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See a sample rate comparisonCPT 61580 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.
Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Lateral Rhinotomy Ethmoidectomy Sphenoidectomy Without Maxillectomy Or Orbital Exenteration
| 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 62 - Co-Surgeons RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61580 |
| Medicaid Fee Schedule | View Medicaid rates for 61580 |
National average reimbursement for CPT 61580 by major payers:
$3,309.43
$3,330.23
$3,512.05
$4,041.28
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CPT 61580
5 of 25 sample ratesHigher to lower in this preview
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
$2,732.00Published rateCommonwealth Orthopaedics & Rehabilitation, PC
Orthovirginia, Inc.
$1,103.00Published ratePeacehealth, St Joseph Medical Center
Peacehealth St Joseph Medical Center
$925.15Published rateSierra Eye Ambulatory Surgery Center, LLC
Sierra Eye Ambulatory Surgery Center LLC
$651.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61580 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61580 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 61580 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 |
|---|---|---|
| 61580-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Lateral Rhinotomy Ethmoidectomy Sphenoidectomy Without Maxillectomy Or Orbital Exenteration |
| 61581-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Lateral Rhinotomy Orbital Exenteration Ethmoidectomy Sphenoidectomy And Or Maxillectomy |
| 61582-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Extradural Including Unilateral Or Bifrontal Craniotomy Elevation Of Frontal Lobe S Osteotomy Of Base Of Anterior Cranial Fossa |
| 61583-CPT | High | Craniofacial Approach Skull, Craniofacial Approach To Anterior Cranial Fossa Intradural Including Unilateral Or Bifrontal Craniotomy Elevation Or Resection Of Frontal Lobe Osteotomy Of Base Of Anterior Cranial Fossa |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61580 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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