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See a sample rate comparisonCPT 61520 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 For Excision Of Br, Craniectomy For Excision Of Brain Tumor Infratentorial Orposterior Fossa Cerebellopontine Angle Tumor
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 62 - Co-Surgeons 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61520 |
| Medicaid Fee Schedule | View Medicaid rates for 61520 |
National average reimbursement for CPT 61520 by major payers:
$4,785.45
$5,144.28
$5,348.03
$5,994.39
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CPT 61520
5 of 25 sample ratesHigher to lower in this preview
Red Rocks Surgery Centers, LLC
Red Rocks Surgery Centers LLC
$2,785.00Published rateBoulder Medical Center, PC, Boulder Medical Center Asc
Boulder Medical Center, P.C.
$850.00Published rateEye Surgical Center Of San Francisco LLC, Eye Surgery Center Of San Francisco
Eye Surgery Center Of San Francisco
$509.00Published rateNorthview Orthopaedic Surgery Center, P.C.
Northview Orthopaedic Surgery Center PC
$309.00Published rateMesa Az Endoscopy Asc LLC, Desert Endoscopy Center
The Mesa Az Endoscopy Asc, LLC
$103.00Published rate
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See a sample payer proposalCPT 61520 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61520 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 61520 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 |
|---|---|---|
| 61520-CPT | High | Craniectomy For Excision Of Br, Craniectomy For Excision Of Brain Tumor Infratentorial Orposterior Fossa Cerebellopontine Angle Tumor |
| 61526-CPT | High | Crniectomy Bone Flap Crniotomy Trnstmporal (Mastoid) For Xcisio, Craniectomy Bone Flap Craniotomy Transtemporal (Mastoid) For Excisio |
| 61530-CPT | High | Removal Of Brain Lesion, Craniectomy Bone Flap Craniotomy Transtemporal Mastoid For Excision Of Cerebellopontine Angle Tumor Combined With Middle Posterior Fossa Craniotomy Craniectomy |
| 61534-CPT | High | Brain Surgery For Seizures, Surgery To Remove A Portion Of The Brain That Controls Seizures Related To Epilepsy. Brain Activity May Be Monitored During The Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61520 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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