CPT 61750 Fee Schedule
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.
| 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 • AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
National average reimbursement for CPT 61750 by major payers:
$1,941.53
$1,915.06
$2,043.58
$2,315.92
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 61750 | ||||||
United | 61750 | $238.00 | 1235239054 - MAIN LINE PA ENDOSCOPY ASC LP, MAIN LINE ENDOSCOPY CENTER BALA CYNWYD | 205301211 | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $1200.00 | 1720129893 - PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER | 330898866 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $750.00 | 1003272980 - PAIN CENTERS OF MINNESOTA | 352546997 - PAIN CENTERS OF MINNESOTA | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $544.00 | 1235255605 - EAGLE EYE SURGERY AND LASER CENTER LLC, EAGLE EYE SURGERY & LASER CENTER | 820521864 - (ID) EAGLE EYE SURGERY AND LASER CENTER LLC | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $2692.00 | 1164012142 - COMPREHENSIVE DIGESTIVE SURGICENTER, LLC, COMPREHENSIVE DIGESTIVE SURGICAL CENTER | 854015524 - (NV) COMPREHENSIVE DIGESTIVE SURGICENTER LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $461.00 | 1033734793 - NAPLES SUNCOAST SURGERY CENTER, LLC | 842343047 - (FL) NAPLES SUNCOAST SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $1274.00 | 1417626144 - VALLEY BAPTIST SURGERY CENTER, LLC, PLATINUM SURGERY CENTER | 871904768 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $7400.00 | 1386159853 - BELTWAY SURGERY CENTERS, LLC, EAGLE HIGHLANDS SURGERY CENTER | 352072586 | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $523.00 | 1013522127 - SARC BY HSH ASC PINE BLUFF, LLC, SARC BY HSH ASC PINE BLUFF LLC | 850884465 - (AR) SARC BY HSH ASC PINE BLUFF LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $690.00 | 1659338382 - STERLING SURGICAL CENTER, LLC | 161607894 - (NY) STERLING SURGICAL CENTER, LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $969.00 | 1609871847 - THE SURGERY CENTER, LLC | 582520623 - (GA) THE SURGERY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $1028.00 | 1659517019 - SURGERY CENTER OF PEMBROKE PINES, LLC | 263364068 - (FL) SURGERY CENTER OF PEMBROKE | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $457.00 | 1891772547 - NOVAMED SURGERY CENTER OF BATON ROUGE LLC, INTERVENTIONAL PAIN MANAGEMENT CENTER | 262609309 - (LA) NOVAMED SURGERY CENTER OF BATON ROUGE LLC | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $1101.00 | 1164582649 - STRICTLY PEDIATRICS SURGERY CENTER OF CENTRAL TEXAS, LLC, STRICTLY PEDIATRICS SURGERY CENTER | 200943974 - (TX) STRICTLY PEDIATRICS SURGERY CENTER OF TEXAS, LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 61750 | $380.00 | 1043204688 - INDIANA AMBULATORY SURGICAL ASSOCIATES, INC | 232923182 - (PA) INDIANA AMBULATORY SURGICAL ASSOCIATES INC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 61750 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61750 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 61750 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 |
|---|---|---|
| 61735-CPT | High | 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 | Laser Interstitial Thermal Therapy (Litt) Of Lesion Intracranial Including Burr Hole(S) Withmagnetic Resonance Imaging Guidance When Performed; Single Trajectory For 1 Simple Lesion |
| 61737-CPT | High | Laser Interstitial Thermal Therapy (Litt) Of Lesion Intracranial Including Burr Hole(S) Withmagnetic Resonance Imaging Guidance When Performed; Multiple Trajectories For Multiple Or Complex Lesion(S) |
| 61750-CPT | High | Stereo Bx,Aspir,Excis-Intracran Les |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61750 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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