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See a sample rate comparisonCPT 61597 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61597 |
| Medicaid Fee Schedule | View Medicaid rates for 61597 |
National average reimbursement for CPT 61597 by major payers:
$4,027.68
$3,972.03
$4,229.77
$4,698.28
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CPT 61597
5 of 25 sample ratesHigher to lower in this preview
Nextmed Laser, LLC
$5,500.00Published rateClear Creek Surgery Center LLC
Clear Creek Surgery Center, LLC
$2,302.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$995.00Published ratePlastic Surgicentre, Inc, The Plastic Surgicentre, Inc
The Plastic Surgicentre, Inc.
$501.00Published rateMeridian Surgery Center, LLC
$291.00Published rate
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See a sample payer proposalCPT 61597 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61597 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 61597 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 |
|---|---|---|
| 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 |
| 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 61597. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61597 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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