CPT code 61583: Craniofacial approach, middle fossa, intradural2026 Medicare rate & RVUs in Mississippi
Reports a craniofacial route into the middle cranial fossa with intradural access, including elevation of the temporal lobe when needed.
In Mississippi, Medicare pays $2,628.86 for 61583 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61583 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 61583 covers
This service provides a craniofacial route to the middle cranial fossa for intracranial work requiring intradural access. The operative exposure includes elevation of the temporal lobe when needed. Neurosurgeons commonly perform the intracranial portion with a craniofacial, otolaryngology, or reconstructive surgeon involved in the approach, depending on the case. It is generally performed in a hospital operating room for skull-base lesions or other pathology requiring this route.
Choose the code from the documented operative route and whether the work enters the dura, not from the lesion diagnosis alone. The operative report should describe the craniofacial exposure, middle-fossa access, and intradural work. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 Mississippi compares for 61583
Across 109 of 109 payment localities, the facility rate for 61583 runs from $2,511.55 in Arkansas to $3,755.94 in Miami, FL. Mississippi pays $2,628.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$2,628.86
- Los Angeles, CA · California$3,014.11+$385.25
- Washington, DC area · District of Columbia$3,255.13+$626.27
- Miami, FL · Florida$3,755.94+$1,127.08
- Chicago, IL · Illinois$3,602.96+$974.10
- Manhattan, NY · New York$3,491.99+$863.13
- Alaska · Alaska$3,395.17+$766.31
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,556.24 |
| ArkansasArkansas | — | $2,511.55 |
| ArizonaArizona | — | $2,813.81 |
| Bakersfield, CACalifornia | — | $2,857.68 |
| Chico, CACalifornia | — | $2,817.70 |
| El Centro, CACalifornia | — | $2,820.27 |
| Fresno, CACalifornia | — | $2,817.70 |
| Hanford, CACalifornia | — | $2,817.70 |
| Madera, CACalifornia | — | $2,817.70 |
| Merced, CACalifornia | — | $2,817.70 |
| Modesto, CACalifornia | — | $2,817.70 |
| Napa, CACalifornia | — | $3,117.71 |
| Oxnard, CACalifornia | — | $2,975.60 |
| Redding, CACalifornia | — | $2,817.70 |
| Rest of CaliforniaCalifornia | — | $2,817.70 |
| Riverside, CACalifornia | — | $2,981.69 |
| Sacramento, CACalifornia | — | $2,919.00 |
| Salinas, CACalifornia | — | $2,908.10 |
| San Diego, CACalifornia | — | $2,952.72 |
| Marin County, CACalifornia | — | $3,239.06 |
| San Francisco, CACalifornia | — | $3,221.61 |
| San Benito County, CACalifornia | — | $3,334.40 |
| Santa Clara County, CACalifornia | — | $3,263.05 |
| San Luis Obispo, CACalifornia | — | $2,867.42 |
| Santa Cruz, CACalifornia | — | $2,960.32 |
| Santa Maria, CACalifornia | — | $2,912.44 |
| Santa Rosa, CACalifornia | — | $2,986.64 |
| Stockton, CACalifornia | — | $2,817.70 |
| Vallejo, CACalifornia | — | $3,092.56 |
| Visalia, CACalifornia | — | $2,817.70 |
| Yuba City, CACalifornia | — | $2,817.70 |
| ColoradoColorado | — | $2,900.20 |
| ConnecticutConnecticut | — | $3,145.50 |
| DelawareDelaware | — | $2,864.12 |
| Fort Lauderdale, FLFlorida | — | $3,353.42 |
| Rest of FloridaFlorida | — | $3,130.93 |
| Atlanta, GAGeorgia | — | $3,049.03 |
| Rest of GeorgiaGeorgia | — | $2,897.26 |
| Hawaii, Guam, HIHawaii | — | $2,865.87 |
| IowaIowa | — | $2,515.73 |
| IdahoIdaho | — | $2,560.53 |
| East St. Louis, ILIllinois | — | $3,351.63 |
| Rest of IllinoisIllinois | — | $3,112.01 |
| Suburban Chicago, ILIllinois | — | $3,359.90 |
| IndianaIndiana | — | $2,575.29 |
| KansasKansas | — | $2,557.94 |
| KentuckyKentucky | — | $2,751.59 |
| New Orleans, LALouisiana | — | $2,925.18 |
| Rest of LouisianaLouisiana | — | $2,769.04 |
| Metropolitan Boston, MAMassachusetts | — | $3,142.85 |
| Rest of MassachusettsMassachusetts | — | $2,900.71 |
| Baltimore area, MDMaryland | — | $3,149.72 |
| Rest of MarylandMaryland | — | $2,907.90 |
| Rest of MaineMaine | — | $2,637.02 |
| Southern Maine, MEMaine | — | $2,723.74 |
| Detroit, MIMichigan | — | $3,235.28 |
| Rest of MichiganMichigan | — | $2,889.20 |
| MinnesotaMinnesota | — | $2,595.70 |
| Metropolitan Kansas City, MOMissouri | — | $2,841.24 |
| Metropolitan St. Louis, MOMissouri | — | $2,869.10 |
| Rest of MissouriMissouri | — | $2,750.66 |
| MontanaMontana | — | $2,922.55 |
| North CarolinaNorth Carolina | — | $2,660.78 |
| North DakotaNorth Dakota | — | $2,618.64 |
| NebraskaNebraska | — | $2,515.23 |
| New HampshireNew Hampshire | — | $2,906.82 |
| Northern New JerseyNew Jersey | — | $3,222.50 |
| Rest of New JerseyNew Jersey | — | $3,129.92 |
| New MexicoNew Mexico | — | $2,930.79 |
| NevadaNevada | — | $2,839.00 |
| NYC suburbs and Long Island, NYNew York | — | $3,662.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,197.67 |
| Queens, NYNew York | — | $3,441.19 |
| Rest of New YorkNew York | — | $2,713.29 |
| OhioOhio | — | $2,827.09 |
| OklahomaOklahoma | — | $2,685.37 |
| Portland, OROregon | — | $2,940.57 |
| Rest of OregonOregon | — | $2,766.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $3,092.64 |
| Rest of PennsylvaniaPennsylvania | — | $2,800.53 |
| Puerto RicoPuerto Rico | — | $2,928.60 |
| Rhode IslandRhode Island | — | $2,930.12 |
| South CarolinaSouth Carolina | — | $2,758.69 |
| South DakotaSouth Dakota | — | $2,582.70 |
| TennesseeTennessee | — | $2,580.66 |
| Austin, TXTexas | — | $2,934.63 |
| Beaumont, TXTexas | — | $2,783.06 |
| Brazoria, TXTexas | — | $2,810.26 |
| Dallas, TXTexas | — | $2,857.34 |
| Fort Worth, TXTexas | — | $2,852.45 |
| Galveston, TXTexas | — | $2,837.22 |
| Houston, TXTexas | — | $3,118.55 |
| Rest of TexasTexas | — | $2,814.81 |
| UtahUtah | — | $2,801.84 |
| VirginiaVirginia | — | $2,752.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,928.60 |
| VermontVermont | — | $2,658.41 |
| Rest of WashingtonWashington | — | $2,878.47 |
| King County, WAWashington | — | $3,154.82 |
| WisconsinWisconsin | — | $2,519.76 |
| West VirginiaWest Virginia | — | $2,993.36 |
