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See a sample rate comparisonCPT 61540 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 Flapfor Lob- Ectomy Other Than Temporal Lobe Partial Or Total Without Electrocorticography During Surgery
| 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 58 - Staged or related procedure during postoperative period AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61540 |
| Medicaid Fee Schedule | View Medicaid rates for 61540 |
National average reimbursement for CPT 61540 by major payers:
$2,942.19
$2,992.65
$3,011.80
$3,497.92
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CPT 61540
5 of 25 sample ratesHigher to lower in this preview
Monterey Peninsula Surgery Center Munras Ave
Monterey Peninsula Surgery Center, LLC
$6,343.00Published rateThe Endoscopy Center At Bainbridge LLC
$812.00Published rateAtlanta Premier Foot And Ankle Surgery
$643.00Published rateCarroll County Eye Surgery Center, LLC
$424.00Published rateHillside Endoscopy Center, LLC
Hillside Endoscopy Center LLC
$290.00Published rate
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See a sample payer proposalCPT 61540 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61540 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 61540 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) |
| 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 |
| 61540-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flapfor Lob- Ectomy Other Than Temporal Lobe Partial Or Total Without Electrocorticography During Surgery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61540 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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