CPT code 61600: Skull base resection, anterior fossa, extradural2026 Medicare rate & RVUs in Mississippi
Reports operative removal of an extradural lesion at the anterior cranial fossa, such as a tumor or vascular lesion involving this skull-base region.
In Mississippi, Medicare pays $1,758.11 for 61600 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61600 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 61600 covers
This service covers surgical removal of a lesion located outside the dura at the anterior cranial fossa, the skull-base region behind the forehead and above the nasal cavity. Neurosurgeons and otolaryngologists with skull-base expertise may perform the resection in a hospital operating room. A lesion extending from the sinonasal region toward the cranial base is one clinical setting in which this work may be part of a larger operation.
Select the code when the operative report supports both the anterior fossa location and the extradural compartment; intradural work or a lesion in another cranial fossa points to a different code. Document the lesion’s site, compartment, extent of resection, and operative work. This major surgery code has a 90-day global period that includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 61600
Across 109 of 109 payment localities, the facility rate for 61600 runs from $1,708.11 in Arkansas to $2,353.05 in Alaska. Mississippi pays $1,758.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,758.11
- Los Angeles, CA · California$2,014.01+$255.90
- Washington, DC area · District of Columbia$2,120.44+$362.33
- Miami, FL · Florida$2,275.87+$517.76
- Chicago, IL · Illinois$2,206.04+$447.93
- Manhattan, NY · New York$2,221.22+$463.11
- Alaska · Alaska$2,353.05+$594.94
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,730.70 |
| ArkansasArkansas | — | $1,708.11 |
| ArizonaArizona | — | $1,861.31 |
| Bakersfield, CACalifornia | — | $1,917.88 |
| Chico, CACalifornia | — | $1,900.10 |
| El Centro, CACalifornia | — | $1,901.19 |
| Fresno, CACalifornia | — | $1,900.10 |
| Hanford, CACalifornia | — | $1,900.10 |
| Madera, CACalifornia | — | $1,900.10 |
| Merced, CACalifornia | — | $1,900.10 |
| Modesto, CACalifornia | — | $1,900.10 |
| Napa, CACalifornia | — | $2,099.00 |
| Oxnard, CACalifornia | — | $1,991.70 |
| Redding, CACalifornia | — | $1,900.10 |
| Rest of CaliforniaCalifornia | — | $1,900.10 |
| Riverside, CACalifornia | — | $1,969.80 |
| Sacramento, CACalifornia | — | $1,966.96 |
| Salinas, CACalifornia | — | $1,959.19 |
| San Diego, CACalifornia | — | $1,986.19 |
| Marin County, CACalifornia | — | $2,185.97 |
| San Francisco, CACalifornia | — | $2,178.60 |
| San Benito County, CACalifornia | — | $2,240.39 |
| Santa Clara County, CACalifornia | — | $2,210.25 |
| San Luis Obispo, CACalifornia | — | $1,931.10 |
| Santa Cruz, CACalifornia | — | $1,989.79 |
| Santa Maria, CACalifornia | — | $1,961.31 |
| Santa Rosa, CACalifornia | — | $2,007.95 |
| Stockton, CACalifornia | — | $1,900.10 |
| Vallejo, CACalifornia | — | $2,088.38 |
| Visalia, CACalifornia | — | $1,900.10 |
| Yuba City, CACalifornia | — | $1,900.10 |
| ColoradoColorado | — | $1,925.26 |
| ConnecticutConnecticut | — | $2,035.44 |
| DelawareDelaware | — | $1,889.22 |
| Fort Lauderdale, FLFlorida | — | $2,099.40 |
| Rest of FloridaFlorida | — | $1,992.20 |
| Atlanta, GAGeorgia | — | $1,972.91 |
| Rest of GeorgiaGeorgia | — | $1,878.65 |
| Hawaii, Guam, HIHawaii | — | $1,922.36 |
| IowaIowa | — | $1,722.89 |
| IdahoIdaho | — | $1,742.97 |
| East St. Louis, ILIllinois | — | $2,077.02 |
| Rest of IllinoisIllinois | — | $1,974.21 |
| Suburban Chicago, ILIllinois | — | $2,108.52 |
| IndianaIndiana | — | $1,750.84 |
| KansasKansas | — | $1,738.16 |
| KentuckyKentucky | — | $1,816.44 |
| New Orleans, LALouisiana | — | $1,901.83 |
| Rest of LouisianaLouisiana | — | $1,822.88 |
| Metropolitan Boston, MAMassachusetts | — | $2,070.93 |
| Rest of MassachusettsMassachusetts | — | $1,924.71 |
| Baltimore area, MDMaryland | — | $2,034.50 |
| Rest of MarylandMaryland | — | $1,915.52 |
| Rest of MaineMaine | — | $1,775.27 |
| Southern Maine, MEMaine | — | $1,828.40 |
| Detroit, MIMichigan | — | $2,038.35 |
| Rest of MichiganMichigan | — | $1,880.13 |
| MinnesotaMinnesota | — | $1,783.17 |
| Metropolitan Kansas City, MOMissouri | — | $1,865.92 |
| Metropolitan St. Louis, MOMissouri | — | $1,880.71 |
| Rest of MissouriMissouri | — | $1,809.77 |
| MontanaMontana | — | $1,914.44 |
| North CarolinaNorth Carolina | — | $1,788.33 |
| North DakotaNorth Dakota | — | $1,786.11 |
| NebraskaNebraska | — | $1,724.54 |
| New HampshireNew Hampshire | — | $1,917.33 |
| Northern New JerseyNew Jersey | — | $2,106.51 |
| Rest of New JerseyNew Jersey | — | $2,041.31 |
| New MexicoNew Mexico | — | $1,898.62 |
| NevadaNevada | — | $1,879.39 |
| NYC suburbs and Long Island, NYNew York | — | $2,299.42 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,072.85 |
| Queens, NYNew York | — | $2,204.42 |
| Rest of New YorkNew York | — | $1,814.45 |
| OhioOhio | — | $1,853.90 |
| OklahomaOklahoma | — | $1,789.41 |
| Portland, OROregon | — | $1,955.02 |
| Rest of OregonOregon | — | $1,847.61 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,003.85 |
| Rest of PennsylvaniaPennsylvania | — | $1,843.85 |
| Puerto RicoPuerto Rico | — | $1,919.55 |
| Rhode IslandRhode Island | — | $1,933.82 |
| South CarolinaSouth Carolina | — | $1,827.58 |
| South DakotaSouth Dakota | — | $1,770.94 |
| TennesseeTennessee | — | $1,748.92 |
| Austin, TXTexas | — | $1,933.92 |
| Beaumont, TXTexas | — | $1,834.61 |
| Brazoria, TXTexas | — | $1,868.52 |
| Dallas, TXTexas | — | $1,890.00 |
| Fort Worth, TXTexas | — | $1,885.61 |
| Galveston, TXTexas | — | $1,880.36 |
| Houston, TXTexas | — | $1,999.15 |
| Rest of TexasTexas | — | $1,857.09 |
| UtahUtah | — | $1,849.52 |
| VirginiaVirginia | — | $1,838.89 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,919.55 |
| VermontVermont | — | $1,800.58 |
| Rest of WashingtonWashington | — | $1,913.97 |
| King County, WAWashington | — | $2,087.69 |
| WisconsinWisconsin | — | $1,734.59 |
