CPT code 61596: Skull base approach, transcochlear posterior fossa2026 Medicare rate & RVUs in Mississippi
Reports transcochlear surgical access to the posterior cranial fossa, including the extensive ear and temporal-bone work needed for skull base lesion surgery.
In Mississippi, Medicare pays $1,954.76 for 61596 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61596 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 61596 covers
This approach reaches the posterior cranial fossa through the temporal bone and cochlear region. The exposure includes mastoid work, removal of petrous bone, and posterior transposition of the facial nerve. It is used by skull base teams, typically involving an otologist or neurotologist and a neurosurgeon, to access lesions near the clivus, petrous apex, or ventral brainstem. The route is selected when the required exposure calls for this specific transcochlear corridor rather than a transtemporal or transpetrosal route.
Report the approach based on the operative route and documented work, not just the lesion’s location. The approach includes its described exposure steps; document the facial nerve transposition and bony work performed. Report the definitive lesion procedure separately when supported by the applicable CPT instructions. CMS classifies this as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. For a bilateral procedure reported with modifier 50, CMS pays 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 Mississippi compares for 61596
Across 109 of 109 payment localities, the facility rate for 61596 runs from $1,911.62 in Arkansas to $2,687.75 in Alaska. Mississippi pays $1,954.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,954.76
- Los Angeles, CA · California$2,192.56+$237.80
- Washington, DC area · District of Columbia$2,290.14+$335.38
- Miami, FL · Florida$2,400.91+$446.15
- Chicago, IL · Illinois$2,343.86+$389.10
- Manhattan, NY · New York$2,381.55+$426.79
- Alaska · Alaska$2,687.75+$732.99
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,931.06 |
| ArkansasArkansas | — | $1,911.62 |
| ArizonaArizona | — | $2,043.45 |
| Bakersfield, CACalifornia | — | $2,100.20 |
| Chico, CACalifornia | — | $2,083.98 |
| El Centro, CACalifornia | — | $2,084.92 |
| Fresno, CACalifornia | — | $2,083.98 |
| Hanford, CACalifornia | — | $2,083.98 |
| Madera, CACalifornia | — | $2,083.98 |
| Merced, CACalifornia | — | $2,083.98 |
| Modesto, CACalifornia | — | $2,083.98 |
| Napa, CACalifornia | — | $2,275.13 |
| Oxnard, CACalifornia | — | $2,167.58 |
| Redding, CACalifornia | — | $2,083.98 |
| Rest of CaliforniaCalifornia | — | $2,083.98 |
| Riverside, CACalifornia | — | $2,144.56 |
| Sacramento, CACalifornia | — | $2,149.82 |
| Salinas, CACalifornia | — | $2,140.93 |
| San Diego, CACalifornia | — | $2,163.65 |
| Marin County, CACalifornia | — | $2,363.96 |
| San Francisco, CACalifornia | — | $2,357.60 |
| San Benito County, CACalifornia | — | $2,417.42 |
| Santa Clara County, CACalifornia | — | $2,391.42 |
| San Luis Obispo, CACalifornia | — | $2,110.58 |
| Santa Cruz, CACalifornia | — | $2,162.73 |
| Santa Maria, CACalifornia | — | $2,141.41 |
| Santa Rosa, CACalifornia | — | $2,182.33 |
| Stockton, CACalifornia | — | $2,083.98 |
| Vallejo, CACalifornia | — | $2,265.97 |
| Visalia, CACalifornia | — | $2,083.98 |
| Yuba City, CACalifornia | — | $2,083.98 |
| ColoradoColorado | — | $2,103.59 |
| ConnecticutConnecticut | — | $2,202.15 |
| DelawareDelaware | — | $2,069.67 |
| Fort Lauderdale, FLFlorida | — | $2,248.73 |
| Rest of FloridaFlorida | — | $2,156.43 |
| Atlanta, GAGeorgia | — | $2,140.91 |
| Rest of GeorgiaGeorgia | — | $2,058.67 |
| Hawaii, Guam, HIHawaii | — | $2,095.56 |
| IowaIowa | — | $1,924.19 |
| IdahoIdaho | — | $1,941.50 |
| East St. Louis, ILIllinois | — | $2,229.74 |
| Rest of IllinoisIllinois | — | $2,141.05 |
| Suburban Chicago, ILIllinois | — | $2,259.65 |
| IndianaIndiana | — | $1,948.26 |
| KansasKansas | — | $1,937.40 |
| KentuckyKentucky | — | $2,005.00 |
| New Orleans, LALouisiana | — | $2,078.50 |
| Rest of LouisianaLouisiana | — | $2,010.57 |
| Metropolitan Boston, MAMassachusetts | — | $2,241.63 |
| Rest of MassachusettsMassachusetts | — | $2,104.92 |
| Baltimore area, MDMaryland | — | $2,199.59 |
| Rest of MarylandMaryland | — | $2,094.48 |
| Rest of MaineMaine | — | $1,969.37 |
| Southern Maine, MEMaine | — | $2,014.97 |
| Detroit, MIMichigan | — | $2,196.22 |
| Rest of MichiganMichigan | — | $2,059.87 |
| MinnesotaMinnesota | — | $1,975.82 |
| Metropolitan Kansas City, MOMissouri | — | $2,047.52 |
| Metropolitan St. Louis, MOMissouri | — | $2,060.24 |
| Rest of MissouriMissouri | — | $1,999.33 |
| MontanaMontana | — | $2,089.19 |
| North CarolinaNorth Carolina | — | $1,980.59 |
| North DakotaNorth Dakota | — | $1,978.46 |
| NebraskaNebraska | — | $1,925.59 |
| New HampshireNew Hampshire | — | $2,091.54 |
| Northern New JerseyNew Jersey | — | $2,282.14 |
| Rest of New JerseyNew Jersey | — | $2,215.97 |
| New MexicoNew Mexico | — | $2,075.81 |
| NevadaNevada | — | $2,058.94 |
| NYC suburbs and Long Island, NYNew York | — | $2,448.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,245.38 |
| Queens, NYNew York | — | $2,366.99 |
| Rest of New YorkNew York | — | $2,003.08 |
| OhioOhio | — | $2,037.24 |
| OklahomaOklahoma | — | $1,981.66 |
| Portland, OROregon | — | $2,130.88 |
| Rest of OregonOregon | — | $2,031.53 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,174.13 |
| Rest of PennsylvaniaPennsylvania | — | $2,028.55 |
| Puerto RicoPuerto Rico | — | $2,093.56 |
| Rhode IslandRhode Island | — | $2,114.17 |
| South CarolinaSouth Carolina | — | $2,014.49 |
| South DakotaSouth Dakota | — | $1,965.36 |
| TennesseeTennessee | — | $1,946.67 |
| Austin, TXTexas | — | $2,106.68 |
| Beaumont, TXTexas | — | $2,020.61 |
| Brazoria, TXTexas | — | $2,053.11 |
| Dallas, TXTexas | — | $2,072.08 |
| Fort Worth, TXTexas | — | $2,068.33 |
| Galveston, TXTexas | — | $2,063.33 |
| Houston, TXTexas | — | $2,165.83 |
| Rest of TexasTexas | — | $2,039.87 |
| UtahUtah | — | $2,033.37 |
| VirginiaVirginia | — | $2,024.05 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,093.56 |
| VermontVermont | — | $1,990.97 |
| Rest of WashingtonWashington | — | $2,094.33 |
| King County, WAWashington | — | $2,259.95 |
| WisconsinWisconsin | — | $1,934.14 |
| West VirginiaWest Virginia | — | $2,089.14 |
| WyomingWyoming | — | $2,040.93 |
