CPT 61582 Fee Schedule
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.
| 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 • AS - Physician Assistant (PA), Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS) assistant at surgery services • 62 - Co-Surgeons |
| Complexity Level | High |
National average reimbursement for CPT 61582 by major payers:
$3,842.61
$4,062.86
$4,223.20
$4,963.08
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 61582 | ||||||
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CPT 61582 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61582 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 61582 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 | High | Craniofacial Approach To Anterior Cranial Fossa; Extradural, Including Lateral Rhinotomy, Ethmoidectomy, Sphenoidectomy, Without Maxillectomy Or Orbital Exenteration |
| 61581 | High | Craniofacial Approach To Anterior Cranial Fossa; Extradural, Including Lateral Rhinotomy, Orbital Exenteration, Ethmoidectomy, Sphenoidectomy And/Or Maxillectomy |
| 61582 | High | 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 | High | 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 61582. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61582 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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