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See a sample rate comparisonCPT 61567 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 Multiple Subpial Transections With Electrocorticographyduring Surgery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 22 - Increased Procedural Services 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61567 |
| Medicaid Fee Schedule | View Medicaid rates for 61567 |
National average reimbursement for CPT 61567 by major payers:
$3,207.32
$3,471.13
$3,487.80
$4,066.75
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CPT 61567
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers LLC
$7,400.00Published rateOrthoarizona Surgery Center Gilbert, LLC, Orthoarizona Surgery Center Gilbert
Orthoarizona Surgery Center Gilbert LLC
$1,274.00Published rateDigestive Endoscopy Center LLC
Digestive Endoscopy Center, LLC
$724.00Published rateM-S Surgery Center LLC
Ms Surgery Center LLC
$477.00Published rateCenter For Digestive Health LLC
$180.00Published rate
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See a sample payer proposalCPT 61567 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61567 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 61567 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 61567. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61567 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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