CPT code 61582: Craniofacial approach, skull base surgery2026 Medicare rate & RVUs in New Mexico
Reports a craniofacial route to the skull base when surgery requires combined facial and cranial exposure for an anterior cranial fossa lesion.
In New Mexico, Medicare pays $3,045.44 for 61582 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61582 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 61582 covers
This code represents a craniofacial approach to the skull base, combining facial and cranial exposure to reach a lesion involving the anterior cranial fossa. A neurosurgeon may work with an otolaryngologist or a facial plastic surgeon when a tumor, such as an anterior skull base malignancy, requires access from both sides of the skull base. The service is generally performed in a hospital operating room and involves substantially more than a routine craniotomy or an isolated sinonasal tumor removal.
Report 61582 when the operative report supports the specific approach and work described by this code; use the complete code descriptor to distinguish it from related craniofacial approach codes. Documentation should identify the lesion, route of access, intracranial work, and surgeons’ roles. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and 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 New Mexico compares for 61582
Across 109 of 109 payment localities, the facility rate for 61582 runs from $2,649.51 in Arkansas to $3,829.27 in Miami, FL. New Mexico pays $3,045.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$3,045.44
- Los Angeles, CA · California$3,243.72+$198.28
- Washington, DC area · District of Columbia$3,454.09+$408.65
- Miami, FL · Florida$3,829.27+$783.83
- Chicago, IL · Illinois$3,678.20+$632.76
- Manhattan, NY · New York$3,655.59+$610.15
- Alaska · Alaska$3,543.09+$497.65
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,696.26 |
| ArkansasArkansas | — | $2,649.51 |
| ArizonaArizona | — | $2,966.56 |
| Bakersfield, CACalifornia | — | $3,064.81 |
| Chico, CACalifornia | — | $3,029.53 |
| El Centro, CACalifornia | — | $3,031.79 |
| Fresno, CACalifornia | — | $3,029.53 |
| Hanford, CACalifornia | — | $3,029.53 |
| Madera, CACalifornia | — | $3,029.53 |
| Merced, CACalifornia | — | $3,029.53 |
| Modesto, CACalifornia | — | $3,029.53 |
| Napa, CACalifornia | — | $3,398.37 |
| Oxnard, CACalifornia | — | $3,208.83 |
| Redding, CACalifornia | — | $3,029.53 |
| Rest of CaliforniaCalifornia | — | $3,029.53 |
| Riverside, CACalifornia | — | $3,173.93 |
| Sacramento, CACalifornia | — | $3,150.52 |
| Salinas, CACalifornia | — | $3,138.88 |
| San Diego, CACalifornia | — | $3,195.25 |
| Marin County, CACalifornia | — | $3,549.13 |
| San Francisco, CACalifornia | — | $3,533.76 |
| San Benito County, CACalifornia | — | $3,648.49 |
| Santa Clara County, CACalifornia | — | $3,585.68 |
| San Luis Obispo, CACalifornia | — | $3,093.23 |
| Santa Cruz, CACalifornia | — | $3,210.39 |
| Santa Maria, CACalifornia | — | $3,145.81 |
| Santa Rosa, CACalifornia | — | $3,239.94 |
| Stockton, CACalifornia | — | $3,029.53 |
| Vallejo, CACalifornia | — | $3,376.23 |
| Visalia, CACalifornia | — | $3,029.53 |
| Yuba City, CACalifornia | — | $3,029.53 |
| ColoradoColorado | — | $3,087.13 |
| ConnecticutConnecticut | — | $3,309.41 |
| DelawareDelaware | — | $3,019.86 |
| Fort Lauderdale, FLFlorida | — | $3,461.96 |
| Rest of FloridaFlorida | — | $3,239.69 |
| Atlanta, GAGeorgia | — | $3,195.53 |
| Rest of GeorgiaGeorgia | — | $3,004.34 |
| Hawaii, Guam, HIHawaii | — | $3,090.25 |
| IowaIowa | — | $2,679.14 |
| IdahoIdaho | — | $2,720.89 |
| East St. Louis, ILIllinois | — | $3,417.29 |
| Rest of IllinoisIllinois | — | $3,203.11 |
| Suburban Chicago, ILIllinois | — | $3,474.44 |
| IndianaIndiana | — | $2,737.14 |
| KansasKansas | — | $2,711.20 |
| KentuckyKentucky | — | $2,874.72 |
| New Orleans, LALouisiana | — | $3,051.62 |
| Rest of LouisianaLouisiana | — | $2,888.23 |
| Metropolitan Boston, MAMassachusetts | — | $3,362.14 |
| Rest of MassachusettsMassachusetts | — | $3,082.64 |
| Baltimore area, MDMaryland | — | $3,311.11 |
