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See a sample rate comparisonCPT 61613 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.
Obliteration Of Carotid Aneury, Obliteration Of Carotid Aneurysm Arteriovenousmalformation Or Carotid-Cavernous Fistula By Dissection Within Cavernous Sinus
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 62 - Co-Surgeons 22 - Increased Procedural Services LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61613 |
| Medicaid Fee Schedule | View Medicaid rates for 61613 |
National average reimbursement for CPT 61613 by major payers:
$4,434.79
$4,442.78
$4,546.45
$5,361.58
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CPT 61613
5 of 25 sample ratesHigher to lower in this preview
Front Range Orthopedic Surgery Center LLC
$28,000.00Published rateHouston Urologic Surgicenter, LLC
$2,575.00Published rateWichita Orthopaedic Asc LLC, Surgery Center Of Kansas
Wichita Orthopaedic Asc LLC
$862.00Published rateDallas Ivf Surgery Center, LLC, Dallas Ivf Surgery Center
Dallas Ivf Surgery Center LLC
$410.00Published rateBlue Ash Endoscopy Center, LLC
$125.00Published rate
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See a sample payer proposalCPT 61613 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61613 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 61613 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 |
| 61645-CPT | High | Perq Art M Thrombect Nfs, Percutaneous Arterial Transluminal Mechanical Thrombectomy And Or Infusion For Thrombolysis Intracranial Any Method Including Diagnostic Angiography Fluoroscopic Guidance Catheter Placement And Intraprocedural Pharmacological Thrombolytic Injection S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61613. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61613 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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