CPT code 61797: Cranial radiosurgery, each additional simple lesion2026 Medicare rate & RVUs in Utah
Reports treatment of each additional simple cranial target during stereotactic radiosurgery, alongside the primary code for a simple lesion.
In Utah, Medicare pays $192.87 for 61797 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61797 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 61797 covers
Code 61797 represents stereotactic radiosurgery directed at an additional simple intracranial lesion during a treatment session. SRS delivers focused radiation to a cranial target without open surgical removal; clinical targets may include brain metastases or other intracranial lesions selected for radiosurgical treatment. Neurosurgeons and radiation oncologists commonly participate in planning and treatment, often in a hospital or specialized radiosurgery setting.
Report 61797 for each additional simple lesion treated, with 61796 as the primary procedure for the simple-lesion treatment. The record should identify the lesions treated, support their classification as simple, and document the radiosurgery plan and delivered treatment. This is an add-on code: it is not billed alone, and Medicare payment falls within the primary procedure’s global period.
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 Utah compares for 61797
Across 109 of 109 payment localities, the facility rate for 61797 runs from $165.59 in Wisconsin to $274.21 in Miami, FL. Utah pays $192.87. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$192.87
- Los Angeles, CA · California$195.99+$3.12
- Washington, DC area · District of Columbia$218.56+$25.69
- Miami, FL · Florida$274.21+$81.34
- Chicago, IL · Illinois$262.48+$69.61
- Manhattan, NY · New York$241.50+$48.63
- Alaska · Alaska$237.95+$45.08
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $174.56 |
| ArkansasArkansas | — | $171.51 |
| ArizonaArizona | — | $192.02 |
| Bakersfield, CACalifornia | — | $187.46 |
| Chico, CACalifornia | — | $183.77 |
| El Centro, CACalifornia | — | $184.01 |
| Fresno, CACalifornia | — | $183.77 |
| Hanford, CACalifornia | — | $183.77 |
| Madera, CACalifornia | — | $183.77 |
| Merced, CACalifornia | — | $183.77 |
| Modesto, CACalifornia | — | $183.77 |
| Napa, CACalifornia | — | $196.40 |
| Oxnard, CACalifornia | — | $192.53 |
| Redding, CACalifornia | — | $183.77 |
| Rest of CaliforniaCalifornia | — | $183.77 |
| Riverside, CACalifornia | — | $198.92 |
| Sacramento, CACalifornia | — | $188.56 |
| Salinas, CACalifornia | — | $187.84 |
| San Diego, CACalifornia | — | $189.47 |
| Marin County, CACalifornia | — | $201.33 |
| San Francisco, CACalifornia | — | $199.72 |
| San Benito County, CACalifornia | — | $207.94 |
| Santa Clara County, CACalifornia | — | $201.35 |
| San Luis Obispo, CACalifornia | — | $185.47 |
| Santa Cruz, CACalifornia | — | $188.92 |
| Santa Maria, CACalifornia | — | $187.78 |
| Santa Rosa, CACalifornia | — | $190.45 |
| Stockton, CACalifornia | — | $183.77 |
| Vallejo, CACalifornia | — | $194.08 |
| Visalia, CACalifornia | — | $183.77 |
| Yuba City, CACalifornia | — | $183.77 |
| ColoradoColorado | — | $193.57 |
| ConnecticutConnecticut | — | $215.33 |
| DelawareDelaware | — | $195.37 |
| Fort Lauderdale, FLFlorida | — | $238.91 |
| Rest of FloridaFlorida | — | $222.19 |
| Atlanta, GAGeorgia | — | $210.57 |
| Rest of GeorgiaGeorgia | — | $204.92 |
| Hawaii, Guam, HIHawaii | — | $185.50 |
| IowaIowa | — | $168.12 |
| IdahoIdaho | — | $171.92 |
