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See a sample rate comparisonCPT 61458 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.
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.
| 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 GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61458 |
| Medicaid Fee Schedule | View Medicaid rates for 61458 |
National average reimbursement for CPT 61458 by major payers:
$2,556.65
$2,749.51
$2,876.50
$3,228.66
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CPT 61458
5 of 25 sample ratesHigher to lower in this preview
Bayonet Point Surgery Center Ltd
$2,732.00Published rateSaint Barnabas Outpatient Centers, Ambulatory Surgery Center
Saint Barnabas Outpatient Centers
$1,370.00Published rateGurley Surgery Center, The Gyn Center
Gurley Surgery Center
$628.00Published rateNoble Surgery Center
$312.00Published rateForest Canyon Endoscopy & Surgery Ctr PC
Forest Canyon Endoscopy & Surgery Center, PC
$100.00Published rate
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See a sample payer proposalCPT 61458 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61458 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 61458 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 |
|---|---|---|
| 61333-CPT | High | Explora Of Orbit (Transcrani Approa); W/Remval Of Lesion, Exploration Of Orbit (Transcranial Approach); With Removal Of Lesion |
| 61458-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. |
| 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. |
| 61501-CPT | High | Craniectomy; For Osteomyelitis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61458. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61458 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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