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See a sample rate comparisonCPT 61522 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 Infratentorial Or, Craniectomy Infratentorial Or Posterior Fossa For Excisionof Brain Abscess Craniectomy Infratentorial Or Posterior Fossa For Excision
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61522 |
| Medicaid Fee Schedule | View Medicaid rates for 61522 |
National average reimbursement for CPT 61522 by major payers:
$2,806.38
$2,983.91
$3,060.06
$3,583.15
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CPT 61522
5 of 25 sample ratesHigher to lower in this preview
Denton Regional Ambulatory Surgery Center, L.P., Medical City Surgery Center/Denton
Denton Regional Ambulatory Surgery Center Lp
$2,705.00Published rateCharlotte Endoscopic Surgery Center LLC, Charlotte Surgery Center
Charlotte Endoscopic Surgery Center, LLC
$1,049.00Published rateSurgicare Of La Veta Ltd, Laveta Surgery Center
$712.00Published rateAnnapolis Ent Surgical Center, LLC
$468.00Published rateThe Glendale Az Endoscopy Asc LLC, Thunderbird Endoscopy Center
$109.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61522 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61522 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 61522 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 |
|---|---|---|
| 61519-CPT | High | Crniectomy For Xcision Of Brain Tumor Nfrtentorial Or Posteri, Craniectomy For Excision Of Brain Tumor Infratentorial Or Posterior F |
| 61522-CPT | High | Craniectomy Infratentorial Or, Craniectomy Infratentorial Or Posterior Fossa For Excisionof Brain Abscess Craniectomy Infratentorial Or Posterior Fossa For Excision |
| 61524-CPT | High | Remove Cyst From The Brain, Surgery In Which A Portion Of The Skull Is Removed And A Fluid-Filled Sac (Cyst) Is Removed From The Brain. |
| 61570-CPT | High | Craniectomy Or Craniotomy Wit, Craniectomy Or Craniotomy With Excision Of Foreign Bodyfrom Brain Craniectomy Or Craniotomy With Excision Of Foreign Body |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61522 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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