| East St. Louis, ILIllinois | — | $245.01 |
| Rest of IllinoisIllinois | — | $223.35 |
| Suburban Chicago, ILIllinois | — | $238.54 |
| IndianaIndiana | — | $172.82 |
| KansasKansas | — | $172.76 |
| KentuckyKentucky | — | $191.67 |
| New Orleans, LALouisiana | — | $204.20 |
| Rest of LouisianaLouisiana | — | $193.55 |
| Metropolitan Boston, MAMassachusetts | — | $207.14 |
| Rest of MassachusettsMassachusetts | — | $194.34 |
| Baltimore area, MDMaryland | — | $216.00 |
| Rest of MarylandMaryland | — | $197.79 |
| Rest of MaineMaine | — | $178.99 |
| Southern Maine, MEMaine | — | $182.22 |
| Detroit, MIMichigan | — | $231.23 |
| Rest of MichiganMichigan | — | $202.76 |
| MinnesotaMinnesota | — | $167.82 |
| Metropolitan Kansas City, MOMissouri | — | $196.58 |
| Metropolitan St. Louis, MOMissouri | — | $198.27 |
| Rest of MissouriMissouri | — | $193.40 |
| MississippiMississippi | — | $182.21 |
| MontanaMontana | — | $199.98 |
| North CarolinaNorth Carolina | — | $180.31 |
| North DakotaNorth Dakota | — | $171.90 |
| NebraskaNebraska | — | $167.54 |
| New HampshireNew Hampshire | — | $195.76 |
| Northern New JerseyNew Jersey | — | $216.74 |
| Rest of New JerseyNew Jersey | — | $212.83 |
| New MexicoNew Mexico | — | $206.33 |
| NevadaNevada | — | $192.19 |
| NYC suburbs and Long Island, NYNew York | — | $255.41 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $218.87 |
| Queens, NYNew York | — | $235.45 |
| Rest of New YorkNew York | — | $184.01 |
| OhioOhio | — | $197.02 |
| OklahomaOklahoma | — | $185.28 |
| Portland, OROregon | — | $194.12 |
| Rest of OregonOregon | — | $185.83 |
| Metropolitan Philadelphia, PAPennsylvania | — | $212.88 |
| Rest of PennsylvaniaPennsylvania | — | $194.23 |
| Puerto RicoPuerto Rico | — | $199.79 |
| Rhode IslandRhode Island | — | $198.40 |
| South CarolinaSouth Carolina | — | $189.96 |
| South DakotaSouth Dakota | — | $168.58 |
| TennesseeTennessee | — | $174.53 |
| Austin, TXTexas | — | $197.18 |
| Beaumont, TXTexas | — | $193.16 |
| Brazoria, TXTexas | — | $190.19 |
| Dallas, TXTexas | — | $194.20 |
| Fort Worth, TXTexas | — | $194.42 |
| Galveston, TXTexas | — | $192.54 |
| Houston, TXTexas | — | $218.53 |
| Rest of TexasTexas | — | $193.46 |
| VirginiaVirginia | — | $185.46 |
| Virgin Islands, VIUnited States Virgin Islands | — | $199.79 |
| VermontVermont | — | $176.25 |
| Rest of WashingtonWashington | — | $192.30 |
| King County, WAWashington | — | $206.00 |
| WisconsinWisconsin | — | $165.59 |
| West VirginiaWest Virginia | — | $215.35 |
| WyomingWyoming | — | $187.74 |
61797 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 61797 rate is calculated
Each of 61797’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 · 61797
RVUs × geographic indexes × conversion factor
Work3.39
3.39 RVUs× 1.000 GPCI
Practice expense1.18
1.18 RVUs× 1.000 GPCI
Malpractice1.42
1.42 RVUs× 1.000 GPCI
Adjusted RVUs
5.9900
Conversion factor
$33.4009
Medicare rate
$200.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,890
- Code
- 61797
- Physician work
- 3.39
- Practice expense
- 1.18
- Malpractice
- 1.42
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.39 | × 1.000 | 3.3900 |
| Practice expense | 1.18 | × 0.940 | 1.1092 |
| Malpractice | 1.42 | × 0.898 | 1.2752 |
| Total RVUs | 5.7744 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$192.87
Facility: (3.39 × 1 + 1.18 × 0.94 + 1.42 × 0.898) × $33.4009 = $192.87
Payment rules and modifiers for 61797
The CMS indicators that decide how 61797 is paid alongside other services.
