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Billing code 61702: Aneurysm surgeryMedicare rate & RVUs

Reports complex open surgery for an intracranial aneurysm, typically performed by a neurosurgeon when the operative work exceeds a simple aneurysm repair.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $3,818.39 for 61702 nationally in a facility.

Medicare rate · 61702

Aneurysm surgery

Swap in your local Medicare rate.

Work RVUs
58.54
Total RVUs
114.32
Global days
090

National rate · 2026

$3,818.39

Facility setting, before claim adjustments.

See every locality for 61702 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 61702 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 61702 covers

This code represents complex open operative treatment of an intracranial aneurysm, commonly involving surgical exposure and microsurgical repair or clipping. A neurosurgeon, often with cerebrovascular expertise, performs the operation in a hospital operating room. It is distinct from catheter-based aneurysm treatment and from surgery for a different vascular lesion, such as an arteriovenous malformation.

Choose this code when the operative report supports complex aneurysm surgery rather than the simple service in the same code family. Document the aneurysm, operative approach, repair performed, and the factors establishing the complexity. CMS assigns 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not 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.

Where 61702 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

61702 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$3,330.37
Alaska*Unavailable$4,492.74
ArizonaUnavailable$3,667.33
ArkansasUnavailable$3,271.66
AtlantaUnavailable$4,006.82
AustinUnavailable$3,788.35
BakersfieldUnavailable$3,632.30
Baltimore/Surr. CntysUnavailable$4,121.09
BeaumontUnavailable$3,666.40
BrazoriaUnavailable$3,643.05

61702 rates by state

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

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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
61702 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 61702 rate is calculated

Each of 61702’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 · 61702

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 58.54Practice expense 31.06Malpractice 24.72

114.3200 adjusted RVUs×$33.4009 conversion factor=$3,818.39

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 61702

61702 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61702

Aneurysm surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61702

Aneurysm surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

61702 without 51 · national facility

$3,818.39

Aneurysm surgery

61702-51 · Second procedure: 50%

$1,909.20

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%).

When to use modifier 51

61702 compared with similar codes

Compare codes

61702 vs 61700 vs 61703 vs 61705: national Medicare rates

Swap in your local Medicare rate.

  • 61702
    Aneurysm surgery · 58.54 wRVU
    —
  • 61700
    Aneurysm repair · 49.35 wRVU
    —
  • 61703
    Arterial clamping · 18.33 wRVU
    —
  • 61705
    Aneurysm surgery · 37.15 wRVU
    —

How to choose

61700Aneurysm repair
Use 61700 for simple intracranial aneurysm surgery. Use 61702 when the operative work and documentation support the complex service.
61703Arterial clamping
61703 describes aneurysm surgery involving carotid artery trapping. It represents a distinct operative circumstance, not the general complex aneurysm service in 61702.
61705Aneurysm surgery
61705 is associated with aneurysm surgery involving revision of circulation to the head. Distinguish it from complex aneurysm repair without that specific revascularization circumstance.

Codes related to 61702

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

Codes related to 61702
CodeHow it relatesNational office range
Same family
61700Aneurysm repairSimple intracranial aneurysm surgery; distinguishes the less complex service in this family.No office rate
Used instead
61703Arterial clampingAneurysm surgery involving carotid artery trapping is a distinct operative circumstance.No office rate
61705Aneurysm surgeryRelated aneurysm surgery involving revision of circulation to the head.No office rate

61702 billing questions

How is 61702 distinguished from 61700?

61702 is for complex intracranial aneurysm surgery; 61700 is the simple service in the same family. The operative documentation should support the complexity represented by 61702.

Is 61702 used for catheter-based aneurysm treatment?

No. This code represents open surgical treatment of an intracranial aneurysm, not catheter-based treatment.

Should modifier 50 be appended for aneurysms on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, while other procedures are subject to the standard multiple-procedure reduction.

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
RVUs for 61702PPRRVU2026_Oct_nonQPP.csv, line 6,867 (RVU26D)

Open CMS sourceHow we calculate rates

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