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See a sample rate comparisonCPT 61563 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.
Excision Of Skull Tumor, Excision Intra And Extracranial Benign Tumor Of Cranial Bone Eg Fibrous Dysplasia Without Optic Nerve Decompression
| 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 LT - Left side of body 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61563 |
| Medicaid Fee Schedule | View Medicaid rates for 61563 |
National average reimbursement for CPT 61563 by major payers:
$2,665.13
$2,684.68
$2,715.66
$3,157.90
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CPT 61563
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$5,729.00Published rateCortland Asc, LLC, Cortland Surgical Center
Cortland Asc LLC
$1,759.00Published rateNorthern Ec LLC
$951.00Published ratePremier 2020, LLC, Premier Surgical Center
Premier 2020 LLC
$529.00Published rateThomas Johnson Surgery Center, LLC
Thomas Johnson Surgery Center
$200.00Published rate
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See a sample payer proposalCPT 61563 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61563 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 61563 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 |
|---|---|---|
| 61563-CPT | High | Excision Of Skull Tumor, Excision Intra And Extracranial Benign Tumor Of Cranial Bone Eg Fibrous Dysplasia Without Optic Nerve Decompression |
| 61564-CPT | High | Excision Intra And Extracrani, Excision Intra And Extracranial Benign Tumor Of Cranialbone (Eg Fibrous Dysplasia) With Optic Nerve Decompression Excision Intra And Extracranial Benign Tumor Of Cranial |
| 61570-CPT | High | Craniectomy Or Craniotomy Wit, Craniectomy Or Craniotomy With Excision Of Foreign Bodyfrom Brain Craniectomy Or Craniotomy With Excision Of Foreign Body |
| 61571-CPT | High | Craniectomy Or Craniotomy Wit, Craniectomy Or Craniotomy With Treatment Of Penetratingwound Of Brain Craniectomy Or Craniotomy With Treatment Of Penetrating |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61563 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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