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See a sample rate comparisonCPT 61796 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.
Surgical Radiation Therapy, Radiosurgery Delivers Radiation Therapy Directly Into The Skull. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions.
| 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 58 - Staged or related procedure during postoperative period 79 - Unrelated procedure - postop period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61796 |
| Medicaid Fee Schedule | View Medicaid rates for 61796 |
National average reimbursement for CPT 61796 by major payers:
$1,237.26
$1,329.90
$1,539.25
$1,615.28
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CPT 61796
5 of 25 sample ratesHigher to lower in this preview
Memorialcare Surgical Center At Saddleback LLC, Memorialcare Surgical Center Laguna Woods
$10,271.00Published rateEast West Surgery Center Lp
$6,087.00Published rateOrlando Orthopaedic Outpatient Surgery Center LLC
$4,000.00Published rateWesley & Klippenstein, PC, Wesley Ophthalmic Plastic Surgery Center
Wesley & Klippenstein, P.C.
$1,760.00Published rateStacey Kuder
Deaconess Hospital Inc
$777.84Published rate
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See a sample payer proposalCPT 61796 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61796 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 61796 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 |
|---|---|---|
| 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) |
| 61798-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. |
| 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 61796. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61796 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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