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See a sample rate comparisonCPT 61595 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.
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.
| 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 61595 |
| Medicaid Fee Schedule | View Medicaid rates for 61595 |
National average reimbursement for CPT 61595 by major payers:
$3,251.33
$3,205.29
$3,384.40
$3,859.00
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CPT 61595
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$4,064.92Published rateProliance Surgeons Inc Ps, Proliance Southwest Seattle Surgery Center
Proliance Surgeons, Inc., P.S.
$1,367.00Published rateRiverside Park Surgicenter LLC
$983.00Published rateParis Surgery Center, LLC
Paris Surgery Center LLC
$700.00Published rateArizona Digestive Center, P.C.
Arizona Digestive Center PC
$90.00Published rate
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See a sample payer proposalCPT 61595 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61595 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 61595 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 |
|---|---|---|
| 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. |
| 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. |
| 61596-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. |
| 61597-CPT | High | Transcondylar Approach Skull, Transcondylar Far Lateral Approach To Posterior Cranial Fossa Jugular Foramen Or Midline Skull Base Including Occipital Condylectomy Mastoidectomy Resection Of C1 C3 Vertebral Body S Decompression Of Vertebral Artery With Or Without Mobilization |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61595 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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