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CPT 61590 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.

Infratemporal Approach Skull, Infratemporal Pre Auricular Approach To Middle Cranial Fossa Parapharyngeal Space Infratemporal And Midline Skull Base Nasopharynx With Or Without Disarticulation Of The Mandible Including Parotidectomy Craniotomy Decompression And Or Mobilization Of The Facial Nerve And Or Petrous Carotid Artery
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

LT - Left side of body

62 - Co-Surgeons

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 61590
Medicaid Fee ScheduleView Medicaid rates for 61590

National average reimbursement for CPT 61590 by major payers:

bcbs

$4,196.62

uhc

$4,156.24

aetna

$4,442.07

cigna

$4,963.81

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 61590.

CPT 61590
5 of 25 sample ratesHigher to lower in this preview
  1. Texas Health Orthopedic Surgery Center Alliance, LLC, Texas Health Orthopedic Surgery Center Heritage

    Texas Health Orthopedic Surgery Center Alliance LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1508367194Tax ID 81-4977249

    $6,068.00Published rate
  2. Andrew Krause

    Deaconess Hospital Inc

    INCertified Registered Nurse AnesthetistNPI 1609288356Tax ID 35-0593390

    $2,441.17Published rate
  3. Maple Lawn Surgery Center

    Maple Lawn Surgery Center, LLC

    MDAmbulatory Surgical Clinic/CenterNPI 1255577045Tax ID 26-2739529

    $1,064.00Published rate
  4. Kirurgs, LLC, Surgeons' Surgical Center

    Surgeons Surgical Center, LLC

    MDAmbulatory Surgical Clinic/CenterNPI 1861449571Tax ID 52-2018568

    $565.00Published rate
  5. Arrowhead Endoscopy And Pain Management Center LLC, Arrowhead Endoscopy Center.

    Arrowhead Endoscopy And Pain Man

    AZAmbulatory Surgical Clinic/CenterNPI 1710047188Tax ID 20-5706445

    $108.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 61590 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 61590 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 61590 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
61575-CPTHighSkull Base Brainstem Surgery, Transoral Approach To Skull Base Brain Stem Or Upper Spinal Cord For Biopsy Decompression Or Excision Of Lesion
61590-CPTHighInfratemporal Approach Skull, Infratemporal Pre Auricular Approach To Middle Cranial Fossa Parapharyngeal Space Infratemporal And Midline Skull Base Nasopharynx With Or Without Disarticulation Of The Mandible Including Parotidectomy Craniotomy Decompression And Or Mobilization Of The Facial Nerve And Or Petrous Carotid Artery
61591-CPTHighInfratemporal Approach Skull, Infratemporal Post Auricular Approach To Middle Cranial Fossa Internal Auditory Meatus Petrous Apex Tentorium Cavernous Sinus Parasellar Area Infratemporal Fossa Including Mastoidectomy Resection Of Sigmoid Sinus With Or Without Decompression And Or Mobilization Of Contents Of Auditory Canal Or Petrous Carotid Artery
61592-CPTHighOrbitocranial Approach Skull, Orbitocranial Zygomatic Approach To Middle Cranial Fossa Cavernous Sinus And Carotid Artery Clivus Basilar Artery Or Petrous Apex Including Osteotomy Of Zygoma Craniotomy Extra Or Intradural Elevation Of Temporal Lobe

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 61590 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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