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CPT 61571 Fee Schedule

Last Verified: January 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.

Craniectomy For Penetrating Wound
Key FactDetail
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

GC - Service performed by resident under supervision

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 61571

National average reimbursement for CPT 61571 by major payers:

bcbs

$2,563.55

uhc

$2,713.02

aetna

$2,729.78

cigna

$3,266.35

Preview provider-level rates for...
For billing codeCPT 61571
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 61571

United
61571$1274.001588867030 - PACIFIC ENDO-SURGICAL CENTER LP562387275 - (CA) PACIFIC ENDOSURGICAL CENTER LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$1595.001760568273 - WALLA WALLA CLINIC, INC., WALLA WALLA CLINIC AMBULATORY SURGERY CENTER910862542 - WALLA WALLA CLINIC, INC.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$497.001497751747 - MID-ATLANTIC ENDOSCOPY CENTER, LLC, MID-ATLANTIC GASTROINTESTINAL CENTER II233096335 - (DE) MIDATLANTIC ENDOSCOPY CENTER LLCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$578.001578881009 - EYE LASER AND SURGERY CENTER LLC272376757 - (OH) EYE LASER AND SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$707.001518338052 - CENTER FOR ADVANCED SURGERY LLC464112873 - (SC) CENTER FOR ADVANCED SURGERY, LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$1049.001114926714 - ENDOSCOPY CENTER OF DAYTON LTD311460799 - (OH) ENDOSCOPY CENTER OF DAYTON LTDOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$773.001366643751 - SPECIALTY SURGICAL CENTER OF THOUSAND OAKS, L.P.205991988 - (CA) SPECIALTY SURGICAL CENTER OF THOUSAND OAKS, LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$4128.001053721530 - WISCONSIN SPECIALTY SURGERY CENTER,LLC464559699 - (WI) WISCONSIN SPECIALTY SURGERY CENTER LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$347.001992701049 - NORTHWEST FLORIDA SURGERY CENTER593123289 - (FL) NORTHWEST FLORIDA SURGERY CENTERFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$1687.001003138736 - NEWPORT SURGICAL PARTNERS LLC, NEWPORT PLAZA SURGICAL CENTER392060266CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$380.001578567954 - E. RONALD SALVITTI, M.D., INC., SOUTHWESTERN PA EYE SURGERY CENTER251787703 - (PA) E. RONALD SALVITTI, M.D., INC.PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$786.001336112200 - MERCER COUNTY SURGERY CENTER LLC, MERCER COUNTY SURGERY CENTER223774069 - (NJ) MERCER COUNTY SURGERY CENTER, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$960.001396702528 - TALLAHASSEE NEUROSUGERY PAIN MANAGEMENT LLC, TALLAHASSEE MEMORIAL CENTER FOR PAIN MANAGEMENT200307088 - (FL) TALLAHASSEE NEUROSUGERY PAIN MANAGEMENT LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$784.001265851034 - HANCOCK PARK SURGERY CENTER, LLC465306378 - (CA) HANCOCK PARK SURGERY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
61571$122.001285673186 - BERKSHIRE COSMETIC & RECONSTRUCTIVE SURGERY CENTER INC.43421240 - (MA) BERKSHIRE COSMETIC RECONSTRUCTIVE SURGERY CENTER INCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 61571 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 61571 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 61571 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.

CodeComplexityDescription
61522-CPTHighExcision Abscess Infratentorial
61524-CPTHighExcision Cyst Infratentorial
61566-CPTHighCraniotomy With Elevation Of Bone Flap; For Selective Amygdalohippocampectomy
61571-CPTHighCraniectomy For Penetrating Wound

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61571. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 61571 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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