CPT code 61514: Brain abscess surgery, supratentorial2026 Medicare rate & RVUs in Iowa
Reports open cranial surgery to excise a brain abscess located above the tentorium, performed by a neurosurgeon in an operative setting.
In Iowa, Medicare pays $1,583.74 for 61514 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61514 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 61514 covers
A neurosurgeon uses a cranial opening, such as a craniectomy, trephination, or bone-flap craniotomy, to reach and excise an abscess in the supratentorial brain. This code is for operative treatment of an intracranial infection, rather than removal of a tumor or meningioma. The service is typically performed in a hospital operating room, with the operative report identifying the abscess and its location above the tentorium.
Report the code when the operative service matches the supratentorial abscess procedure, not merely because imaging or pathology identifies an abscess. Documentation should describe the cranial approach, target and location, and work performed to excise it. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. For multiple procedures in one 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-surgeon payment requires supporting documentation. 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 Iowa compares for 61514
Across 109 of 109 payment localities, the facility rate for 61514 runs from $1,576.76 in Wisconsin to $2,446.41 in Miami, FL. Iowa pays $1,583.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$1,583.74
- Los Angeles, CA · California$1,879.86+$296.12
- Washington, DC area · District of Columbia$2,054.09+$470.35
- Miami, FL · Florida$2,446.41+$862.67
- Chicago, IL · Illinois$2,344.60+$760.86
- Manhattan, NY · New York$2,227.91+$644.17
- Alaska · Alaska$2,174.20+$590.46
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,622.05 |
| ArkansasArkansas | — | $1,593.60 |
| ArizonaArizona | — | $1,785.63 |
| Bakersfield, CACalifornia | — | $1,787.71 |
| Chico, CACalifornia | — | $1,759.00 |
| El Centro, CACalifornia | — | $1,760.84 |
| Fresno, CACalifornia | — | $1,759.00 |
| Hanford, CACalifornia | — | $1,759.00 |
| Madera, CACalifornia | — | $1,759.00 |
| Merced, CACalifornia | — | $1,759.00 |
| Modesto, CACalifornia | — | $1,759.00 |
| Napa, CACalifornia | — | $1,923.00 |
| Oxnard, CACalifornia | — | $1,852.59 |
| Redding, CACalifornia | — | $1,759.00 |
| Rest of CaliforniaCalifornia | — | $1,759.00 |
| Riverside, CACalifornia | — | $1,876.88 |
| Sacramento, CACalifornia | — | $1,816.15 |
| Salinas, CACalifornia | — | $1,809.31 |
| San Diego, CACalifornia | — | $1,832.89 |
| Marin County, CACalifornia | — | $1,988.63 |
| San Francisco, CACalifornia | — | $1,976.08 |
| San Benito County, CACalifornia | — | $2,049.60 |
| Santa Clara County, CACalifornia | — | $1,998.30 |
| San Luis Obispo, CACalifornia | — | $1,784.86 |
| Santa Cruz, CACalifornia | — | $1,834.13 |
| Santa Maria, CACalifornia | — | $1,810.86 |
| Santa Rosa, CACalifornia | — | $1,849.93 |
| Stockton, CACalifornia | — | $1,759.00 |
| Vallejo, CACalifornia | — | $1,904.91 |
| Visalia, CACalifornia | — | $1,759.00 |
| Yuba City, CACalifornia | — | $1,759.00 |
| ColoradoColorado | — | $1,825.74 |
| ConnecticutConnecticut | — | $1,998.99 |
| DelawareDelaware | — | $1,817.36 |
| Fort Lauderdale, FLFlorida | — | $2,163.46 |
| Rest of FloridaFlorida | — | $2,016.60 |
| Atlanta, GAGeorgia | — | $1,943.89 |
| Rest of GeorgiaGeorgia | — | $1,863.32 |
| Hawaii, Guam, HIHawaii | — | $1,784.45 |
| IdahoIdaho | — | $1,614.79 |
| East St. Louis, ILIllinois | — | $2,183.55 |
| Rest of IllinoisIllinois | — | $2,012.88 |
| Suburban Chicago, ILIllinois | — | $2,164.80 |
| IndianaIndiana | — | $1,623.80 |
| KansasKansas | — | $1,616.61 |
| KentuckyKentucky | — | $1,759.28 |
| New Orleans, LALouisiana | — | $1,872.13 |
| Rest of LouisianaLouisiana | — | $1,772.74 |
| Metropolitan Boston, MAMassachusetts | — | $1,969.88 |
| Rest of MassachusettsMassachusetts | — | $1,828.57 |
| Baltimore area, MDMaryland | — | $2,003.00 |
| Rest of MarylandMaryland | — | $1,843.25 |
| Rest of MaineMaine | — | $1,669.79 |
| Southern Maine, MEMaine | — | $1,715.82 |
| Detroit, MIMichigan | — | $2,089.56 |
| Rest of MichiganMichigan | — | $1,852.70 |
| MinnesotaMinnesota | — | $1,615.04 |
| Metropolitan Kansas City, MOMissouri | — | $1,812.24 |
| Metropolitan St. Louis, MOMissouri | — | $1,829.29 |
| Rest of MissouriMissouri | — | $1,764.81 |
| MississippiMississippi | — | $1,677.48 |
| MontanaMontana | — | $1,856.69 |
| North CarolinaNorth Carolina | — | $1,683.88 |
| North DakotaNorth Dakota | — | $1,638.19 |
| NebraskaNebraska | — | $1,581.54 |
| New HampshireNew Hampshire | — | $1,835.95 |
| Northern New JerseyNew Jersey | — | $2,034.64 |
| Rest of New JerseyNew Jersey | — | $1,984.04 |
| New MexicoNew Mexico | — | $1,881.68 |
| NevadaNevada | — | $1,796.39 |
| NYC suburbs and Long Island, NYNew York | — | $2,344.17 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,031.98 |
| Queens, NYNew York | — | $2,186.79 |
| Rest of New YorkNew York | — | $1,717.73 |
| OhioOhio | — | $1,808.04 |
| OklahomaOklahoma | — | $1,710.75 |
| Portland, OROregon | — | $1,843.90 |
| Rest of OregonOregon | — | $1,745.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,969.28 |
| Rest of PennsylvaniaPennsylvania | — | $1,787.80 |
| Puerto RicoPuerto Rico | — | $1,858.50 |
| Rhode IslandRhode Island | — | $1,854.26 |
| South CarolinaSouth Carolina | — | $1,756.34 |
| South DakotaSouth Dakota | — | $1,612.35 |
| TennesseeTennessee | — | $1,631.80 |
| Austin, TXTexas | — | $1,852.01 |
| Beaumont, TXTexas | — | $1,777.08 |
| Brazoria, TXTexas | — | $1,777.91 |
| Dallas, TXTexas | — | $1,810.59 |
| Fort Worth, TXTexas | — | $1,809.37 |
| Galveston, TXTexas | — | $1,796.83 |
| Houston, TXTexas | — | $1,999.08 |
| Rest of TexasTexas | — | $1,790.94 |
| UtahUtah | — | $1,783.68 |
