CPT code 61322: Cranial decompression, without lobectomy2026 Medicare rate & RVUs in Idaho
Reports cranial decompression to relieve dangerous intracranial pressure from cerebral swelling when the operation does not include removal of a brain lobe.
In Idaho, Medicare pays $1,998.99 for 61322 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61322 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 61322 covers
A neurosurgeon opens or removes part of the skull to create room for a swollen brain and reduce intracranial pressure. The operation may include opening or expanding the dura, but it does not include removal of a brain lobe. Typical situations include severe traumatic brain injury or a large cerebral infarction with dangerous swelling despite medical treatment. These operations are generally performed in a hospital operating room.
Report the code when the operative record supports decompression without lobectomy; document the indication, operative site and extent, dural work, and any brain tissue removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Idaho compares for 61322
Across 109 of 109 payment localities, the facility rate for 61322 runs from $1,948.94 in Wisconsin to $3,050.17 in Miami, FL. Idaho pays $1,998.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$1,998.99
- Los Angeles, CA · California$2,323.43+$324.44
- Washington, DC area · District of Columbia$2,544.90+$545.91
- Miami, FL · Florida$3,050.17+$1,051.18
- Chicago, IL · Illinois$2,922.35+$923.36
- Manhattan, NY · New York$2,766.36+$767.37
- Alaska · Alaska$2,697.64+$698.65
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,010.25 |
| ArkansasArkansas | — | $1,974.82 |
| ArizonaArizona | — | $2,213.84 |
| Bakersfield, CACalifornia | — | $2,210.53 |
| Chico, CACalifornia | — | $2,174.07 |
| El Centro, CACalifornia | — | $2,176.41 |
| Fresno, CACalifornia | — | $2,174.07 |
| Hanford, CACalifornia | — | $2,174.07 |
| Madera, CACalifornia | — | $2,174.07 |
| Merced, CACalifornia | — | $2,174.07 |
| Modesto, CACalifornia | — | $2,174.07 |
| Napa, CACalifornia | — | $2,371.90 |
| Oxnard, CACalifornia | — | $2,288.98 |
| Redding, CACalifornia | — | $2,174.07 |
| Rest of CaliforniaCalifornia | — | $2,174.07 |
| Riverside, CACalifornia | — | $2,323.84 |
| Sacramento, CACalifornia | — | $2,243.45 |
| Salinas, CACalifornia | — | $2,234.99 |
| San Diego, CACalifornia | — | $2,263.30 |
| Marin County, CACalifornia | — | $2,450.78 |
| San Francisco, CACalifornia | — | $2,434.84 |
| San Benito County, CACalifornia | — | $2,526.63 |
| Santa Clara County, CACalifornia | — | $2,461.45 |
| San Luis Obispo, CACalifornia | — | $2,204.99 |
| Santa Cruz, CACalifornia | — | $2,264.11 |
| Santa Maria, CACalifornia | — | $2,236.68 |
| Santa Rosa, CACalifornia | — | $2,283.50 |
| Stockton, CACalifornia | — | $2,174.07 |
| Vallejo, CACalifornia | — | $2,348.92 |
| Visalia, CACalifornia | — | $2,174.07 |
| Yuba City, CACalifornia | — | $2,174.07 |
| ColoradoColorado | — | $2,260.37 |
| ConnecticutConnecticut | — | $2,479.82 |
| DelawareDelaware | — | $2,253.24 |
| Fort Lauderdale, FLFlorida | — | $2,691.92 |
| Rest of FloridaFlorida | — | $2,507.90 |
| Atlanta, GAGeorgia | — | $2,412.77 |
| Rest of GeorgiaGeorgia | — | $2,316.03 |
| Hawaii, Guam, HIHawaii | — | $2,204.75 |
| IowaIowa | — | $1,959.76 |
| East St. Louis, ILIllinois | — | $2,721.64 |
| Rest of IllinoisIllinois | — | $2,505.11 |
| Suburban Chicago, ILIllinois | — | $2,692.91 |
| IndianaIndiana | — | $2,010.12 |
| KansasKansas | — | $2,002.03 |
| KentuckyKentucky | — | $2,183.98 |
| New Orleans, LALouisiana | — | $2,325.01 |
| Rest of LouisianaLouisiana | — | $2,201.27 |
| Metropolitan Boston, MAMassachusetts | — | $2,437.32 |
| Rest of MassachusettsMassachusetts | — | $2,264.43 |
| Baltimore area, MDMaryland | — | $2,485.15 |
| Rest of MarylandMaryland | — | $2,284.99 |
| Rest of MaineMaine | — | $2,068.87 |
| Southern Maine, MEMaine | — | $2,124.15 |
| Detroit, MIMichigan | — | $2,600.19 |
| Rest of MichiganMichigan | — | $2,301.59 |
| MinnesotaMinnesota | — | $1,994.37 |
| Metropolitan Kansas City, MOMissouri | — | $2,249.01 |
| Metropolitan St. Louis, MOMissouri | — | $2,270.08 |
| Rest of MissouriMissouri | — | $2,192.23 |
| MississippiMississippi | — | $2,081.31 |
| MontanaMontana | — | $2,302.72 |
| North CarolinaNorth Carolina | — | $2,086.19 |
| North DakotaNorth Dakota | — | $2,025.10 |
| NebraskaNebraska | — | $1,956.60 |
| New HampshireNew Hampshire | — | $2,274.53 |
| Northern New JerseyNew Jersey | — | $2,520.89 |
| Rest of New JerseyNew Jersey | — | $2,459.93 |
| New MexicoNew Mexico | — | $2,338.23 |
| NevadaNevada | — | $2,226.06 |
| NYC suburbs and Long Island, NYNew York | — | $2,912.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,520.66 |
| Queens, NYNew York | — | $2,713.21 |
| Rest of New YorkNew York | — | $2,128.43 |
| OhioOhio | — | $2,244.85 |
| OklahomaOklahoma | — | $2,122.14 |
| Portland, OROregon | — | $2,281.28 |
| Rest of OregonOregon | — | $2,161.51 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,443.73 |
| Rest of PennsylvaniaPennsylvania | — | $2,218.90 |
| Puerto RicoPuerto Rico | — | $2,304.54 |
| Rhode IslandRhode Island | — | $2,297.94 |
| South CarolinaSouth Carolina | — | $2,178.66 |
| South DakotaSouth Dakota | — | $1,992.28 |
| TennesseeTennessee | — | $2,021.10 |
| Austin, TXTexas | — | $2,294.14 |
| Beaumont, TXTexas | — | $2,205.64 |
| Brazoria, TXTexas | — | $2,202.94 |
| Dallas, TXTexas | — | $2,244.23 |
| Fort Worth, TXTexas | — | $2,243.14 |
| Galveston, TXTexas | — | $2,226.89 |
| Houston, TXTexas | — | $2,483.88 |
| Rest of TexasTexas | — | $2,221.50 |
| UtahUtah | — | $2,212.68 |
| VirginiaVirginia | — | $2,153.56 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,304.54 |
| VermontVermont | — | $2,064.81 |
| Rest of WashingtonWashington | — | $2,244.20 |
| King County, WAWashington | — | $2,436.86 |
