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See a sample rate comparisonCPT 61450 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.
Craniectomy Subtemporal For, Craniectomy Subtemporal For Section Compression Ordecompression Of Sensory Root Of Gasserian Ganglion Craniectomy Subtemporal For Section Compression 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 AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61450 |
| Medicaid Fee Schedule | View Medicaid rates for 61450 |
National average reimbursement for CPT 61450 by major payers:
$2,345.32
$2,612.73
$2,660.62
$3,062.55
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CPT 61450
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$17,689.00Published rateLone Star Endoscopy Center LLC
$1,955.00Published rateJacksonville Endoscopy Centers LLC, Jacksonville Center For Endoscopy
$1,049.00Published rateSound Pain Alliance, Mt. Baker Surgery Center
Sound Pain Alliance
$596.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 61450 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61450 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 61450 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 |
|---|---|---|
| 61253-CPT | High | Trephine Infratentorial |
| 61450-CPT | High | Craniectomy Subtemporal For, Craniectomy Subtemporal For Section Compression Ordecompression Of Sensory Root Of Gasserian Ganglion Craniectomy Subtemporal For Section Compression Or |
| 61460-CPT | High | Surgery On Nerves In The Brain, Surgery To Cut Or Remove A Portion Of One Or More Nerves Inside The Brain. The Procedure May Be Done To Relieve Pressure On A Group Of Nerves. |
| 61516-CPT | High | Remove Cyst From The Brain, Surgery In Which A Portion Of The Skull Is Removed And A Fluid-Filled Sac (Cyst) Is Removed From The Brain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61450 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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