| Rest of MarylandMaryland | — | $3,069.72 |
| Rest of MaineMaine | — | $2,788.23 |
| Southern Maine, MEMaine | — | $2,897.47 |
| Detroit, MIMichigan | — | $3,335.73 |
| Rest of MichiganMichigan | — | $3,006.98 |
| MinnesotaMinnesota | — | $2,802.37 |
| Metropolitan Kansas City, MOMissouri | — | $2,976.80 |
| Metropolitan St. Louis, MOMissouri | — | $3,007.36 |
| Rest of MissouriMissouri | — | $2,861.39 |
| MississippiMississippi | — | $2,753.70 |
| MontanaMontana | — | $3,076.66 |
| North CarolinaNorth Carolina | — | $2,815.17 |
| North DakotaNorth Dakota | — | $2,809.12 |
| NebraskaNebraska | — | $2,682.41 |
| New HampshireNew Hampshire | — | $3,081.80 |
| Northern New JerseyNew Jersey | — | $3,417.39 |
| Rest of New JerseyNew Jersey | — | $3,303.45 |
| NevadaNevada | — | $3,003.57 |
| NYC suburbs and Long Island, NYNew York | — | $3,818.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,364.68 |
| Queens, NYNew York | — | $3,620.14 |
| Rest of New YorkNew York | — | $2,869.27 |
| OhioOhio | — | $2,952.30 |
| OklahomaOklahoma | — | $2,818.28 |
| Portland, OROregon | — | $3,144.61 |
| Rest of OregonOregon | — | $2,937.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $3,246.11 |
| Rest of PennsylvaniaPennsylvania | — | $2,931.23 |
| Puerto RicoPuerto Rico | — | $3,087.07 |
| Rhode IslandRhode Island | — | $3,099.38 |
| South CarolinaSouth Carolina | — | $2,897.19 |
| South DakotaSouth Dakota | — | $2,777.49 |
| TennesseeTennessee | — | $2,733.52 |
| Austin, TXTexas | — | $3,114.25 |
| Beaumont, TXTexas | — | $2,912.15 |
| Brazoria, TXTexas | — | $2,973.96 |
| Dallas, TXTexas | — | $3,017.76 |
| Fort Worth, TXTexas | — | $3,008.82 |
| Galveston, TXTexas | — | $2,998.61 |
| Houston, TXTexas | — | $3,246.26 |
| Rest of TexasTexas | — | $2,958.18 |
| UtahUtah | — | $2,942.58 |
| VirginiaVirginia | — | $2,919.51 |
| Virgin Islands, VIUnited States Virgin Islands | — | $3,087.07 |
| VermontVermont | — | $2,839.50 |
| Rest of WashingtonWashington | — | $3,062.94 |
| King County, WAWashington | — | $3,388.34 |
| WisconsinWisconsin | — | $2,702.62 |
| West VirginiaWest Virginia | — | $3,078.28 |
| WyomingWyoming | — | $2,960.06 |
61582 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 61582 rate is calculated
Each of 61582’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 · 61582
RVUs × geographic indexes × conversion factor
Work34.26
34.26 RVUs× 1.000 GPCI
Practice expense44.35
44.35 RVUs× 1.000 GPCI
Malpractice13.53
13.53 RVUs× 1.000 GPCI
Adjusted RVUs
92.1400
Conversion factor
$33.4009
Medicare rate
$3,077.56
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
6,823
- Code
- 61582
- Physician work
- 34.26
- Practice expense
- 44.35
- Malpractice
- 13.53
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.26 | × 1.000 | 34.2600 |
| Practice expense | 44.35 | × 0.917 | 40.6690 |
| Malpractice | 13.53 | × 1.201 | 16.2495 |
| Total RVUs | 91.1785 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$3045.44
Facility: (34.26 × 1 + 44.35 × 0.917 + 13.53 × 1.201) × $33.4009 = $3045.44
Payment rules and modifiers for 61582
61582 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61582
Craniofacial approach, skull base surgery
| 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) | 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 · 61582
Craniofacial approach, skull base surgery
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
61582 without 51 · national facility
$3,077.56
Craniofacial approach, skull base surgery
61582-51 · Second procedure: 50%
$1,538.78
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 61582 has changed in New Mexico
61582 · 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 | $3,045.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $3,045.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $3,045.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $3,045.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,925.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,925.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,925.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,925.02 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,970.05 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,970.05 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,970.05 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,970.05 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,921.57 | RVU24A |