| VirginiaVirginia | — | $1,738.69 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,858.50 |
| VermontVermont | — | $1,669.08 |
| Rest of WashingtonWashington | — | $1,812.62 |
| King County, WAWashington | — | $1,970.77 |
| WisconsinWisconsin | — | $1,576.76 |
| West VirginiaWest Virginia | — | $1,937.69 |
| WyomingWyoming | — | $1,761.46 |
61514 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 61514 rate is calculated
Each of 61514’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 · 61514
RVUs × geographic indexes × conversion factor
Work26.55
26.55 RVUs× 1.000 GPCI
Practice expense18.01
18.01 RVUs× 1.000 GPCI
Malpractice11.05
11.05 RVUs× 1.000 GPCI
Adjusted RVUs
55.6100
Conversion factor
$33.4009
Medicare rate
$1,857.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,781
- Code
- 61514
- Physician work
- 26.55
- Practice expense
- 18.01
- Malpractice
- 11.05
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.55 | × 1.000 | 26.5500 |
| Practice expense | 18.01 | × 0.915 | 16.4792 |
| Malpractice | 11.05 | × 0.397 | 4.3869 |
| Total RVUs | 47.4160 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1583.74
Facility: (26.55 × 1 + 18.01 × 0.915 + 11.05 × 0.397) × $33.4009 = $1583.74
Payment rules and modifiers for 61514
61514 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61514
Brain abscess surgery, supratentorial
| 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 · 61514
Brain abscess surgery, supratentorial
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
61514 without 51 · national facility
$1,857.42
Brain abscess surgery, supratentorial
61514-51 · Second procedure: 50%
$928.71
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 61514 has changed in Iowa
61514 · 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 | $1,583.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,583.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,583.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,583.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,644.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,644.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,644.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,644.68 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,680.68 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,680.68 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,680.68 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,680.68 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,653.25 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,694.00 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,694.00 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,694.00 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,694.00 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,701.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,701.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,701.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,701.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,704.77 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,704.77 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,704.77 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,704.77 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,722.69 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,722.69 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,722.69 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,722.69 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,728.93 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,728.93 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,728.93 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,728.93 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,717.94 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,717.94 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,717.94 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,717.94 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,731.12 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,731.12 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,731.12 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,731.12 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,737.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,737.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,737.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,737.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,755.92 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,755.92 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,747.18 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,747.18 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,709.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,709.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,709.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,709.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,670.86 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,670.86 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,670.86 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,670.86 | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
61514 billing questions
How is this code distinguished from brain tumor excision?
Use this code for excision of a supratentorial brain abscess. Code 61510 is for a supratentorial brain tumor other than a meningioma.
What operative documentation supports this code?
The operative report should identify the abscess, establish its supratentorial location, and describe the cranial approach and excision performed.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and related postoperative care during the 90-day period are included.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
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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