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See a sample rate comparisonCPT 61539 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 Lobectomy Withelectrocorticography During Surgery Otherthan Temporal Lobe Partial Or Total
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 51 - Multiple procedures 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61539 |
| Medicaid Fee Schedule | View Medicaid rates for 61539 |
National average reimbursement for CPT 61539 by major payers:
$2,892.50
$3,225.29
$3,280.98
$3,772.27
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CPT 61539
5 of 25 sample ratesHigher to lower in this preview
Texas Health Huguley Surgery Center, LLC
Texas Health Huguley Surgery Center LLC
$6,068.00Published rateGrossmont Surgery Center, L.P.
Grossmont Surgery Center Lp
$1,231.00Published rateBethesda Chevy Chase Surgery Center, LLC
Bethesda Chevy Chase Surgery Cen
$1,049.00Published rateBuffalo Ambulatory Services, Inc, Buffalo Ambulatory Surgery Center
Buffalo Ambulatory Services, Inc
$536.00Published rateLaser Surgery Holding Company, Ltd
Laser Surgery Holding Company Lt
$110.00Published rate
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See a sample payer proposalCPT 61539 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61539 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 61539 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 |
|---|---|---|
| 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) |
| 61537-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flapfor Lob- Ectomy Temporal Lobe Without Electrocorticography During Surgery |
| 61538-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Lobectomy Withelectrocorticography During Surgery Temporal Lobe Craniotomy With Elevation Of Bone Flap For Lobectomy With |
| 61539-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Lobectomy Withelectrocorticography During Surgery Otherthan Temporal Lobe Partial Or Total |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61539. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61539 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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