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See a sample rate comparisonCPT 61583 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 Intradural Including Unilateral Or Bifrontal Craniotomy Elevation Or Resection Of Frontal Lobe Osteotomy Of Base Of Anterior Cranial Fossa
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61583 |
| Medicaid Fee Schedule | View Medicaid rates for 61583 |
National average reimbursement for CPT 61583 by major payers:
$3,681.16
$3,935.13
$4,199.32
$4,675.61
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CPT 61583
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Texas Medical Center, LLP, Memorial Hermann Surgery Center Texas Medical Center
Memorial Hermann Surgery Center Texas Medical Center LLP
$4,893.00Published rateUpper Bay Surgery Center, LLC
$1,028.00Published ratePlaza Ambulatory Surgery Center LLC
$785.00Published rateSurgicare Of Jackson Ltd
$610.00Published rateHealthqare Services Asc LLC, Healthqare Services Asc LLC
Healthqare Services Asc LLC
$150.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61583 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61583 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 61583 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 61583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61583 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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