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See a sample rate comparisonCPT 61070 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.
Puncture Of Shunt Tubing Or R, Puncture Of Shunt Tubing Or Reservoir For Aspiration Orinjection Procedure Puncture Of Shunt Tubing Or Reservoir For Aspiration Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 61070 |
| Medicaid Fee Schedule | View Medicaid rates for 61070 |
National average reimbursement for CPT 61070 by major payers:
$96.76
$90.81
$95.86
$103.34
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CPT 61070
5 of 25 sample ratesHigher to lower in this preview
North Austin Surgery Center, L.P.
North Austin Surgery Center Lp
$1,554.00Published rateEhi Surgery Center Austin, LLC
Ehi Surgery Center Austin LLC
$750.00Published rateSouthwest Cardiovascular Interventional Center, LLC
Southwest Cardiovascular Interventional Center LLC
$525.00Published rateAlpine Surgery Center LLC
$424.00Published rateWest Paces Surgery Center LLC
$310.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61070 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61070 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 61070 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 |
|---|---|---|
| 61026-CPT | Low | Injection Into Brain Canal, Ventricular Puncture Through Previous Burr Hole Fontanelle Suture Or Implanted Ventricular Catheter Reservoir With Injection Of Medication Or Other Substance For Diagnosis Or Treatment |
| 61070-CPT | Low | Puncture Of Shunt Tubing Or R, Puncture Of Shunt Tubing Or Reservoir For Aspiration Orinjection Procedure Puncture Of Shunt Tubing Or Reservoir For Aspiration Or |
| 61156-CPT | High | Burr Holes;Aspir.Hematma/Cyst,Intra |
| 61312-CPT | High | Rnec/Crnot Sttl Xdrl/Sdrl, Removal Of Skull Bone For Aspiration Of Blood Accumulation In Upper Brain Outside Or Below Brain Membrane |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61070 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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