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See a sample rate comparisonCPT 61891 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.
Rev/Rplcmt Sk-Mnt Crnl Nstm, Revision Or Replacement Of Skull-Mounted Cranial Neurostimulator Pulse Generator Or Receiver With Connection To Depth And/Or Cortical Strip Electrode Array(S)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61891 |
| Medicaid Fee Schedule | View Medicaid rates for 61891 |
National average reimbursement for CPT 61891 by major payers:
$1,188.10
$1,181.91
$1,423.33
$1,063.49
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CPT 61891
5 of 25 sample ratesHigher to lower in this preview
Glbesc, LLC, Memorialcare Outpatient Surgical Center Long Beach
Glbesc LLC
$15,464.00Published rateLee Memorial Health System, Lee Health Urology Surgery Center
$6,500.00Published rateWayne Surgical Center LLC
Wayne Surgical Center, LLC
$4,376.00Published rateCares Ambulatory Surgery Services
$2,445.00Published rateValerie Turpen
Deaconess Hospital Inc
$511.86Published rate
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See a sample payer proposalCPT 61891 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61891 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 61891 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 |
|---|---|---|
| 61891-CPT | High | Rev/Rplcmt Sk-Mnt Crnl Nstm, Revision Or Replacement Of Skull-Mounted Cranial Neurostimulator Pulse Generator Or Receiver With Connection To Depth And/Or Cortical Strip Electrode Array(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61891. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61891 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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