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See a sample rate comparisonCPT 61340 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.
Subtemporal Cranial Dcompress (Pseudotumor Cerebri Slit Vntricle, Subtemporal Cranial Decompression (Pseudotumor Cerebri Slit Ventricle
| 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 LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61340 |
| Medicaid Fee Schedule | View Medicaid rates for 61340 |
National average reimbursement for CPT 61340 by major payers:
$2,107.82
$1,959.52
$2,000.22
$2,305.74
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CPT 61340
5 of 25 sample ratesHigher to lower in this preview
Oklahoma Outpatient Surgery Limited Partnership
$2,732.00Published rateGreat South Bay Endoscopy Center, LLC
Great South Bay Endoscopy Center LLC
$1,192.00Published rateCenter For Minimally Invasive Surgery PLLC, Soundview Ambulatory Surgery Center
Center For Minimally Invasive Surgery, PLLC
$699.00Published rateThe Hutchinson Ophthalmology Asc LLC, Surgery Center Of South Central Kansas
The Hutchinson Ophthalmology Asc LLC
$463.00Published ratePhoenix Eye Surgical Center Plc, Central Phoenix Surgical Center
Phoenix Eye Surgical Center Pl
$200.00Published rate
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See a sample payer proposalCPT 61340 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61340 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 61340 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 |
|---|---|---|
| 61105-CPT | Moderate | Puncture Ventric W Twist Drill |
| 61108-CPT | High | Tdh Pnxr Evac&/Drg Sdrl Hmta, Twist Drill Hole(S) For Subdural Intracerebral Or Ventricular Puncture; For Evacuation And/Or Drainage Of Subdural Hematoma |
| 61340-CPT | High | Subtemporal Cranial Dcompress (Pseudotumor Cerebri Slit Vntricle, Subtemporal Cranial Decompression (Pseudotumor Cerebri Slit Ventricle |
| 61517-CPT | Low | Implt Brn Intrcv Chemotx Agt, Implantation Of Brain Intracavitary Chemotherapy Agent (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61340 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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