CPT code 61575: Transoral skull-base surgery, standard transoral exposure2026 Medicare rate & RVUs in New Mexico

Reports transoral surgery to biopsy, decompress, or remove a lesion involving the skull base, brainstem, or upper spinal cord.

CMS RVU26DEffective Oct 1, 2026One payment locality19 Medicare services in 2024

In New Mexico, Medicare pays $2,454.21 for 61575 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,454.21Hospital or facility

Check a contract rate as a % of Medicare · 61575 nationwide

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

We’ll open 61575 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 61575 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 61575 covers

This code covers an operation performed through the mouth to reach a lesion at the skull base, brainstem, or upper spinal cord for biopsy, decompression, or removal. Neurosurgeons may perform the intracranial or spinal portion, often with an otolaryngologist or head and neck surgeon assisting with exposure. Typical cases involve a lesion near the clivus or ventral craniovertebral junction when the operative plan uses an oral corridor.

Report the code when the documented route and treatment match this transoral service; the operative report should identify the target, the purpose of the procedure, and the exposure used. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted. A bilateral adjustment is not appropriate 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.

How New Mexico compares for 61575

Across 109 of 109 payment localities, the facility rate for 61575 runs from $2,034.81 in Wisconsin to $3,210.98 in Miami, FL. New Mexico pays $2,454.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

61575 in New Mexico vs other payment areas
  1. New Mexico · this page$2,454.21
  2. Los Angeles, CA · California$2,424.46−$29.75
  3. Washington, DC area · District of Columbia$2,662.05+$207.84
  4. Miami, FL · Florida$3,210.98+$756.77
  5. Chicago, IL · Illinois$3,075.79+$621.58
  6. Manhattan, NY · New York$2,900.21+$446.00
  7. Alaska · Alaska$2,829.31+$375.10

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

61575 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,104.78
ArkansasArkansas—$2,067.64
ArizonaArizona—$2,318.19
Bakersfield, CACalifornia—$2,308.02
Chico, CACalifornia—$2,268.95
El Centro, CACalifornia—$2,271.46
Fresno, CACalifornia—$2,268.95
Hanford, CACalifornia—$2,268.95

61575 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
61575 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

See 61575 in every payment locality

How the 61575 rate is calculated

Each of 61575’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 · 61575

RVUs × geographic indexes × conversion factor

Office or facility?

Work35.65

35.65 RVUs× 1.000 GPCI

Practice expense21.54

21.54 RVUs× 1.000 GPCI

Malpractice15.05

15.05 RVUs× 1.000 GPCI

Adjusted RVUs

72.2400

Conversion factor

$33.4009

Medicare rate

$2,412.88

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,819

Code
61575
Physician work
35.65
Practice expense
21.54
Malpractice
15.05

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 61575 in New Mexico
ComponentRVULocality factorAdjusted
Physician work35.65× 1.00035.6500
Practice expense21.54× 0.91719.7522
Malpractice15.05× 1.20118.0751
Total RVUs73.4772
Conversion factor× 33.4009

