CPT code 61580: Craniofacial approach, extradural anterior fossa2026 Medicare rate & RVUs in Utah
Reports an extradural craniofacial route to the anterior cranial fossa, typically for lesions involving the anterior skull base and adjacent sinonasal region.
In Utah, Medicare pays $2,142.97 for 61580 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61580 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 61580 covers
This service creates combined cranial and facial access to the anterior cranial fossa. The surgeon elevates the frontal lobes, performs a craniotomy and facial bone osteotomies, and works in the extradural plane. It is used for selected anterior skull-base lesions, including tumors extending between the intracranial and sinonasal spaces. Neurosurgeons and head-and-neck or craniofacial surgeons may participate, commonly in a hospital operating room. The approach described here does not include maxillectomy or orbital exenteration.
Report 61580 when the operative record supports this extradural approach and its documented extent; distinguish it from an intradural approach such as 61581. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, while team surgery is 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 Utah compares for 61580
Across 109 of 109 payment localities, the facility rate for 61580 runs from $1,983.50 in Arkansas to $2,731.08 in Alaska. Utah pays $2,142.97. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$2,142.97
- Los Angeles, CA · California$2,343.18+$200.21
- Washington, DC area · District of Columbia$2,458.77+$315.80
- Miami, FL · Florida$2,612.26+$469.29
- Chicago, IL · Illinois$2,534.30+$391.33
- Manhattan, NY · New York$2,567.15+$424.18
- Alaska · Alaska$2,731.08+$588.11
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,009.22 |
| ArkansasArkansas | — | $1,983.50 |
| ArizonaArizona | — | $2,158.06 |
| Bakersfield, CACalifornia | — | $2,230.73 |
| Chico, CACalifornia | — | $2,211.37 |
| El Centro, CACalifornia | — | $2,212.54 |
| Fresno, CACalifornia | — | $2,211.37 |
| Hanford, CACalifornia | — | $2,211.37 |
| Madera, CACalifornia | — | $2,211.37 |
| Merced, CACalifornia | — | $2,211.37 |
| Modesto, CACalifornia | — | $2,211.37 |
| Napa, CACalifornia | — | $2,447.44 |
| Oxnard, CACalifornia | — | $2,318.09 |
| Redding, CACalifornia | — | $2,211.37 |
| Rest of CaliforniaCalifornia | — | $2,211.37 |
| Riverside, CACalifornia | — | $2,286.82 |
| Sacramento, CACalifornia | — | $2,290.35 |
| Salinas, CACalifornia | — | $2,281.29 |
| San Diego, CACalifornia | — | $2,313.39 |
| Marin County, CACalifornia | — | $2,551.04 |
| San Francisco, CACalifornia | — | $2,543.07 |
| San Benito County, CACalifornia | — | $2,613.48 |
| Santa Clara County, CACalifornia | — | $2,580.89 |
| San Luis Obispo, CACalifornia | — | $2,248.35 |
| Santa Cruz, CACalifornia | — | $2,318.21 |
| Santa Maria, CACalifornia | — | $2,283.93 |
| Santa Rosa, CACalifornia | — | $2,339.51 |
| Stockton, CACalifornia | — | $2,211.37 |
| Vallejo, CACalifornia | — | $2,435.95 |
| Visalia, CACalifornia | — | $2,211.37 |
| Yuba City, CACalifornia | — | $2,211.37 |
| ColoradoColorado | — | $2,235.67 |
| ConnecticutConnecticut | — | $2,356.43 |
| DelawareDelaware | — | $2,190.10 |
| Fort Lauderdale, FLFlorida | — | $2,419.12 |
| Rest of FloridaFlorida | — | $2,298.59 |
| Atlanta, GAGeorgia | — | $2,282.75 |
| Rest of GeorgiaGeorgia | — | $2,170.62 |
| Hawaii, Guam, HIHawaii | — | $2,237.60 |
| IowaIowa | — | $2,003.99 |
| IdahoIdaho | — | $2,026.11 |
| East St. Louis, ILIllinois | — | $2,387.44 |
| Rest of IllinoisIllinois | — | $2,275.67 |
| Suburban Chicago, ILIllinois | — | $2,430.59 |
| IndianaIndiana | — | $2,035.18 |
| KansasKansas | — | $2,019.62 |
| KentuckyKentucky | — | $2,103.09 |
| New Orleans, LALouisiana | — | $2,199.63 |
| Rest of LouisianaLouisiana | — | $2,109.73 |
| Metropolitan Boston, MAMassachusetts | — | $2,405.63 |
| Rest of MassachusettsMassachusetts | — | $2,234.46 |
| Baltimore area, MDMaryland | — | $2,354.83 |
| Rest of MarylandMaryland | — | $2,220.82 |
| Rest of MaineMaine | — | $2,061.05 |
| Southern Maine, MEMaine | — | $2,124.23 |
| Detroit, MIMichigan | — | $2,349.23 |
| Rest of MichiganMichigan | — | $2,173.91 |
| MinnesotaMinnesota | — | $2,078.36 |
| Metropolitan Kansas City, MOMissouri | — | $2,160.63 |
| Metropolitan St. Louis, MOMissouri | — | $2,177.67 |
| Rest of MissouriMissouri | — | $2,093.70 |
| MississippiMississippi | — | $2,037.74 |
| MontanaMontana | — | $2,218.02 |
| North CarolinaNorth Carolina | — | $2,076.22 |
| North DakotaNorth Dakota | — | $2,079.21 |
| NebraskaNebraska | — | $2,006.42 |
| New HampshireNew Hampshire | — | $2,224.44 |
| Northern New JerseyNew Jersey | — | $2,442.85 |
| Rest of New JerseyNew Jersey | — | $2,365.32 |
| New MexicoNew Mexico | — | $2,194.23 |
| NevadaNevada | — | $2,180.19 |
| NYC suburbs and Long Island, NYNew York | — | $2,653.92 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,400.01 |
| Queens, NYNew York | — | $2,550.59 |
| Rest of New YorkNew York | — | $2,105.85 |
| OhioOhio | — | $2,145.54 |
| OklahomaOklahoma | — | $2,074.17 |
| Portland, OROregon | — | $2,271.91 |
| Rest of OregonOregon | — | $2,145.41 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,319.24 |
| Rest of PennsylvaniaPennsylvania | — | $2,135.07 |
| Puerto RicoPuerto Rico | — | $2,224.43 |
| Rhode IslandRhode Island | — | $2,242.90 |
| South CarolinaSouth Carolina | — | $2,117.95 |
| South DakotaSouth Dakota | — | $2,062.80 |
| TennesseeTennessee | — | $2,031.66 |
| Austin, TXTexas | — | $2,243.89 |
| Beaumont, TXTexas | — | $2,124.43 |
| Brazoria, TXTexas | — | $2,168.15 |
| Dallas, TXTexas | — | $2,191.87 |
| Fort Worth, TXTexas | — | $2,186.32 |
| Galveston, TXTexas | — | $2,181.13 |
| Houston, TXTexas | — | $2,309.62 |
| Rest of TexasTexas | — | $2,151.88 |
| VirginiaVirginia | — | $2,134.93 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,224.43 |
| VermontVermont | — | $2,094.06 |
| Rest of WashingtonWashington | — | $2,222.64 |
