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See a sample rate comparisonHealthcare 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.
| 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 62 - Co-Surgeons 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61460 |
| Medicaid Fee Schedule | View Medicaid rates for 61460 |
National average reimbursement for CPT 61460 by major payers:

$2,641.89

$2,859.03

$2,946.07

$3,359.91
Choose a payer to see a sample of rates for CPT 61460.
Memorial Hermann Surgery Center Southwest LLP
Elkins Asc LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 61460 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61460 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 61460 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 |
| 61321-CPT | High | Craniectomy Or Craniotomy Dra, Craniectomy Or Craniotomy Drainage Of Intracranial Abscessinfratentorial Craniectomy Or Craniotomy Drainage Of Intracranial Abscess |
| 61330-CPT | High | Relieve Pressure On Eye Socket, Surgery To Relieve Pressure On The Orbit (Bony Socket That Houses The Eyeball) Due To Fracture (Break). |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61460 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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