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See a sample rate comparisonCPT 61566 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.
Crniotomy W/ Elevat Of Bone Flap; For Select Amygdalohippocam, Craniotomy With Elevation Of Bone Flap; For Selective Amygdalohippocam
| 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 GC - Service performed by resident under supervision 78 - Return to OR - related procedure 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61566 |
| Medicaid Fee Schedule | View Medicaid rates for 61566 |
National average reimbursement for CPT 61566 by major payers:
$2,914.90
$3,066.32
$3,128.19
$3,589.74
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CPT 61566
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center At Virtua Washington Township, L.L.C., Virtua Center For Surgery
Ambulatory Surgery Center At Virtua Washington Township, LLC
$4,825.00Published rateBanner Surgery Center
$1,146.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$936.00Published rateEye Surgical Specialists Of New Jersey, Surgery Center Of Central New Jersey
Eye Surgical Specialists Of New Jersey
$579.00Published rateSki Ambulatory Surgical Centers, LLC
Ski Ambulatory Surgical Centers LLC
$245.00Published rate
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See a sample payer proposalCPT 61566 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61566 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 61566 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 |
|---|---|---|
| 61566-CPT | High | Crniotomy W/ Elevat Of Bone Flap; For Select Amygdalohippocam, Craniotomy With Elevation Of Bone Flap; For Selective Amygdalohippocam |
| 61567-CPT | High | Craniotomy With Elevation Of B, Craniotomy With Elevation Of Bone Flap For Multiple Subpial Transections With Electrocorticographyduring Surgery |
| 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 61566. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61566 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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