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See a sample rate comparisonCPT 61611 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Transection Or Ligation Carot, Transection Or Ligation Carotid Artery In Petrouscanalwithout Repair (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 82 - Assistant surgeon - no qualified resident GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61611 |
| Medicaid Fee Schedule | View Medicaid rates for 61611 |
National average reimbursement for CPT 61611 by major payers:
$561.31
$626.86
$617.84
$741.85
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CPT 61611
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$9,124.00Published rateProvidence Health & Services Washington, Providence Surgery And Procedure Center
Providence Surgery And Procedure Center LLC
$1,564.00Published rateCascade Endoscopy Center, LLC, Cascade Endoscopy Center
Cascade Endoscopy Center, LLC
$915.00Published rateOsi, LLC
$550.00Published rateCentral Ohio Gastroenterology Associates,LLC, Mid Ohio Surgery Center
Central Ohio Gastroenterology Associatesllc
$159.00Published rate
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See a sample payer proposalCPT 61611 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61611 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 61611 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 |
|---|---|---|
| 61611-CPT | Moderate | Transection Or Ligation Carot, Transection Or Ligation Carotid Artery In Petrouscanalwithout Repair (List Separately In Addition To Code For Primary Procedure) |
| 61613-CPT | High | Obliteration Of Carotid Aneury, Obliteration Of Carotid Aneurysm Arteriovenousmalformation Or Carotid-Cavernous Fistula By Dissection Within Cavernous Sinus |
| 61630-CPT | High | Balloon Angioplast Ntracrani(Eg Atherosclerotic Stenosis) Perc, Balloon Angioplasty Intracranial (Eg Atherosclerotic Stenosis) Perc |
| 61710-CPT | High | Surgery On Brain Blood Vessel, Surgery On One Or More Blood Vessels In The Brain. The Procedure Repairs A Bulging Blood Vessel (Aneurysm) Or Abnormal Growth Of Vessels (Vascular Malformation) Or Closes Off A Passage That Has Formed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61611 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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