| WyomingWyoming | — | $2,790.10 |
61583 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 61583 rate is calculated
Each of 61583’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 · 61583
RVUs × geographic indexes × conversion factor
Work37.54
37.54 RVUs× 1.000 GPCI
Practice expense34.62
34.62 RVUs× 1.000 GPCI
Malpractice15.37
15.37 RVUs× 1.000 GPCI
Adjusted RVUs
87.5300
Conversion factor
$33.4009
Medicare rate
$2,923.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,824
- Code
- 61583
- Physician work
- 37.54
- Practice expense
- 34.62
- Malpractice
- 15.37
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.54 | × 1.000 | 37.5400 |
| Practice expense | 34.62 | × 0.861 | 29.8078 |
| Malpractice | 15.37 | × 0.739 | 11.3584 |
| Total RVUs | 78.7062 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$2628.86
Facility: (37.54 × 1 + 34.62 × 0.861 + 15.37 × 0.739) × $33.4009 = $2628.86
Payment rules and modifiers for 61583
61583 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61583
Craniofacial approach, middle fossa, intradural
| 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 · 61583
Craniofacial approach, middle fossa, intradural
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
61583 without 51 · national facility
$2,923.58
Craniofacial approach, middle fossa, intradural
61583-51 · Second procedure: 50%
$1,461.79
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 61583 has changed in Mississippi
61583 · 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 | $2,628.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,628.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,628.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,628.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,595.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,595.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,595.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,595.89 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,656.96 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,656.96 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,656.96 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,656.96 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,613.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,677.38 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,677.38 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,677.38 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,677.38 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,670.14 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,670.14 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,670.14 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,670.14 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,681.07 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,681.07 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,681.07 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,681.07 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,614.61 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,614.61 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,614.61 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,614.61 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,557.29 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,557.29 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,557.29 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,557.29 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,532.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,532.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,532.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,532.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,611.58 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,611.58 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,611.58 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,611.58 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,674.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,674.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,674.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,674.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,696.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,696.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,682.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,682.58 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,678.90 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,678.90 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,678.90 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,678.90 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,681.76 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,681.76 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,681.76 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,681.76 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
61583 billing questions
How does 61583 differ from 61582?
Both describe a craniofacial route to the middle cranial fossa. Choose 61583 when the approach is intradural; 61582 describes the extradural approach.
How does 61583 differ from 61581?
61583 is for a middle cranial fossa approach, while 61581 is for an anterior cranial fossa approach. The operative site and route determine the distinction.
Does 61583 include removal of the lesion?
The code describes the craniofacial intradural approach and exposure. Report a definitive lesion procedure separately only when that distinct service is supported and separately reportable.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the described anatomy or service.
What documentation supports co-surgeon or team-surgery reporting?
Document each surgeon's distinct role and the work performed in the operative report. Co-surgeon payment requires supporting documentation; team surgery is permitted.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
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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