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See a sample rate comparisonCPT 61215 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.
Insert Brain Fluid Device, Insertion Of Subcutaneous Reservoir Pump Or Continuous Infusion System For Connection To Ventricular Catheter
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61215 |
| Medicaid Fee Schedule | View Medicaid rates for 61215 |
National average reimbursement for CPT 61215 by major payers:
$617.89
$675.69
$726.93
$824.53
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CPT 61215
5 of 25 sample ratesHigher to lower in this preview
St. Clair Memorial Hospital
St Clair Health Corporation
$19,611.36Published ratePrescott Outpatient Surgical Center LLC
Prescott Outpatient Surgical Center, Lp
$5,249.00Published rateThe Surgery Center At Tgh Brandon Healthplex LLC
$3,600.00Published rateNsc Management Company, Inc., Endeavor Surgical Center
Northridge Surgery And Pain Management Center, Inc.
$2,800.00Published rateFront Range Endoscopy Centers, LLC
Front Range Endoscopy Centers LLC
$880.00Published rate
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See a sample payer proposalCPT 61215 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61215 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 61215 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 |
|---|---|---|
| 61107-CPT | Moderate | Drill Skull For Implantation, Twist Drill Hole S For Subdural Intracerebral Or Ventricular Puncture For Implanting Ventricular Catheter Pressure Recording Device Or Other Intracerebral Monitoring Device |
| 61120-CPT | High | Burr Hole(S) For Ventricular P, Burr Hole(S) For Ventricular Puncture (Including Injectionof Gas Contrast Media Dye Or Radioactive Material) |
| 61215-CPT | Moderate | Insert Brain Fluid Device, Insertion Of Subcutaneous Reservoir Pump Or Continuous Infusion System For Connection To Ventricular Catheter |
| 61512-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 61215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61215 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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