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See a sample rate comparisonCPT 61751 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.
Brain Biopsy W Ct Mr Guide, Stereotactic Biopsy Aspiration Or Excision Including Burr Hole S For Intracranial Lesion With Computed Tomography And Or Magnetic Resonance Guidance
| 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 |
| Medicare Fee Schedule | View Medicare rates for 61751 |
| Medicaid Fee Schedule | View Medicaid rates for 61751 |
National average reimbursement for CPT 61751 by major payers:
$1,927.31
$1,877.48
$2,014.02
$2,229.63
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CPT 61751
5 of 25 sample ratesHigher to lower in this preview
Kc Pain Asc, LLC
Kc Pain Asc LLC
$2,732.00Published rateVillages Endoscopy Center LLC
$1,049.00Published ratePhysicians Eye Surgery Center LLC, Physicians' Eye Surgery Center
Physicians Eye Surgery Center
$746.00Published rateWheeling Hospital Ambulatory Surgery Center LLC
$401.00Published rateAkdhc Surgery Center, LLC
$100.00Published rate
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See a sample payer proposalCPT 61751 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61751 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 61751 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 | 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 |
| 61750-CPT | High | Brain Surgery For Biopsy, Brain Surgery To Remove A Sample Of Tissue For Testing (Biopsy). Stereotactic Imaging Precisely Maps The Target Location In Three Dimensions. |
| 61751-CPT | High | Brain Biopsy W Ct Mr Guide, Stereotactic Biopsy Aspiration Or Excision Including Burr Hole S For Intracranial Lesion With Computed Tomography And Or Magnetic Resonance Guidance |
| 61770-CPT | High | Insert Catheter For Radiation, Surgery To Implant A Catheter (Small Tube) Into The Brain In Preparation For Radiation Therapy. Stereotactic Imaging Precisely Maps The Target Location In Three Dimensions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61751. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61751 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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