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See a sample rate comparisonCPT 61605 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.
Resect/Excise Cranial Lesion, Removal Of Tumor Or Tissue Abnormality Of Lower Skull Base (Infratemporal Fossa Parapharyngeal Space Petrous Apex) External To Membranes Covering Brain Extradural
| 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 51 - Multiple procedures 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61605 |
| Medicaid Fee Schedule | View Medicaid rates for 61605 |
National average reimbursement for CPT 61605 by major payers:
$2,651.83
$2,955.32
$3,174.96
$3,569.66
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CPT 61605
5 of 25 sample ratesHigher to lower in this preview
Gastrointestinal Associates Endoscopy Center, LLC
$3,078.00Published rateRiva Road Surgical Center, LLC
Riva Road Surgical Center LLC
$1,028.00Published rateKingsport Tn Ophthalmology Asc LLC, The Regional Eye Surgery Center
$667.00Published rateOutpatient Surgery Center, Inc, Mariner Surgery Center
Outpatient Surgery Center Inc
$364.00Published rateAdvanced Center For Surgery, LLC
$107.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61605 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61605 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 61605 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 |
|---|---|---|
| 61600-CPT | High | Resection Or Excision Of Neopl, Resection Or Excision Of Neoplastic Vascular Or Infectious Lesion Of Base Of Anterior Cranial Fossa Extradural Resection Or Excision Of Neoplasticvascular Or Infectious |
| 61601-CPT | High | Resect Excise Cranial Lesion, Resection Or Excision Of Neoplastic Vascular Or Infectious Lesion Of Base Of Anterior Cranial Fossa Intradural Including Dural Repair With Or Without Graft |
| 61605-CPT | High | Resect/Excise Cranial Lesion, Removal Of Tumor Or Tissue Abnormality Of Lower Skull Base (Infratemporal Fossa Parapharyngeal Space Petrous Apex) External To Membranes Covering Brain Extradural |
| 61606-CPT | High | Resect Excise Cranial Lesion, Resection Or Excision Of Neoplastic Vascular Or Infectious Lesion Of Infratemporal Fossa Parapharyngeal Space Petrous Apex Intradural Including Dural Repair With Or Without Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61605 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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