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See a sample rate comparisonCPT 61530 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.
Removal Of Brain Lesion, Craniectomy Bone Flap Craniotomy Transtemporal Mastoid For Excision Of Cerebellopontine Angle Tumor Combined With Middle Posterior Fossa Craniotomy Craniectomy
| 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 62 - Co-Surgeons 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61530 |
| Medicaid Fee Schedule | View Medicaid rates for 61530 |
National average reimbursement for CPT 61530 by major payers:
$3,677.55
$4,174.76
$4,205.65
$4,883.81
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CPT 61530
5 of 25 sample ratesHigher to lower in this preview
Lone Star Endoscopy Center LLC
$2,172.00Published rateSurgery Center Of Fairfield County LLC, Healthsouth Surgery Center Of Bridgeport, LLC
Surgery Center Of Fairfield County LLC
$1,215.00Published rateCitrus Regional Surgery Center Lp
$840.00Published rateVirginia Surgery Center, LLC, Cvp Surgery Center
Virginia Surgery Center LLC
$438.00Published rateCentral Ohio Gastroenterology Associates,LLC, Mid Ohio Surgery Center
Central Ohio Gastroenterology Associatesllc
$159.00Published rate
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See a sample payer proposalCPT 61530 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61530 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 61530 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 |
| 61521-CPT | High | Craniectomy For Excision Of Br, Craniectomy For Excision Of Brain Tumor Infratentorial Orposterior Fossa Midline Tumor At Base Of Skull |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61530 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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