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See a sample rate comparisonCPT 61500 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 With Excision Of, Craniectomy With Excision Of Tumor Or Other Bone Lesion Of Skull Craniectomy With Excision Of Tumor Or Other Bone Lesion Of
| 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 61500 |
| Medicaid Fee Schedule | View Medicaid rates for 61500 |
National average reimbursement for CPT 61500 by major payers:
$1,643.14
$1,804.50
$1,970.66
$2,133.91
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CPT 61500
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$11,311.00Published rateBristol Ambulatory Surgery Center, LLC
$6,492.00Published rateMain Line Spine Surgery Center, LLC
Main Line Spine Surgery Center LLC
$4,170.00Published rateCypress Ambulatory Surgery Center, LLC, Currency Circle Surgery Center
$3,000.00Published rateWest Wichita Family Physicians, P.A., West Wichita Surgery Center
West Wichita Family Physicians, P.A.
$819.00Published rate
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See a sample payer proposalCPT 61500 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61500 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 61500 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 |
|---|---|---|
| 61500-CPT | High | Craniectomy With Excision Of, Craniectomy With Excision Of Tumor Or Other Bone Lesion Of Skull Craniectomy With Excision Of Tumor Or Other Bone Lesion Of |
| 61501-CPT | High | Craniectomy; For Osteomyelitis |
| 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. |
| 61514-CPT | High | Remove Infection From Brain, Surgery In Which A Portion Of The Skull Is Removed And An Abscess (Pocket Of Infection) 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 61500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61500 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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