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See a sample rate comparisonCPT 61512 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 To Remove Brain Tumor, Surgery To Remove Abnormal Tissue (Tumor) From The Brain. A Portion Of The Skull Bone Is Removed For The Surgery.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61512 |
| Medicaid Fee Schedule | View Medicaid rates for 61512 |
National average reimbursement for CPT 61512 by major payers:
$3,138.64
$3,495.92
$3,697.23
$4,087.89
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CPT 61512
5 of 25 sample ratesHigher to lower in this preview
Columbia Medical Center Of Plano Subsidiary Lp, Medical City Plano
$10,364.00Published rateWindsor Mill Surgery Center, LLC
Windsor Mill Surgery Center LLC
$1,064.00Published rateMile High Surgicenter, LLC
$874.00Published rateCentinela Valley Endoscopy Center Inc.
Centinela Valley Endoscopy Center Inc
$498.00Published rateDelmar Surgical Center LLC
$262.00Published rate
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See a sample payer proposalCPT 61512 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61512 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 61512 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 61512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61512 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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