| WisconsinWisconsin | — | $1,948.94 |
| West VirginiaWest Virginia | — | $2,411.57 |
| WyomingWyoming | — | $2,181.73 |
61322 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 61322 rate is calculated
Each of 61322’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 61322
RVUs × geographic indexes × conversion factor
Work33.40
33.40 RVUs× 1.000 GPCI
Practice expense21.53
21.53 RVUs× 1.000 GPCI
Malpractice14.04
14.04 RVUs× 1.000 GPCI
Adjusted RVUs
68.9700
Conversion factor
$33.4009
Medicare rate
$2,303.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,766
- Code
- 61322
- Physician work
- 33.40
- Practice expense
- 21.53
- Malpractice
- 14.04
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.40 | × 1.000 | 33.4000 |
| Practice expense | 21.53 | × 0.920 | 19.8076 |
| Malpractice | 14.04 | × 0.473 | 6.6409 |
| Total RVUs | 59.8485 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$1998.99
Facility: (33.4 × 1 + 21.53 × 0.92 + 14.04 × 0.473) × $33.4009 = $1998.99
Payment rules and modifiers for 61322
61322 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61322
Cranial decompression, without lobectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 61322
Cranial decompression, without lobectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
61322 without 51 · national facility
$2,303.66
Cranial decompression, without lobectomy
61322-51 · Second procedure: 50%
$1,151.83
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 61322 has changed in Idaho
61322 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,998.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,998.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,998.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,998.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,035.95 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,035.95 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,035.95 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,035.95 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,085.56 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,085.56 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,085.56 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,085.56 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,051.52 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,085.58 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,085.58 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,085.58 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,085.58 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,084.41 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,084.41 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,084.41 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,084.41 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,088.86 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,088.86 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,088.86 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,088.86 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,149.10 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,149.10 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,149.10 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,149.10 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,192.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,192.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,192.73 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,192.73 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,183.14 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,183.14 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,183.14 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,183.14 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,186.08 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,186.08 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,186.08 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,186.08 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,181.32 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,181.32 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,181.32 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,181.32 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,196.27 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,196.27 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,185.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,185.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,164.74 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,164.74 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,164.74 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,164.74 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,147.04 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,147.04 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,147.04 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,147.04 | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
61322 billing questions
How does this differ from 61323?
The key distinction is whether the operation includes removal of a brain lobe. This code is for decompression without lobectomy; 61323 is the related option when lobectomy is performed.
Can dural expansion be part of this service?
Yes. The decompression may include work to expand the dura; that alone does not make the operation a different code.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply because the service’s descriptor or anatomy makes modifier 50 inappropriate.
What documentation supports reporting the code?
Document the pressure-relief indication, the cranial site and extent of decompression, dural work, and whether brain tissue was removed. The record should make clear that the operation did not include lobectomy.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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