CPT code 61601: Skull base resection, anterior fossa, intradural2026 Medicare rate & RVUs in Virginia
Reports removal of an intradural lesion involving the anterior cranial fossa, including dural repair, during complex skull-base surgery.
In Virginia, Medicare pays $2,266.39 for 61601 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61601 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 61601 covers
Neurosurgeons use this operation to remove a neoplastic, vascular, or infectious lesion involving the anterior cranial fossa from within the dura; dural repair is part of the service. A typical case may involve an olfactory-groove meningioma or another lesion extending into the anterior skull base. The procedure is performed in a hospital operating room and may involve another surgical specialty participating in the approach.
Choose the code based on the lesion’s anterior cranial fossa location and intradural operative work, not simply its diagnosis. The operative report should establish the site, the lesion’s relationship to the dura, the resection performed, and dural repair. This major procedure has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. 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 Virginia compares for 61601
Across 109 of 109 payment localities, the facility rate for 61601 runs from $2,067.73 in Arkansas to $3,051.29 in Miami, FL. Virginia pays $2,266.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$2,266.39
- Los Angeles, CA · California$2,488.67+$222.28
- Washington, DC area · District of Columbia$2,676.13+$409.74
- Miami, FL · Florida$3,051.29+$784.90
- Chicago, IL · Illinois$2,929.44+$663.05
- Manhattan, NY · New York$2,859.27+$592.88
- Alaska · Alaska$2,792.51+$526.12
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,103.88 |
| ArkansasArkansas | — | $2,067.73 |
| ArizonaArizona | — | $2,312.44 |
| Bakersfield, CACalifornia | — | $2,358.51 |
| Chico, CACalifornia | — | $2,327.34 |
| El Centro, CACalifornia | — | $2,329.34 |
| Fresno, CACalifornia | — | $2,327.34 |
| Hanford, CACalifornia | — | $2,327.34 |
| Madera, CACalifornia | — | $2,327.34 |
| Merced, CACalifornia | — | $2,327.34 |
| Modesto, CACalifornia | — | $2,327.34 |
| Napa, CACalifornia | — | $2,582.00 |
| Oxnard, CACalifornia | — | $2,458.13 |
| Redding, CACalifornia | — | $2,327.34 |
| Rest of CaliforniaCalifornia | — | $2,327.34 |
| Riverside, CACalifornia | — | $2,454.89 |
| Sacramento, CACalifornia | — | $2,412.76 |
| Salinas, CACalifornia | — | $2,403.74 |
| San Diego, CACalifornia | — | $2,441.65 |
| Marin County, CACalifornia | — | $2,685.73 |
| San Francisco, CACalifornia | — | $2,672.16 |
| San Benito County, CACalifornia | — | $2,763.27 |
| Santa Clara County, CACalifornia | — | $2,707.79 |
| San Luis Obispo, CACalifornia | — | $2,369.80 |
| Santa Cruz, CACalifornia | — | $2,448.89 |
| Santa Maria, CACalifornia | — | $2,407.61 |
| Santa Rosa, CACalifornia | — | $2,470.85 |
| Stockton, CACalifornia | — | $2,327.34 |
| Vallejo, CACalifornia | — | $2,562.44 |
| Visalia, CACalifornia | — | $2,327.34 |
| Yuba City, CACalifornia | — | $2,327.34 |
| ColoradoColorado | — | $2,388.47 |
| ConnecticutConnecticut | — | $2,580.65 |
| DelawareDelaware | — | $2,353.43 |
| Fort Lauderdale, FLFlorida | — | $2,735.86 |
| Rest of FloridaFlorida | — | $2,557.85 |
| Atlanta, GAGeorgia | — | $2,499.59 |
| Rest of GeorgiaGeorgia | — | $2,370.53 |
| Hawaii, Guam, HIHawaii | — | $2,367.75 |
| IowaIowa | — | $2,075.92 |
| IdahoIdaho | — | $2,111.19 |
| East St. Louis, ILIllinois | — | $2,726.26 |
| Rest of IllinoisIllinois | — | $2,539.34 |
| Suburban Chicago, ILIllinois | — | $2,742.42 |
| IndianaIndiana | — | $2,123.29 |
| KansasKansas | — | $2,107.77 |
| KentuckyKentucky | — | $2,257.00 |
| New Orleans, LALouisiana | — | $2,396.55 |
| Rest of LouisianaLouisiana | — | $2,270.22 |
| Metropolitan Boston, MAMassachusetts | — | $2,589.74 |
| Rest of MassachusettsMassachusetts | — | $2,388.05 |
| Baltimore area, MDMaryland | — | $2,583.42 |
| Rest of MarylandMaryland | — | $2,389.78 |
| Rest of MaineMaine | — | $2,170.66 |
| Southern Maine, MEMaine | — | $2,244.35 |
| Detroit, MIMichigan | — | $2,639.78 |
| Rest of MichiganMichigan | — | $2,366.11 |
| MinnesotaMinnesota | — | $2,148.16 |
| Metropolitan Kansas City, MOMissouri | — | $2,331.12 |
| Metropolitan St. Louis, MOMissouri | — | $2,353.93 |
| Rest of MissouriMissouri | — | $2,253.89 |
| MississippiMississippi | — | $2,159.11 |
| MontanaMontana | — | $2,399.72 |
| North CarolinaNorth Carolina | — | $2,190.28 |
| North DakotaNorth Dakota | — | $2,163.43 |
| NebraskaNebraska | — | $2,076.23 |
| New HampshireNew Hampshire | — | $2,391.11 |
| Northern New JerseyNew Jersey | — | $2,649.52 |
| Rest of New JerseyNew Jersey | — | $2,570.64 |
| New MexicoNew Mexico | — | $2,398.80 |
| NevadaNevada | — | $2,334.85 |
| NYC suburbs and Long Island, NYNew York | — | $2,994.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,623.77 |
| Queens, NYNew York | — | $2,821.54 |
| Rest of New YorkNew York | — | $2,232.61 |
| OhioOhio | — | $2,317.82 |
| OklahomaOklahoma | — | $2,205.87 |
| Portland, OROregon | — | $2,424.16 |
| Rest of OregonOregon | — | $2,278.03 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,536.29 |
| Rest of PennsylvaniaPennsylvania | — | $2,297.61 |
| Puerto RicoPuerto Rico | — | $2,405.40 |
| Rhode IslandRhode Island | — | $2,409.26 |
| South CarolinaSouth Carolina | — | $2,265.61 |
| South DakotaSouth Dakota | — | $2,135.49 |
| TennesseeTennessee | — | $2,125.87 |
| Austin, TXTexas | — | $2,414.31 |
| Beaumont, TXTexas | — | $2,283.32 |
| Brazoria, TXTexas | — | $2,311.94 |
| Dallas, TXTexas | — | $2,349.02 |
| Fort Worth, TXTexas | — | $2,344.34 |
| Galveston, TXTexas | — | $2,333.07 |
| Houston, TXTexas | — | $2,551.80 |
| Rest of TexasTexas | — | $2,311.45 |
| UtahUtah | — | $2,300.57 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,405.40 |
| VermontVermont | — | $2,193.47 |
| Rest of WashingtonWashington | — | $2,370.64 |
| King County, WAWashington | — | $2,602.31 |
