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See a sample rate comparisonCPT 61791 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.
Treat Trigeminal Tract, Creation Of Lesion By Stereotactic Method Percutaneous By Neurolytic Agent Eg Alcohol Thermal Electrical Radiofrequency Trigeminal Medullary Tract
| 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 LT - Left side of body AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61791 |
| Medicaid Fee Schedule | View Medicaid rates for 61791 |
National average reimbursement for CPT 61791 by major payers:
$1,451.84
$1,518.37
$1,562.07
$1,799.96
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CPT 61791
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Beltway Surgery Center Springmill
$8,705.00Published rateSurgery Center Of Coral Gables LLC, Coral Gables Surgery Center
Surgery Center Of Coral Gables LLC
$2,307.00Published rateNovamed Surgery Center Of Tyler, Lp, Cataract Center Of East Texas
Novamed Surgery Center Of Tyler Lp
$1,500.00Published rateSurgery Center Of Northern Colorado, Eye Center Of Northen Colorado Surgery Center
Surgery Center Of Northern Colorado
$1,225.00Published rateEye Surgery Center Of Michigan LLC
Eye Surgery Center Of Michigan
$640.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 61791 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61791 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 61791 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 |
|---|---|---|
| 61791-CPT | High | Treat Trigeminal Tract, Creation Of Lesion By Stereotactic Method Percutaneous By Neurolytic Agent Eg Alcohol Thermal Electrical Radiofrequency Trigeminal Medullary Tract |
| 61796-CPT | High | Surgical Radiation Therapy, Radiosurgery Delivers Radiation Therapy Directly Into The Skull. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions. |
| 61797-CPT | Moderate | Stereotactic Radiosurgery (Par, Stereotactic Radiosurgery (Particle Beam Gamma Ray Or Linear Accelerator) Each Additional Craniallesion Simple (List Separately In Addition To Co De For Primary Procedure) |
| 61799-CPT | Moderate | Stereotactic Radiosurgery (Par, Stereotactic Radiosurgery (Particle Beam Gamma Ray Or Linear Accelerator) Each Additional Craniallesion Complex (List Separately In Addition To C Ode For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61791. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61791 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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