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CPT 61140 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Trephine W Biopsy Brain/Lesion
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

AS - PA/NP/CNS assistant at surgery

59 - Distinct Procedural Service

Complexity LevelHigh

National average reimbursement for CPT 61140 by major payers:

bcbs

$1,752.66

uhc

$1,716.83

aetna

$1,764.55

cigna

$2,088.97

Preview provider-level rates for...
For billing codeCPT 61140
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 61140

United
61140$936.001568867075 - POTOMAC VIEW SURGERY CENTER, LLC471352116 - (MD) POTOMAC VIEW SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$767.001962148510 - PVSCG, LLC842112909 - (TX) PVSCG LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$687.001285692004 - TEC NORTH, LLC, THE ENDOSCOPY CENTER NORTH201871076 - (TN) TEC NORTH LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$1064.001841316841 - PACIFIC ENDOSCOPY CENTER, LLC203905706 - (HI) PACIFIC ENDOSCOPY CENTER, LLCHIAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$1003.001073578019 - BLUE RIDGE DAY SURGERY CENTER, LP, BLUE RIDGE DAY SURGERY CENTER621530122 - (NC) BLUE RIDGE DAY SURGERY CENTER LPNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$1064.001598767154 - NORTHWEST GEORGIA ORTHOPAEDIC SURGERY CENTER, LLC582132641 - (GA) NORTHWEST GEORGIA ORTHOPAEDIC SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$1405.001073908604 - ADVANCED SURGICAL GROUP, INC.464709919 - (CA) ADVANCED SURGICAL GROUP INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$7400.001598270076 - BELTWAY SURGERY CENTERS, LLC, SAXONY SURGERY CENTER352072586INAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$535.001497347934 - INTEGRIS DDSI ENDOSCOPY CENTERS LLC854253589OKAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$850.001407317019 - RIVERSIDE SURGICAL CENTER OF MEADOWLANDS, LLC, RIVERSIDE SURGICAL CENTER OF RUTHERFORD832735771 - (NJ) RIVERSIDE SURGICAL CENTER OF MEADOWLANDS LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$475.001588039465 - SARATOGA SURGICAL CENTER, LLC471313246 - (TX) SARATOGA SURGICAL CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$543.001356429765 - ASC OF GEORGIA DERMATOLOGIC SURGERY, ASC OF BAUCOM & MINA DERM SURGERY550892029 - (GA) ASC OF GEORGIA DERMATOLOGIC SURGERYGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$700.001225627094 - GEORGIA INTERVENTIONAL PAIN851355715 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$1274.001114202892 - ALVARADO EYE SURGERY CENTER LLC453181784 - (CA) ALVARADO EYE SURGERY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61140$600.001316276512 - WOMEN'S SURGICAL CENTER10871079 - (GA) WOMENS SURGICAL CENTERGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 61140 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 61140 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 61140 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.

CodeComplexityDescription
61140-CPTHighTrephine W Biopsy Brain/Lesion
61150-CPTHighBurr Hole/Trep;Drain Brain Absc/Cys
61151-CPTHighTrephine W Aspirat Abscess Subseq
61156-CPTHighBurr Holes;Aspir.Hematma/Cyst,Intra

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 61140 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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