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See a sample rate comparisonCPT 61800 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.
Head Frame For Radiation, Attachment Of A Frame To The Head In Preparation For Surgical Radiation Treatment. The Frame Is Used For Stereotactic Imaging Which Precisely Maps A 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 AS - PA/NP/CNS assistant at surgery 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 61800 |
| Medicaid Fee Schedule | View Medicaid rates for 61800 |
National average reimbursement for CPT 61800 by major payers:
$198.16
$210.53
$229.22
$255.01
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CPT 61800
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers LLC, Indiana Hand To Shoulder Beltway Surgery Center
$4,613.00Published rateSkyway Surgery Center, LLC
Skyway Surgery Center LLC
$688.00Published rateElgin Gastroenterology Endoscopy Center LLC, The Endo Center Of Elgin Gastroenterology
$500.00Published rateNorth Oak Ambulatory Surgery Center, LLC
$102.00Published rateCarroll County Eye Surgery Center, LLC
$50.00Published rate
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See a sample payer proposalCPT 61800 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61800 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 61800 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) |
| 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) |
| 61800-CPT | Low | Head Frame For Radiation, Attachment Of A Frame To The Head In Preparation For Surgical Radiation Treatment. The Frame Is Used For Stereotactic Imaging Which Precisely Maps A 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 61800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61800 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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