| King County, WAWashington | — | $2,427.01 |
| WisconsinWisconsin | — | $2,020.11 |
| West VirginiaWest Virginia | — | $2,206.88 |
| WyomingWyoming | — | $2,157.52 |
61580 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 61580 rate is calculated
Each of 61580’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 · 61580
RVUs × geographic indexes × conversion factor
Work33.65
33.65 RVUs× 1.000 GPCI
Practice expense25.75
25.75 RVUs× 1.000 GPCI
Malpractice7.02
7.02 RVUs× 1.000 GPCI
Adjusted RVUs
66.4200
Conversion factor
$33.4009
Medicare rate
$2,218.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,821
- Code
- 61580
- Physician work
- 33.65
- Practice expense
- 25.75
- Malpractice
- 7.02
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.65 | × 1.000 | 33.6500 |
| Practice expense | 25.75 | × 0.940 | 24.2050 |
| Malpractice | 7.02 | × 0.898 | 6.3040 |
| Total RVUs | 64.1590 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$2142.97
Facility: (33.65 × 1 + 25.75 × 0.94 + 7.02 × 0.898) × $33.4009 = $2142.97
Payment rules and modifiers for 61580
61580 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61580
Craniofacial approach, extradural anterior fossa
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 2 | 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 · 61580
Craniofacial approach, extradural anterior fossa
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 50 · payment effect
With and without the modifier
61580 without 50 · national facility
$2,218.49
Craniofacial approach, extradural anterior fossa
61580-50 · Bilateral: 150%
$3,327.73
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 61580 has changed in Utah
61580 · 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 | $2,142.97 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,142.97 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,142.97 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,142.97 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,332.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,332.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,332.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,332.98 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,399.61 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,399.61 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,399.61 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,399.61 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,360.44 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,417.95 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,417.95 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,417.95 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,417.95 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,438.89 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,438.89 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,438.89 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,438.89 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,436.47 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,436.47 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,436.47 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,436.47 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,459.67 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,459.67 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,459.67 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,459.67 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,502.95 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,502.95 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,502.95 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,502.95 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,498.47 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,498.47 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,498.47 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,498.47 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,532.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,532.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,532.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,532.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,576.92 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,576.92 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,576.92 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,576.92 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,580.66 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,580.66 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,567.82 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,567.82 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,487.89 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,487.89 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,487.89 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,487.89 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,447.10 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,447.10 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,447.10 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,447.10 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
61580 billing questions
How is 61580 distinguished from 61581?
61580 describes an extradural anterior craniofacial approach. Use the intradural code when the documented approach includes work within the dura.
Does this code describe removal of the lesion?
The code identifies the specified craniofacial approach. The operative report should separately establish the definitive work performed and support any additional reported service.
What documentation supports 61580?
Document the anterior cranial fossa exposure, extradural plane, craniotomy, facial bone osteotomies, frontal lobe elevation, and the structures or lesion reached.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeon payment requires supporting documentation; team surgery is 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
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