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See a sample rate comparisonCPT 61630 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.
Balloon Angioplast Ntracrani(Eg Atherosclerotic Stenosis) Perc, Balloon Angioplasty Intracranial (Eg Atherosclerotic Stenosis) Perc
| 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 LT - Left side of body AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61630 |
| Medicaid Fee Schedule | View Medicaid rates for 61630 |
National average reimbursement for CPT 61630 by major payers:
$1,787.21
$1,837.50
$1,872.36
$2,191.51
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CPT 61630
5 of 25 sample ratesHigher to lower in this preview
Texas Health Arlington Memorial Hospital
$11,727.00Published rateEl Mirador Surgery Center LLC, El Mirador Surgery Center
El Mirador Surgery Center LLC
$1,274.00Published rateBarbour Orthopaedics Surgery Center, LLC
Barbour Orthopaedics Surgery Center LLC
$725.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Showlow
Barnet Dulaney Perkins Eye Center PLLC
$492.00Published rateDialysis Access Services, LLC
Dialysis Access Services LLC
$150.00Published rate
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See a sample payer proposalCPT 61630 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61630 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 61630 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 |
|---|---|---|
| 61630-CPT | High | Balloon Angioplast Ntracrani(Eg Atherosclerotic Stenosis) Perc, Balloon Angioplasty Intracranial (Eg Atherosclerotic Stenosis) Perc |
| 61635-CPT | High | Intracran Angioplsty W Stent, Transcatheter Placement Of Intravascular Stent S Intracranial Eg Atherosclerotic Stenosis Including Balloon Angioplasty If Performed |
| 61640-CPT | Moderate | Balloon Dilatation Of Ntracran Vasospsm Percutane; Initial Ve, Balloon Dilatation Of Intracranial Vasospasm Percutaneous; Initial Ve |
| 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 61630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61630 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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