| 2023-10-01 | Not available in this setting | $3,156.27 | RVU23D |
| 2023-07-01 | Not available in this setting | $3,156.27 | RVU23C |
| 2023-04-01 | Not available in this setting | $3,156.27 | RVU23B |
| 2023-01-01 | Not available in this setting | $3,156.27 | RVU23A |
| 2022-10-01 | Not available in this setting | $3,042.45 | RVU22D |
| 2022-07-01 | Not available in this setting | $3,042.45 | RVU22C |
| 2022-04-01 | Not available in this setting | $3,042.45 | RVU22B |
| 2022-01-01 | Not available in this setting | $3,042.45 | RVU22A |
| 2021-10-01 | Not available in this setting | $3,050.41 | RVU21D |
| 2021-07-01 | Not available in this setting | $3,050.41 | RVU21C |
| 2021-04-01 | Not available in this setting | $3,050.41 | RVU21B |
| 2021-01-01 | Not available in this setting | $3,050.41 | RVU21A |
| 2020-10-01 | Not available in this setting | $3,165.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $3,165.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $3,165.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $3,165.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,230.51 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,230.51 | RVU19C |
| 2019-04-01 | Not available in this setting | $3,207.14 | RVU19B |
| 2019-01-01 | Not available in this setting | $3,207.14 | RVU19A |
| 2018-10-01 | Not available in this setting | $3,176.05 | RVU18D |
| 2018-07-01 | Not available in this setting | $3,176.05 | RVU18C |
| 2018-04-01 | Not available in this setting | $3,176.05 | RVU18B |
| 2018-01-01 | Not available in this setting | $3,176.05 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $3,139.74 | RVU17D |
| 2017-07-01 | Not available in this setting | $3,139.74 | RVU17C |
| 2017-04-01 | Not available in this setting | $3,139.74 | RVU17B |
| 2017-01-01 | Not available in this setting | $3,139.74 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,998.47 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,998.47 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,998.47 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,998.47 | RVU16A |
| 2015-10-01 | Not available in this setting | $3,163.36 | RVU15D |
| 2015-07-01 | Not available in this setting | $3,163.36 | RVU15C |
| 2015-04-01 | Not available in this setting | $3,147.62 | RVU15B |
| 2015-01-01 | Not available in this setting | $3,147.62 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,937.18 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,937.18 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,937.18 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,937.18 | RVU14A |
| 2013-10-01 | Not available in this setting | $3,000.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $3,000.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $3,000.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $3,000.21 | RVU13AR |
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
61582 billing questions
When should 61582 be chosen over another craniofacial approach code?
Choose it when the documented approach and operative work match 61582’s full descriptor. Compare the complete descriptors for 61580, 61581, and 61583 rather than relying on their abbreviated labels.
Can the cranial and facial portions be reported separately?
61582 represents a craniofacial approach, so the operative report should support the combined route and work. Do not treat its component exposures as separate services solely because different surgeons performed them.
Is modifier 50 appropriate when the approach is bilateral?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is permitted.
What postoperative care is included in the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
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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