Find policies, billing codes, payers, states, and providers
CPT 61797: Add-on Stereotactic Radiosurgery for Additional Cranial Lesion
CPT code 61797 designates an add-on stereotactic radiosurgery (SRS) procedure for destruction of an additional simple intracranial lesion during the same treatment session following the primary cranial lesion. It matters nationally because SRS is a widely used, high-cost, high-complexity treatment modality for brain lesions; add-on codes like 61797 affect session-level billing, case costing, and payer coverage policies for multi-target treatments.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The paper outlines what facilities and clinicians should expect in payer coverage approaches and how this add-on code interacts with primary SRS codes in episode-level reimbursement.
Readers will learn the clinical context of the code, typical sites of service for use, common payer considerations, and where to look for benchmarks and policy updates. The summary highlights that 61797 is tied to single-session treatment of multiple simple lesions and that billing will typically occur alongside a primary SRS CPT code. Data not provided in the input for specific payer edits, payment rates, and associated diagnosis coding is noted as unavailable; where available, readers will find guidance on documentation requirements and coding relationships to support accurate claims submission.
Customize your policy alerts
Sign up for cpt 61797 policy alerts
Get alerted when payer policies referencing 61797 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 61797 is an add-on stereotactic radiosurgery (SRS) procedure used when a provider applies externally generated ionizing radiation to destroy an additional simple intracranial target area during the same session after treatment of a first cranial lesion. The descriptor indicates the targeted lesion is simple (commonly a maximum dimension under 3.5 cm).
Service type: Stereotactic radiosurgery (add-on lesion treatment)
Typical site of service: Hospital outpatient department or ambulatory surgical center