C2) Puncture; Without Injection (Sep
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 61050 |
| Medicaid Fee Schedule | View Medicaid rates for 61050 |
National average reimbursement for CPT 61050 by major payers:
$129.46
$125.94
$118.97
$145.33
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CPT 61050
5 of 25 sample ratesHigher to lower in this preview
Venture Ambulatory Surgery Center LLC
$907.00Published rateGainesville Endoscopy Center, LLC
Gainesville Endoscopy Center LLC
$531.00Published rateRiver Road Surgery Center LLC
$182.00Published rateSouthpoint Surgery Center, LLC
$100.00Published rateArkansas Center For Surgical Excellence
$57.00Published rate
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See a sample payer proposalCPT 61050 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61050 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 61050 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 61050-CPT | Low | Cisternal Or Lateral Cervcal (C1-C2) Punctur; W/O Inject (Sep, Cisternal Or Lateral Cervical (C1-C2) Puncture; Without Injection (Sep |
| 61055-CPT | Low | Injection Near Spinal Cord, Procedure To Inject Dye Or Other Substance In The Space Surrounding The Spinal Cord (Spinal Canal). The Injection Occurs Between The Backbones (Vertebra) Near The Base Of The Skull (Neck). The Procedure Is Often Performed Prior To X-Rays Of The Spinal Canal. |
| 61154-CPT | High | Burr Hole(S) W/ Evacuat &/Or Drain Of Hematom Extradural O, Burr Hole(S) With Evacuation And/Or Drainage Of Hematoma Extradural O |
| 61510-CPT | High | Surgery To Remove Brain Tumor, Surgery To Remove Abnormal Tissue (Tumor) From The Brain. A Portion Of The Skull Bone Is Removed For The Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61050 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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