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See a sample rate comparisonCPT 61546 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 10 - Telehealth in Patient's Home |
| Common Modifiers | None 22 - Increased Procedural Services AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61546 |
| Medicaid Fee Schedule | View Medicaid rates for 61546 |
National average reimbursement for CPT 61546 by major payers:
$2,936.76
$3,151.00
$3,213.46
$3,457.20
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CPT 61546
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$2,735.00Published rateSurgcenter Of San Diego, LLC, Advanced Surgery Center Of North County
Surgcenter Of San Diego
$1,274.00Published rateWest Plains Surgery Center LLC
West Plains Ambulatory Surgery Cent
$652.00Published rateEye Center Of North Florida, P.A., The Laser & Surgery Center
Eye Center Of North Florida, P.A.
$412.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 61546 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61546 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 61546 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 |
|---|---|---|
| 61543-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Partial Orsubtotal Hemispherectomy Craniotomy With Elevation Of Bone Flap For Partial 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 61546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61546 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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