CPT code 61510: Brain tumor excision, supratentorial, nonmeningioma2026 Medicare rate & RVUs

Reports open removal of a supratentorial brain tumor other than a meningioma, using cranial access created by craniectomy, trephination, or bone flap.

CMS RVU26DEffective Oct 1, 2026109 payment localities9.2K Medicare services in 2024

Medicare pays $2,161.37 for 61510 nationally in a facility.

Medicare rate · 61510

Brain tumor excision, supratentorial, nonmeningioma

Office or facility?

Work RVUs
30.06
Total RVUs
64.71
Global days
090

National rate · 2026

$2,161.37

Facility setting, before claim adjustments.

See every locality for 61510 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 61510 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 61510 covers

Code 61510 describes an open neurosurgical operation to remove a brain tumor located above the tentorium, excluding meningiomas. The surgeon creates cranial access through craniectomy, trephination, or a bone flap, then excises the tumor. The target is tumor tissue within the brain, not a lesion of the skull bone. These operations are typically performed by a neurosurgeon in an operating room.

Choose the code based on the tumor’s documented type and supratentorial location. The operative report should support the site, tumor excision, and approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

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.

Where 61510 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

61510 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,886.25
AlaskaUnavailable$2,521.61
ArizonaUnavailable$2,077.79
ArkansasUnavailable$1,852.95
Atlanta, GAUnavailable$2,261.01
Austin, TXUnavailable$2,157.89
Bakersfield, CAUnavailable$2,085.95
Baltimore area, MDUnavailable$2,331.16
Beaumont, TXUnavailable$2,065.23
Brazoria, TXUnavailable$2,069.91

61510 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
61510 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 61510 rate is calculated

Each of 61510’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 · 61510

RVUs × geographic indexes × conversion factor

Office or facility?

Work30.06

30.06 RVUs× 1.000 GPCI

Practice expense22.01

22.01 RVUs× 1.000 GPCI

Malpractice12.64

12.64 RVUs× 1.000 GPCI

Adjusted RVUs

64.7100

Conversion factor

$33.4009

Medicare rate

$2,161.37

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 61510

61510 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61510

Brain tumor excision, supratentorial, nonmeningioma

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61510

Brain tumor excision, supratentorial, nonmeningioma

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

61510 without 51 · national facility

$2,161.37

Brain tumor excision, supratentorial, nonmeningioma

61510-51 · Second procedure: 50%

$1,080.69

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%).

When to use modifier 51

61510 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 61510

    Brain tumor excision, supratentorial, nonmeningioma30.06 wRVU

    Not priced

  • 61512

    Meningioma excision, supratentorial36.21 wRVU

    Not priced

  • 61514

    Brain abscess surgery, supratentorial26.55 wRVU

    Not priced

  • 61516

    Cyst excision, supratentorial25.92 wRVU

    Not priced

  • 61500

    Skull lesion excision, craniectomy approach18.7 wRVU

    Not priced

How to choose

61512Meningioma excisionSupratentorial
Use 61512 for excision of a supratentorial meningioma. Code 61510 describes a supratentorial brain tumor other than a meningioma.
61514Brain abscess surgerySupratentorial
Use 61514 when the operative target is a brain abscess; 61510 is for a brain tumor.
61516Cyst excisionSupratentorial
Use 61516 for excision of a brain cyst. Code 61510 applies to a supratentorial brain tumor other than a meningioma.
61500Skull lesion excisionCraniectomy approach
61500 addresses a tumor or other lesion of skull bone. Code 61510 addresses tumor tissue within the supratentorial brain.

61510 billing questions

How does 61510 differ from 61512?

61510 is for a supratentorial brain tumor other than a meningioma. Use 61512 when the excised tumor is a meningioma.

Would 61510 cover removal of a brain abscess or cyst?

No. The nearby codes distinguish those targets: 61514 is for a brain abscess and 61516 is for a brain cyst.

What documentation supports reporting 61510?

The operative report should identify the supratentorial brain tumor, describe its excision, and document the cranial approach. The documented target should distinguish a brain tumor from a skull-bone lesion.

Does the craniectomy or bone-flap access get reported separately?

The cranial access is part of the tumor-excision service represented by 61510. The code describes the access and excision together.

How do the global period and multiple-procedure rules affect billing?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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
RVUs for 61510PPRRVU2026_Oct_nonQPP.csv, line 6,779 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 61510 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 61510 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet