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See a sample rate comparisonCPT 61581 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 Orbital Exenteration Ethmoidectomy Sphenoidectomy And Or Maxillectomy
| 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 61581 |
| Medicaid Fee Schedule | View Medicaid rates for 61581 |
National average reimbursement for CPT 61581 by major payers:
$3,525.77
$3,612.63
$3,897.80
$4,448.59
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CPT 61581
5 of 25 sample ratesHigher to lower in this preview
Texas Health Outpatient Surgery Center Alliance
$6,068.00Published rateSouthwest Medical Associates, Inc, Southwest Medical Associates - Tenaya
$1,282.00Published rateGeorgia Interventional Pain
$700.00Published rateHattiesburg Surgery Center, LLC
Hattiesburg Surgery Center LLC
$458.00Published rateAkdhc Surgery Center, LLC
$100.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61581 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61581 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 61581 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 61581. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61581 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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