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See a sample rate comparisonHealthcare 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.
| 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 GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61684 |
| Medicaid Fee Schedule | View Medicaid rates for 61684 |
National average reimbursement for CPT 61684 by major payers:

$3,926.94

$3,899.57

$3,936.60

$4,546.48
Choose a payer to see a sample of rates for CPT 61684.
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
Glenwood Surgical Center Lp
Endoscopic Ambulatory Specialty Center Of Bay Ridge, Inc.
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 61680-CPT | High | Surg Of Ntracrani Arterioveno Malform; Supratentorial, Surgery Of Intracranial Arteriovenous Malformation; Supratentorial Si |
| 61682-CPT | High | Surg Of Ntracrani Arterioveno Malform; Supratentorial, Surgery Of Intracranial Arteriovenous Malformation; Supratentorial Co |
| 61684-CPT | High | Surg Of Ntracrani Arterioveno Malform; Nfrtentorial, Surgery Of Intracranial Arteriovenous Malformation; Infratentorial Si |
| 61686-CPT | High | Surg 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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