CPT code 61585: Orbitocranial approach, intradural, anterior cranial fossa2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $3,260.59 for 61585 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 61585 nationwide

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

What 61585 covers

This code describes an operative route to the anterior cranial fossa that combines orbital and cranial access and enters the dura. Neurosurgeons and craniofacial teams may use this approach for lesions involving the anterior skull base and orbit, such as selected meningiomas. The operative approach is distinct from the definitive work on the lesion; the operative report should make the route and intradural access clear.

Report the code when the documented operation supports this intradural orbitocranial approach, rather than an extradural variant or a different skull-base route. It has a 90-day global period, including 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%. Modifier 50 identifies bilateral surgery and is paid at 150%. 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 Puerto Rico compares for 61585

Across 109 of 109 payment localities, the facility rate for 61585 runs from $2,790.45 in Arkansas to $4,202.63 in Miami, FL. Puerto Rico pays $3,260.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

61585 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 61585 in every payment locality

How the 61585 rate is calculated

Each of 61585’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.

Payment rules and modifiers for 61585

61585 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 61585

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 61585 has changed in Puerto Rico

Price 61585 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates