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See a sample rate comparisonCPT 61642 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.
Balloon Dilatation Of Intracra, Balloon Dilatation Of Intracranial Vasospasm Percutaneous Each Additional Vessel In Different Vascular Territory (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 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 59 - Distinct Procedural Service XS - Separate Structure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61642 |
| Medicaid Fee Schedule | View Medicaid rates for 61642 |
National average reimbursement for CPT 61642 by major payers:
$464.25
$514.74
$501.52
$609.98
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CPT 61642
5 of 25 sample ratesHigher to lower in this preview
Atlantic Gastro Surgicenter, LLC, T/A Access
Atlantic Gastro Surgicenter LLC
$4,300.00Published rateFlorham Park Endoscopy Asc LLC, Florham Park Endoscopy Center
Florham Park Endoscopy Center, LLC
$1,042.00Published rateAos Surgery Center LLC
$674.00Published rateGi Asc LLC
$384.00Published ratePhysicians Surgery Center LLC
$100.00Published rate
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See a sample payer proposalCPT 61642 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61642 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 61642 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 |
|---|---|---|
| 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 |
| 61641-CPT | Moderate | Dilat Ic Vspsm Ea Vsl Sm Ter, Balloon Dilatation Of Intracranial Vasospasm Percutaneous; Each Additional Vessel In Same Vascular Territory (List Separately In Addition To Code For Primary Procedure) |
| 61642-CPT | Moderate | Balloon Dilatation Of Intracra, Balloon Dilatation Of Intracranial Vasospasm Percutaneous Each Additional Vessel In Different Vascular Territory (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61642. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61642 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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