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See a sample rate comparisonCPT 61545 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 Excision Ofcraniopharyngioma Craniotomy With Elevation Of Bone Flap For Excision Of
| 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 AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61545 |
| Medicaid Fee Schedule | View Medicaid rates for 61545 |
National average reimbursement for CPT 61545 by major payers:
$4,072.38
$4,352.14
$4,391.84
$5,083.86
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CPT 61545
5 of 25 sample ratesHigher to lower in this preview
Nebraska Surgery Center LLC
Nebraska Surgery Center, LLC
$3,348.22Published rateUnity Linden Oaks Surgery Center, LLC
$1,169.00Published rateWestern Washington Endoscopy Centers LLC, Sunrise Endoscopy Center
Western Washington Endoscopy Centers LLC
$676.00Published rateBoca Raton Ophthalmology Asc LLC, Outpatient Surgery Center Of Boca Raton
Boca Raton Ophthalmology Asc LLC
$425.00Published rateKeystone Kidney Associates, PC
Keystone Kidney Associates PC
$150.00Published rate
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See a sample payer proposalCPT 61545 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61545 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 61545 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 |
|---|---|---|
| 61544-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Excision Orcoagulation Of Choroid Plexus Craniotomy With Elevation Of Bone Flap For Excision Or |
| 61545-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Excision Ofcraniopharyngioma Craniotomy With Elevation Of Bone Flap For Excision Of |
| 61546-CPT | High | Remove Pituitary Gland Tumor, Surgery In Which The Skull Is Opened And A Tumor That Is Located On The Pituitary Gland (Main Hormone Gland) Is Removed. |
| 61548-CPT | High | Hypophsctomy Or Xcision Of Pituitary Tumor Transnasal Or Transse, Hypophysectomy Or Excision Of Pituitary Tumor Transnasal Or Transsept |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61545 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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