| WisconsinWisconsin | — | $2,082.85 |
| West VirginiaWest Virginia | — | $2,443.21 |
| WyomingWyoming | — | $2,296.75 |
61601 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 61601 rate is calculated
Each of 61601’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 · 61601
RVUs × geographic indexes × conversion factor
Work30.36
30.36 RVUs× 1.000 GPCI
Practice expense29.56
29.56 RVUs× 1.000 GPCI
Malpractice11.95
11.95 RVUs× 1.000 GPCI
Adjusted RVUs
71.8700
Conversion factor
$33.4009
Medicare rate
$2,400.52
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,836
- Code
- 61601
- Physician work
- 30.36
- Practice expense
- 29.56
- Malpractice
- 11.95
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.36 | × 1.000 | 30.3600 |
| Practice expense | 29.56 | × 0.983 | 29.0575 |
| Malpractice | 11.95 | × 0.706 | 8.4367 |
| Total RVUs | 67.8542 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$2266.39
Facility: (30.36 × 1 + 29.56 × 0.983 + 11.95 × 0.706) × $33.4009 = $2266.39
Payment rules and modifiers for 61601
61601 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61601
Skull base resection, anterior 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 · 61601
Skull base resection, anterior 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
61601 without 51 · national facility
$2,400.52
Skull base resection, anterior fossa, intradural
61601-51 · Second procedure: 50%
$1,200.26
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 61601 has changed in Virginia
61601 · 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 | $2,266.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,266.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,266.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,266.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,262.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,262.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,262.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,262.44 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,343.18 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,343.18 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,343.18 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,343.18 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,304.93 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,410.50 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,410.50 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,410.50 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,410.50 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,474.79 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,474.79 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,474.79 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,474.79 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,471.26 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,471.26 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,471.26 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,471.26 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,466.10 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,466.10 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,466.10 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,466.10 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,473.94 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,473.94 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,473.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,473.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,447.69 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,447.69 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,447.69 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,447.69 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,435.23 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,435.23 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,435.23 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,435.23 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,442.89 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,442.89 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,442.89 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,442.89 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,451.69 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,451.69 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,439.49 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,439.49 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,371.08 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,371.08 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,371.08 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,371.08 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,321.59 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,321.59 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,321.59 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,321.59 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
61601 billing questions
How is 61601 distinguished from 61600?
61601 is for intradural work involving the anterior cranial fossa and includes dural repair. 61600 describes the corresponding extradural approach.
Does the code include dural repair?
Yes. Dural repair is part of the service represented by 61601, so it is not separately described as an additional repair within this code.
How does 61601 differ from 61606?
Both describe intradural cranial fossa lesion surgery, but 61601 applies to the anterior cranial fossa and 61606 to the middle cranial fossa.
What documentation supports reporting 61601?
Document the anterior cranial fossa site, the lesion’s intradural involvement, the resection performed, and dural repair. The operative report should make the location and extent of the skull-base work clear.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is 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
Fee sheets · Coming soon
Put 61601 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist