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CPT 61684 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.

Surg Of Ntracrani Arterioveno Malform; Nfrtentorial, Surgery Of Intracranial Arteriovenous Malformation; Infratentorial Si
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

GC - Service performed by resident under supervision

AG - Primary physician

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 61684
Medicaid Fee ScheduleView Medicaid rates for 61684

National average reimbursement for CPT 61684 by major payers:

bcbs

$3,926.94

uhc

$3,899.57

aetna

$3,936.60

cigna

$4,546.48

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 61684.

CPT 61684
5 of 25 sample ratesHigher to lower in this preview
  1. Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne

    Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC

    INAmbulatory Surgical Clinic/CenterNPI 1992395388Tax ID 84-2206388

    $7,400.00Published rate
  2. Glenwood Surgical Center L P

    Glenwood Surgical Center Lp

    CAAmbulatory Surgical Clinic/CenterNPI 1083670970Tax ID 33-0595220

    $909.00Published rate
  3. Premier Surgical Center LLC

    MOAmbulatory Surgical Clinic/CenterNPI 1447613344Tax ID 81-1222482

    $688.00Published rate
  4. Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc

    Endoscopic Ambulatory Specialty Center Of Bay Ridge, Inc.

    NYAmbulatory Surgical Clinic/CenterNPI 1164516084Tax ID 11-3530475

    $500.00Published rate
  5. Winter Haven-Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center Of Sebring

    FLAmbulatory Surgical Clinic/CenterNPI 1043284508Tax ID 74-3072437

    $50.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 61684 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 61684 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 61684 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.

CodeComplexityDescription
61680-CPTHighSurg Of Ntracrani Arterioveno Malform; Supratentorial, Surgery Of Intracranial Arteriovenous Malformation; Supratentorial Si
61682-CPTHighSurg Of Ntracrani Arterioveno Malform; Supratentorial, Surgery Of Intracranial Arteriovenous Malformation; Supratentorial Co
61684-CPTHighSurg Of Ntracrani Arterioveno Malform; Nfrtentorial, Surgery Of Intracranial Arteriovenous Malformation; Infratentorial Si
61686-CPTHighSurg Of Ntracrani Arterioveno Malform; Nfrtentorial, Surgery Of Intracranial Arteriovenous Malformation; Infratentorial Co

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61684. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 61684 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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