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See a sample rate comparisonCPT 61720 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.
Incise Skull Brain Surgery, Creation Of Lesion By Stereotactic Method Including Burr Hole S And Localizing And Recording Techniques Single Or Multiple Stages Globus Pallidus Or Thalamus
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61720 |
| Medicaid Fee Schedule | View Medicaid rates for 61720 |
National average reimbursement for CPT 61720 by major payers:
$1,745.04
$1,711.24
$1,749.05
$2,034.70
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CPT 61720
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$17,504.96Published rateSarasota Surgery Center Ltd
Surgery Center At University Park LLC
$5,433.00Published rateThird Street Surgery Center LLC, Third Street Surgery Center Lp
Third Street Surgery Center LLC
$2,931.00Published rateCarolinas Ambulatory Surgery Inc., Atrium Health Surgery Center Rock Hill
Carolinas Ambulatory Surgery Inc
$1,823.00Published rateUnited Shockwave Services, Ltd., United Therapies
$1,130.00Published rate
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See a sample payer proposalCPT 61720 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61720 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 61720 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 |
|---|---|---|
| 61720-CPT | High | Incise Skull Brain Surgery, Creation Of Lesion By Stereotactic Method Including Burr Hole S And Localizing And Recording Techniques Single Or Multiple Stages Globus Pallidus Or Thalamus |
| 61735-CPT | High | Incise Skull Brain Surgery, Creation Of Lesion By Stereotactic Method Including Burr Hole S And Localizing And Recording Techniques Single Or Multiple Stages Subcortical Structure S Other Than Globus Pallidus Or Thalamus |
| 61736-CPT | High | Litt Icr 1 Traj 1 Smpl Les, Laser Interstitial Thermal Therapy Litt Of Lesion Intracranial Including Burr Hole S With Magnetic Resonance Imaging Guidance When Performed Single Trajectory For 1 Simple Lesion |
| 61737-CPT | High | Litt Icr Mlt Trj Mlt Cplx Ls, Laser Interstitial Thermal Therapy Litt Of Lesion Intracranial Including Burr Hole S With Magnetic Resonance Imaging Guidance When Performed Multiple Trajectories For Multiple Or Complex Lesion S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61720 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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