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See a sample rate comparisonCPT 61151 Fee Schedule
Last Verified: October 2026
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.
Burr Hole(S) Or Trephine; W/ Subsequ Tapping (Aspirat) Of Intr, Burr Hole(S) Or Trephine; With Subsequent Tapping (Aspiration) Of Intr
| 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 51 - Multiple procedures 78 - Return to OR - related procedure AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61151 |
| Medicaid Fee Schedule | View Medicaid rates for 61151 |
National average reimbursement for CPT 61151 by major payers:
$1,225.63
$1,340.31
$1,364.01
$1,587.95
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CPT 61151
5 of 25 sample ratesHigher to lower in this preview
Indianapolis Endoscopy Center LLP
$6,659.00Published rateWake Forest Ambulatory Ventures, LLC
Wake Forest Ambulatory Ventures LLC
$872.00Published rateMercy Ambulatory Surgery Center Ltd
$530.00Published rateThe Pottsville PA Endoscopy Asc Lp, Schuylkill Endoscopy Center
$350.00Published rateDigestive Health Specialists Endoscopy Center Arizona, LLC
Digestive Health Specialists Endoscopy Center Arizona LLC
$107.00Published rate
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See a sample payer proposalCPT 61151 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61151 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 61151 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 |
|---|---|---|
| 61140-CPT | High | Burr Hole(S) Or Trephine; W/ Biops Of Brain Or Ntracrani Lesion, Burr Hole(S) Or Trephine; With Biopsy Of Brain Or Intracranial Lesion |
| 61150-CPT | High | Drain Brain Cyst Or Infection, Surgery To Drain Abscess (Pocket Of Infection) Or Cyst (Fluid Filled Sac) Located In The Brain. |
| 61151-CPT | High | Burr Hole(S) Or Trephine; W/ Subsequ Tapping (Aspirat) Of Intr, Burr Hole(S) Or Trephine; With Subsequent Tapping (Aspiration) Of Intr |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61151. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61151 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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