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See a sample rate comparisonCPT 61598 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None 62 - Co-Surgeons 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61598 |
| Medicaid Fee Schedule | View Medicaid rates for 61598 |
National average reimbursement for CPT 61598 by major payers:
$3,635.64
$3,787.44
$4,022.35
$4,512.69
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CPT 61598
5 of 25 sample ratesHigher to lower in this preview
Nmc Surgery Center, L.P., The Surgery Center Of Nacogdoches
Nmc Surgery Center Lp
$9,043.00Published rateScottsdale Endoscopy Asc LLC
$1,049.00Published rateMurrells Inlet Asc LLC, Carolina Coast Surgery Center
Murrells Inlet Asc, LLC Dba Carolina Coast Surgery Center
$726.00Published rateR Choice Surgical Center LLC
$477.00Published rateSwagel-Wootton Eye Center, Inc, Eye Surgery Center Of Arizona
Swagel/Wootton Eye Center, Ltd.
$103.00Published rate
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See a sample payer proposalCPT 61598 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61598 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 61598 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. |
| 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 |
| 61598-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 61598. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61598 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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