Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 61619 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.
Cranial Surgery, Secondary Repair Of Dura For Csf Cerebrospinal Fluid Leak Anterior Middle Or Posterior Cranial Fossa Following Surgery Of The Skull Base; By Local Or Regionalized Vascularized Pedicle Flap Or Myocutaneous Flap (Including Galea Temporalis Frontalis Or Occipitalis Muscle)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 62 - Co-Surgeons 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61619 |
| Medicaid Fee Schedule | View Medicaid rates for 61619 |
National average reimbursement for CPT 61619 by major payers:
$1,871.32
$1,966.82
$2,176.89
$2,335.00
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 61619.
CPT 61619
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$17,689.00Published rateFish Pond Surgery Center, LLC
Fish Pond Surgery Center LLC
$1,049.00Published rateOutpatient Surgery Center Of Hilton Head
$850.00Published rateWest Chase Surgery Center Ltd
$445.00Published rateLudwick Laser & Surgery Center, LLC
$200.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 61619 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61619 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 61619 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 |
|---|---|---|
| 61607-CPT | High | Resect/Excise Cranial Lesion, Removal Of Tumor Or Tissue Abnormality Of Middle Of Skull Base (Infratemporal Fossa Parapharyngeal Space Petrous Apex) External To Membranes Covering Brain Extradural |
| 61608-CPT | High | Resect Excise Cranial Lesion, Resection Or Excision Of Neoplastic Vascular Or Infectious Lesion Of Parasellar Area Cavernous Sinus Clivus Or Midline Skull Base Intradural Including Dural Repair With Or Without Graft |
| 61618-CPT | High | Cranial Surgery, Secondary Repair Of Dura For Csf Cerebrospinal Fluid Leak Anterior Middle Or Posterior Cranial Fossa Following Surgery Of The Skull Base; By Free Tissue Graft (Eg Pericranium Fascia Tensor Fascia Lata Adipose Tissue Homologous Or Synthetic Grafts) |
| 61619-CPT | High | Cranial Surgery, Secondary Repair Of Dura For Csf Cerebrospinal Fluid Leak Anterior Middle Or Posterior Cranial Fossa Following Surgery Of The Skull Base; By Local Or Regionalized Vascularized Pedicle Flap Or Myocutaneous Flap (Including Galea Temporalis Frontalis Or Occipitalis Muscle) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61619. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61619 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 61619) and we'll show you how you compare in 15 minutes or less.