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See a sample rate comparisonCPT 61850 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.
Twist Drill Or Burr Hole(S) Fo, Twist Drill Or Burr Hole(S) For Implantation Ofneurostimulator Electrodes Cortical Twist Drill Or Burr Hole(S) For Implantation Of
| 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 58 - Staged or related procedure during postoperative period 82 - Assistant surgeon - no qualified resident 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61850 |
| Medicaid Fee Schedule | View Medicaid rates for 61850 |
National average reimbursement for CPT 61850 by major payers:
$1,366.30
$1,334.24
$1,350.48
$1,579.90
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CPT 61850
5 of 25 sample ratesHigher to lower in this preview
Rockland Surgical Project, LLC, Ramapo Valley Surgical Center
Rockland Surgical Project LLC
$4,300.00Published rateAdvanced Surgery Center Of Tampa, LLC
$1,064.00Published rateFresenius Vascular Care St Louis Asc LLC, Azura Surgery Center St. Louis
Fresenius Vascular Care St Louis Asc LLC
$750.00Published rateWomens Health Center, Hamid Zadeh Md Inc
Womens Health Center
$535.00Published rateTorrance Endoscopy And Surgical Affiliates, Inc, Endoscopy Center At Skypark
Torrance Endoscopy And Surgical Affiliates Inc
$117.00Published rate
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See a sample payer proposalCPT 61850 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61850 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 61850 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 |
|---|---|---|
| 61850-CPT | High | Twist Drill Or Burr Hole(S) Fo, Twist Drill Or Burr Hole(S) For Implantation Ofneurostimulator Electrodes Cortical Twist Drill Or Burr Hole(S) For Implantation Of |
| 61860-CPT | High | Craniectomy Or Craniotomy For, Craniectomy Or Craniotomy For Implantation Ofneurostimulator Electrodes Cerebral Cortical Craniectomy Or Craniotomy For Implantation Of |
| 61863-CPT | High | Implant Neuroelectrode, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray Without Use Of Intraoperative Microelectrode Recording First Array |
| 61864-CPT | Moderate | Implant Neuroelectrde Addl, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray Without Use Of Intraoperative Microelectrode Recording Each Additional Array List Separately In Addition To 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 61850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61850 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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