| West VirginiaWest Virginia | — | $1,913.88 |
| WyomingWyoming | — | $1,858.51 |
61600 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 61600 rate is calculated
Each of 61600’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 · 61600
RVUs × geographic indexes × conversion factor
Work29.26
29.26 RVUs× 1.000 GPCI
Practice expense21.58
21.58 RVUs× 1.000 GPCI
Malpractice6.49
6.49 RVUs× 1.000 GPCI
Adjusted RVUs
57.3300
Conversion factor
$33.4009
Medicare rate
$1,914.87
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
6,835
- Code
- 61600
- Physician work
- 29.26
- Practice expense
- 21.58
- Malpractice
- 6.49
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.26 | × 1.000 | 29.2600 |
| Practice expense | 21.58 | × 0.861 | 18.5804 |
| Malpractice | 6.49 | × 0.739 | 4.7961 |
| Total RVUs | 52.6365 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1758.11
Facility: (29.26 × 1 + 21.58 × 0.861 + 6.49 × 0.739) × $33.4009 = $1758.11
Payment rules and modifiers for 61600
61600 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61600
Skull base resection, anterior fossa, extradural
| 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 · 61600
Skull base resection, anterior fossa, extradural
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
61600 without 51 · national facility
$1,914.87
Skull base resection, anterior fossa, extradural
61600-51 · Second procedure: 50%
$957.44
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 61600 has changed in Mississippi
61600 · 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 | $1,758.11 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,758.11 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,758.11 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,758.11 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,878.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,878.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,878.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,878.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,942.16 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,942.16 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,942.16 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,942.16 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,910.46 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,967.59 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,967.59 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,967.59 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,967.59 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,983.09 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,983.09 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,983.09 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,983.09 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,990.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,990.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,990.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,990.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,977.54 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,977.54 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,977.54 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,977.54 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,951.19 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,951.19 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,951.19 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,951.19 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,936.03 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,936.03 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,936.03 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,936.03 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,964.46 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,964.46 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,964.46 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,964.46 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,007.00 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,007.00 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,007.00 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,007.00 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,004.91 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,004.91 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,994.94 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,994.94 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,011.63 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,011.63 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,011.63 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,011.63 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,001.17 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,001.17 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,001.17 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,001.17 | 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
61600 billing questions
How is 61600 distinguished from 61601?
Use 61600 for an extradural lesion at the anterior cranial fossa. Use 61601 when the anterior fossa lesion is intradural.
Does the operative approach determine the resection code?
The resection code follows the lesion’s location and relationship to the dura. The approach is a separate part of the operative service when separately reportable.
Can an assistant-at-surgery be reported?
CMS indicates that assistant-at-surgery payment may be made for this code. Co-surgeon payment requires supporting documentation.
Should modifier 50 be used for bilateral work?
No. The bilateral adjustment does not apply to 61600, and modifier 50 is inappropriate for this code.
What documentation supports reporting 61600?
The operative report should identify the anterior cranial fossa site, establish that the lesion was extradural, and describe the resection performed.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the session are paid at 50%.
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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