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See a sample rate comparisonCPT 61591 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 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
| 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 LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61591 |
| Medicaid Fee Schedule | View Medicaid rates for 61591 |
National average reimbursement for CPT 61591 by major payers:
$4,130.87
$4,218.71
$4,456.02
$5,026.42
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CPT 61591
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Pinecroft, LLC
Memorial Hermann Surgery Center Pinecroft LLC
$5,554.00Published rateAurora Endoscopy Surgicenter, LLC
Aurora Endoscopy Surgicenter LLC
$2,302.00Published rateHamilton Eye Institute Surgery Center, L.P.
Hamilton Eye Institute Surgery Center Lp
$1,088.00Published rateWilmington Asc LLC, Wilmington Health Ambulatory Surgery Center
$648.00Published rateSani Eye Center, Inc., Sani Eye Surgery Center
Sani Eye Center Inc
$81.00Published rate
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See a sample payer proposalCPT 61591 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61591 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 61591 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 |
|---|---|---|
| 61590-CPT | High | 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 |
| 61591-CPT | High | Infratemporal 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-CPT | High | Orbitocranial 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 |
| 61595-CPT | High | Surgery On Back Of The Brain, Surgery On The Back Portion Of The Brain To Remove A Lesion (Mass). The Procedure May Involve Bones Inside The Ear Or Sinuses As Well As Bones In The Spine (Vertebrae). Nerve Or Blood Vessels In The Face May Be Involved In The Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61591. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61591 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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