Facility rate, New Mexico$2454.21

Facility: (35.65 × 1 + 21.54 × 0.917 + 15.05 × 1.201) × $33.4009 = $2454.21

Open 61575 in the RVU calculator

Payment rules and modifiers for 61575

61575 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61575

Transoral skull-base surgery, standard transoral exposure

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 · 61575

Transoral skull-base surgery, standard transoral exposure

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

61575 without 51 · national facility

$2,412.88

Transoral skull-base surgery, standard transoral exposure

61575-51 · Second procedure: 50%

$1,206.44

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

How 61575 has changed in New Mexico

61575 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,454.21RVU26D
2026-07-01Not available in this setting$2,454.21RVU26C
2026-04-01Not available in this setting$2,454.21RVU26B
2026-01-01Not available in this setting$2,454.21RVU26A
2025-10-01Not available in this setting$2,482.41RVU25D
2025-07-01Not available in this setting$2,482.41RVU25C
2025-04-01Not available in this setting$2,482.41RVU25B
2025-01-01Not available in this setting$2,482.41RVU25A
2024-10-01Not available in this setting$2,546.53RVU24D
2024-07-01Not available in this setting$2,546.53RVU24C
2024-04-01Not available in this setting$2,546.53RVU24B
2024-03-09Not available in this setting$2,546.53RVU24AR
2024-01-01Not available in this setting$2,504.97RVU24A
2023-10-01Not available in this setting$2,563.78RVU23D
2023-07-01Not available in this setting$2,563.78RVU23C
2023-04-01Not available in this setting$2,563.78RVU23B
2023-01-01Not available in this setting$2,563.78RVU23A
2022-10-01Not available in this setting$2,568.58RVU22D
2022-07-01Not available in this setting$2,568.58RVU22C
2022-04-01Not available in this setting$2,568.58RVU22B
2022-01-01Not available in this setting$2,568.58RVU22A
2021-10-01Not available in this setting$2,567.10RVU21D
2021-07-01Not available in this setting$2,567.10RVU21C
2021-04-01Not available in this setting$2,567.10RVU21B
2021-01-01Not available in this setting$2,567.10RVU21A
2020-10-01Not available in this setting$2,642.28RVU20D
2020-07-01Not available in this setting$2,642.28RVU20C
2020-04-01Not available in this setting$2,642.28RVU20B
2020-01-01Not available in this setting$2,642.28RVU20A
2019-10-01Not available in this setting$2,738.53RVU19D
2019-07-01Not available in this setting$2,738.53RVU19C
2019-04-01Not available in this setting$2,724.15RVU19B
2019-01-01Not available in this setting$2,724.15RVU19A
2018-10-01Not available in this setting$2,714.08RVU18D
2018-07-01Not available in this setting$2,714.08RVU18C
2018-04-01Not available in this setting$2,714.08RVU18B
2018-01-01Not available in this setting$2,714.08RVU18AR1
2017-10-01Not available in this setting$2,659.96RVU17D
2017-07-01Not available in this setting$2,659.96RVU17C
2017-04-01Not available in this setting$2,659.96RVU17B
2017-01-01Not available in this setting$2,659.96RVU17A
2016-10-01Not available in this setting$2,208.90RVU16D
2016-07-01Not available in this setting$2,208.90RVU16C
2016-04-01Not available in this setting$2,208.90RVU16B
2016-01-01Not available in this setting$2,208.90RVU16A
2015-10-01Not available in this setting$2,705.52RVU15D
2015-07-01Not available in this setting$2,705.52RVU15C
2015-04-01Not available in this setting$2,692.06RVU15B
2015-01-01Not available in this setting$2,692.06RVU15A
2014-10-01Not available in this setting$2,449.52RVU14D
2014-07-01Not available in this setting$2,449.52RVU14C
2014-04-01Not available in this setting$2,449.52RVU14B
2014-01-01Not available in this setting$2,449.52RVU14A
2013-10-01Not available in this setting$2,453.09RVU13D
2013-07-01Not available in this setting$2,453.09RVU13C
2013-04-01Not available in this setting$2,453.09RVU13B
2013-01-01Not available in this setting$2,453.09RVU13AR

Price 61575 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

61575 billing questions

How is 61575 distinguished from 61576?

61575 represents the standard transoral exposure. Use 61576 when the operation requires splitting the tongue and/or mandible.

What documentation supports reporting 61575?

Document the lesion's location, the transoral route, and whether the service involved biopsy, decompression, or excision. The operative report should make clear that the work addressed the skull base, brainstem, or upper spinal cord.

Are related postoperative visits separately reported?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. A bilateral adjustment is not appropriate for 61575.

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 61575PPRRVU2026_Oct_nonQPP.csv, line 6,819 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 61575 pays in New Mexico?

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

Fee sheets · Coming soon

Put 61575 and the rest of your codes on one sheet

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

Join the waitlist