61596 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 61596 rate is calculated
Each of 61596’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 · 61596
RVUs × geographic indexes × conversion factor
Work38.44
38.44 RVUs× 1.000 GPCI
Practice expense18.52
18.52 RVUs× 1.000 GPCI
Malpractice5.60
5.60 RVUs× 1.000 GPCI
Adjusted RVUs
62.5600
Conversion factor
$33.4009
Medicare rate
$2,089.56
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
6,832
- Code
- 61596
- Physician work
- 38.44
- Practice expense
- 18.52
- Malpractice
- 5.60
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.44 | × 1.000 | 38.4400 |
| Practice expense | 18.52 | × 0.861 | 15.9457 |
| Malpractice | 5.60 | × 0.739 | 4.1384 |
| Total RVUs | 58.5241 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1954.76
Facility: (38.44 × 1 + 18.52 × 0.861 + 5.6 × 0.739) × $33.4009 = $1954.76
Payment rules and modifiers for 61596
61596 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61596
Skull base approach, transcochlear posterior 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) | 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 · 61596
Skull base approach, transcochlear posterior 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
61596 without 50 · national facility
$2,089.56
Skull base approach, transcochlear posterior fossa
61596-50 · Bilateral: 150%
$3,134.34
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 61596 has changed in Mississippi
61596 · 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 | $1,954.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,954.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,954.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,954.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,184.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,184.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,184.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,184.02 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,251.36 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,251.36 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,251.36 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,251.36 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,214.62 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,279.63 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,279.63 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,279.63 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,279.63 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,294.76 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,294.76 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,294.76 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,294.76 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,285.53 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,285.53 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,285.53 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,285.53 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,305.02 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,305.02 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,305.02 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,305.02 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,280.48 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,280.48 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,280.48 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,280.48 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,257.76 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,257.76 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,257.76 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,257.76 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,299.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,299.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,299.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,299.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,326.70 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,326.70 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,326.70 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,326.70 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,337.01 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,337.01 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,325.39 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,325.39 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,351.52 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,351.52 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,351.52 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,351.52 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,319.92 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,319.92 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,319.92 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,319.92 | 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
61596 billing questions
How is this approach different from 61595?
61596 describes a transcochlear route with petrous bone removal and posterior facial nerve transposition. 61595 describes a transtemporal route; select the code matching the operative corridor and documented approach.
Does 61596 include the lesion removal?
The code describes the transcochlear approach and its exposure work. Report the definitive lesion procedure separately when the applicable CPT instructions support separate reporting.
Which parts of the exposure are included?
The approach includes the associated mastoid work, petrous apicectomy, and posterior transposition of the facial nerve described for this route. Do not separately report those steps as though they were independent procedures.
What documentation supports 61596?
The operative report should identify the transcochlear route and describe the mastoid and petrous bone work and facial nerve transposition. The documented approach, not simply the diagnosis or lesion site, supports code selection.
Can modifier 50 be used?
CMS lists this as a bilateral procedure; when the procedure is bilateral and reported with modifier 50, payment is at 150%. The operative documentation must support bilateral performance.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment. Co-surgeons are paid only when supporting documentation is provided; team surgery is also 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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