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See a sample rate comparisonCPT 61535 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.
Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Removal Ofepidural Or Subdural Electrode Array Without Excision Of Cerebral Tissue (Separate Procedure)
| 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 | 58 - Staged or related procedure during postoperative period None 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61535 |
| Medicaid Fee Schedule | View Medicaid rates for 61535 |
National average reimbursement for CPT 61535 by major payers:
$1,273.50
$1,345.71
$1,431.14
$1,610.05
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CPT 61535
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$5,554.00Published rateCharlotte Endoscopic Surgery Center LLC, Charlotte Surgery Center
Charlotte Endoscopic Surgery Center, LLC
$1,028.00Published rateNephrology & Internal Medicine, Inc., Nephrology & Internal Medicine Inc
Nephrology & Internal Medicine, Inc.
$694.00Published rateShore Health System, Inc., Shore Health System Surgery Center
Shore Health System Inc
$436.00Published rateThe Glendale Az Endoscopy Asc LLC, Thunderbird Endoscopy Center
$109.00Published rate
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See a sample payer proposalCPT 61535 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61535 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 61535 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 |
|---|---|---|
| 61531-CPT | High | Subdural Implantation Of Strip, Subdural Implantation Of Strip Electrodes Through One Ormore Burr Or Trephine Hole(S) For Long Term Seizure Monitoring |
| 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 |
| 61535-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Removal Ofepidural Or Subdural Electrode Array Without Excision Of Cerebral Tissue (Separate 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 61535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61535 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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