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See a sample rate comparisonCPT 61534 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61534 |
| Medicaid Fee Schedule | View Medicaid rates for 61534 |
National average reimbursement for CPT 61534 by major payers:
$2,087.79
$2,230.88
$2,322.44
$2,699.83
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CPT 61534
5 of 25 sample ratesHigher to lower in this preview
North Coast Surgery Center Ltd
$7,071.00Published rateUniversity Surgery Center Ltd
$983.00Published rateNorthwest Renal Clinic, Inc., Northwest Dialysis Access Center
Northwest Renal Clinic, PC
$680.00Published rateGreece Asc, LLC, Cornerstone Surgery Center
Greece Asc LLC
$508.00Published rateAkdhc Surgery Center, LLC
$100.00Published rate
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See a sample payer proposalCPT 61534 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61534 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 61534 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 |
|---|---|---|
| 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 |
| 61533-CPT | High | Craniotomy With Elevation Of Bone Flap; For Subdural Implantation Of An Electrode Array, For Long-Term Seizure Monitoring- Rn Review=12/8/2007-9/13/2021 |
| 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. |
| 61536-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Excision Ofcerebral Epileptogenic Focus With Electrocorticography During Surgery (Includes Removal Of Electrode Array) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61534. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61534 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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