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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 62 - Co-Surgeons AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61548 |
| Medicaid Fee Schedule | View Medicaid rates for 61548 |
National average reimbursement for CPT 61548 by major payers:

$1,964.98

$2,133.99

$2,207.72

$2,533.90
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Blue Ridge Surgical Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 61548 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61548 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 61548 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 61548. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61548 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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