CMS payment indicators · 61797
Cranial radiosurgery, each additional simple lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
61797 without 80 · national facility
$200.07
Cranial radiosurgery, each additional simple lesion
61797-80 · Assistant: 16%
$32.01
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 61797 has changed in Utah
61797 · 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 | $192.87 | RVU26D |
| 2026-07-01 | Not available in this setting | $192.87 | RVU26C |
| 2026-04-01 | Not available in this setting | $192.87 | RVU26B |
| 2026-01-01 | Not available in this setting | $192.87 | RVU26A |
| 2025-10-01 | Not available in this setting | $206.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $206.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $206.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $206.89 | RVU25A |
| 2024-10-01 | Not available in this setting | $212.59 | RVU24D |
| 2024-07-01 | Not available in this setting | $212.59 | RVU24C |
| 2024-04-01 | Not available in this setting | $212.59 | RVU24B |
| 2024-03-09 | Not available in this setting | $212.59 | RVU24AR |
| 2024-01-01 | Not available in this setting | $209.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $211.08 | RVU23D |
| 2023-07-01 | Not available in this setting | $211.08 | RVU23C |
| 2023-04-01 | Not available in this setting | $211.08 | RVU23B |
| 2023-01-01 | Not available in this setting | $211.08 | RVU23A |
| 2022-10-01 | Not available in this setting | $210.00 | RVU22D |
| 2022-07-01 | Not available in this setting | $210.00 | RVU22C |
| 2022-04-01 | Not available in this setting | $210.00 | RVU22B |
| 2022-01-01 | Not available in this setting | $210.00 | RVU22A |
| 2021-10-01 | Not available in this setting | $211.26 | RVU21D |
| 2021-07-01 | Not available in this setting | $211.26 | RVU21C |
| 2021-04-01 | Not available in this setting | $211.26 | RVU21B |
| 2021-01-01 | Not available in this setting | $211.26 | RVU21A |
| 2020-10-01 | Not available in this setting | $223.90 | RVU20D |
| 2020-07-01 | Not available in this setting | $223.90 | RVU20C |
| 2020-04-01 | Not available in this setting | $223.90 | RVU20B |
| 2020-01-01 | Not available in this setting | $223.90 | RVU20A |
| 2019-10-01 | Not available in this setting | $237.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $237.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $237.73 | RVU19B |
| 2019-01-01 | Not available in this setting | $237.73 | RVU19A |
| 2018-10-01 | Not available in this setting | $239.07 | RVU18D |
| 2018-07-01 | Not available in this setting | $239.07 | RVU18C |
| 2018-04-01 | Not available in this setting | $239.07 | RVU18B |
| 2018-01-01 | Not available in this setting | $239.07 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $238.23 | RVU17D |
| 2017-07-01 | Not available in this setting | $238.23 | RVU17C |
| 2017-04-01 | Not available in this setting | $238.23 | RVU17B |
| 2017-01-01 | Not available in this setting | $238.23 | RVU17A |
| 2016-10-01 | Not available in this setting | $238.35 | RVU16D |
| 2016-07-01 | Not available in this setting | $238.35 | RVU16C |
| 2016-04-01 | Not available in this setting | $238.35 | RVU16B |
| 2016-01-01 | Not available in this setting | $238.35 | RVU16A |
| 2015-10-01 | Not available in this setting | $241.64 | RVU15D |
| 2015-07-01 | Not available in this setting | $241.64 | RVU15C |
| 2015-04-01 | Not available in this setting | $240.44 | RVU15B |
| 2015-01-01 | Not available in this setting | $240.44 | RVU15A |
| 2014-10-01 | Not available in this setting | $224.15 | RVU14D |
| 2014-07-01 | Not available in this setting | $224.15 | RVU14C |
| 2014-04-01 | Not available in this setting | $224.15 | RVU14B |
| 2014-01-01 | Not available in this setting | $224.15 | RVU14A |
| 2013-10-01 | Not available in this setting | $217.05 | RVU13D |
| 2013-07-01 | Not available in this setting | $217.05 | RVU13C |
| 2013-04-01 | Not available in this setting | $217.05 | RVU13B |
| 2013-01-01 | Not available in this setting | $217.05 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
61797 billing questions
When is 61797 reported instead of 61796?
Use 61796 for the primary simple-lesion radiosurgery procedure. Report 61797 for each additional simple lesion treated in that session.
Can 61797 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure, 61796 for simple-lesion treatment.
How many units should be reported?
Report one unit for each additional simple lesion treated. The record should identify each target and show that radiosurgery was delivered to it.
How does 61797 differ from 61799?
Both represent additional cranial lesions, but 61797 is for lesions classified as simple and 61799 for those classified as complex.
What documentation supports the additional-lesion code?
Document the number and identity of lesions, their simple classification, the treatment plan, and delivery of radiosurgery to each additional target.
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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