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See a sample rate comparisonCPT 61797 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None GZ - Item or Service Expected to Be Denied as Not Reasonable and Necessary 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61797 |
| Medicaid Fee Schedule | View Medicaid rates for 61797 |
National average reimbursement for CPT 61797 by major payers:
$274.61
$302.09
$341.92
$360.93
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CPT 61797
5 of 25 sample ratesHigher to lower in this preview
Union Health Services, LLC, Atrium Health Surgery Center Indian Trail
Union Health Services LLC
$6,500.00Published rateGlen Echo Surgery Center, LLC
Glen Echo Surgery Center LLC
$1,258.00Published rateSoutheastern Ambulatory Surgery Center, LLC, The Surgery Center At Southeastern Health Park
Southeastern Ambulatory Surgery Center, LLC
$799.00Published rateAmerican Surgical Centers II, LLC, American Surgical Centers
American Surgical Centers II LLC
$600.00Published rateFlorida Specialty Surgery Center LLC
$350.00Published rate
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See a sample payer proposalCPT 61797 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61797 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 61797 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 61797. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61797 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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