No office rate
The key distinction is the operative relationship to the dura: 61615 covers extradural skull-lesion removal, while 61616 is for an intradural lesion.
On this page
CMS RVU26D · Effective 2026-10-01
61615 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2831.91
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Neurosurgery
About 61615: Extradural skull lesion resection
Reports surgical removal of an extradural neoplastic, vascular, or infectious skull lesion when the procedure includes craniectomy.
A neurosurgeon removes a neoplastic, vascular, or infectious lesion involving the skull from outside the dura, including the craniectomy needed to reach and excise it. A typical setting is facility-based surgery for a calvarial lesion requiring operative removal. The operative report should establish the lesion’s location and nature, the extradural operative plane, and the skull removal and excision performed.
Choose this code for an extradural skull lesion, not for an intradural lesion or a lesion at a separately defined cranial site. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is permitted.
CMS billing rules for 61615
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU34.88 · 41%
- Practice expense (office) RVU34.76 · 41%
- Malpractice RVU14.74 · 17%
59
Medicare services in 2024 · #5260 by national volume
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.
61615 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
61600 is for lesions at specified parasellar or adjacent cranial sites; 61615 addresses an extradural lesion of the skull.
No office rate
61500 describes craniectomy for a benign skull tumor or cyst. 61615 covers extradural neoplastic, vascular, or infectious skull lesions and includes craniectomy.
The same code, a different location
How does Austin compare?
61615 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 61615
Office
Unavailable
Facility
$2711.40
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 61615
Office
Unavailable
Facility
$2913.18
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61615
Office
Unavailable
Facility
$3143.57
No comparable office rate is available.
Miami
Florida · 61615
Office
Unavailable
Facility
$3618.74
No comparable office rate is available.
Chicago
Illinois · 61615
Office
Unavailable
Facility
$3469.89
No comparable office rate is available.
Manhattan
New York · 61615
Office
Unavailable
Facility
$3369.52
No comparable office rate is available.
Alaska*
Alaska · 61615
Office
Unavailable
Facility
$3255.29
No comparable office rate is available.
Alabama
Alabama · 61615
Office
Unavailable
Facility
$2459.57
No comparable office rate is available.
Arkansas
Arkansas · 61615
Office
Unavailable
Facility
$2415.89
No comparable office rate is available.
Arizona
Arizona · 61615
Office
Unavailable
Facility
$2711.48
No comparable office rate is available.
Bakersfield
California · 61615
Office
Unavailable
Facility
$2759.46
No comparable office rate is available.
Chico
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
El Centro
California · 61615
Office
Unavailable
Facility
$2723.65
No comparable office rate is available.
Fresno
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Hanford-Corcoran
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Madera
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Merced
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Modesto
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Napa
California · 61615
Office
Unavailable
Facility
$3018.74
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61615
Office
Unavailable
Facility
$2876.69
No comparable office rate is available.
Redding
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Rest Of California
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61615
Office
Unavailable
Facility
$2878.42
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61615
Office
Unavailable
Facility
$2821.11
No comparable office rate is available.
Salinas
California · 61615
Office
Unavailable
Facility
$2810.64
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61615
Office
Unavailable
Facility
$2855.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61615
Office
Unavailable
Facility
$3138.71
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61615
Office
Unavailable
Facility
$3121.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61615
Office
Unavailable
Facility
$3231.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61615
Office
Unavailable
Facility
$3162.81
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61615
Office
Unavailable
Facility
$2771.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61615
Office
Unavailable
Facility
$2864.01
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61615
Office
Unavailable
Facility
$2815.28
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61615
Office
Unavailable
Facility
$2889.59
No comparable office rate is available.
Stockton
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Vallejo
California · 61615
Office
Unavailable
Facility
$2994.62
No comparable office rate is available.
Visalia
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Yuba City
California · 61615
Office
Unavailable
Facility
$2721.19
No comparable office rate is available.
Colorado
Colorado · 61615
Office
Unavailable
Facility
$2798.83
No comparable office rate is available.
Connecticut
Connecticut · 61615
Office
Unavailable
Facility
$3034.46
No comparable office rate is available.
Delaware
Delaware · 61615
Office
Unavailable
Facility
$2760.54
No comparable office rate is available.
Fort Lauderdale
Florida · 61615
Office
Unavailable
Facility
$3231.26
No comparable office rate is available.
Rest Of Florida
Florida · 61615
Office
Unavailable
Facility
$3014.92
No comparable office rate is available.
Atlanta
Georgia · 61615
Office
Unavailable
Facility
$2939.40
No comparable office rate is available.
Rest Of Georgia
Georgia · 61615
Office
Unavailable
Facility
$2787.51
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61615
Office
Unavailable
Facility
$2770.16
No comparable office rate is available.
Iowa
Iowa · 61615
Office
Unavailable
Facility
$2422.81
No comparable office rate is available.
Idaho
Idaho · 61615
Office
Unavailable
Facility
$2466.03
No comparable office rate is available.
East St. Louis
Illinois · 61615
Office
Unavailable
Facility
$3224.71
No comparable office rate is available.
Rest Of Illinois
Illinois · 61615
Office
Unavailable
Facility
$2994.54
No comparable office rate is available.
Suburban Chicago
Illinois · 61615
Office
Unavailable
Facility
$3237.95
No comparable office rate is available.
Indiana
Indiana · 61615
Office
Unavailable
Facility
$2480.56
No comparable office rate is available.
Kansas
Kansas · 61615
Office
Unavailable
Facility
$2462.72
No comparable office rate is available.
Kentucky
Kentucky · 61615
Office
Unavailable
Facility
$2647.65
No comparable office rate is available.
New Orleans
Louisiana · 61615
Office
Unavailable
Facility
$2816.82
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61615
Office
Unavailable
Facility
$2664.17
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61615
Office
Unavailable
Facility
$3037.21
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61615
Office
Unavailable
Facility
$2798.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61615
Office
Unavailable
Facility
$3038.44
No comparable office rate is available.
Rest Of Maryland
Maryland · 61615
Office
Unavailable
Facility
$2803.58
No comparable office rate is available.
Rest Of Maine
Maine · 61615
Office
Unavailable
Facility
$2539.39
No comparable office rate is available.
Southern Maine
Maine · 61615
Office
Unavailable
Facility
$2626.25
No comparable office rate is available.
Detroit
Michigan · 61615
Office
Unavailable
Facility
$3115.47
No comparable office rate is available.
Rest Of Michigan
Michigan · 61615
Office
Unavailable
Facility
$2780.87
No comparable office rate is available.
Minnesota
Minnesota · 61615
Office
Unavailable
Facility
$2505.44
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61615
Office
Unavailable
Facility
$2736.22
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61615
Office
Unavailable
Facility
$2763.62
No comparable office rate is available.
Rest Of Missouri
Missouri · 61615
Office
Unavailable
Facility
$2645.35
No comparable office rate is available.
Mississippi
Mississippi · 61615
Office
Unavailable
Facility
$2528.49
No comparable office rate is available.
Montana**
Montana · 61615
Office
Unavailable
Facility
$2817.38
No comparable office rate is available.
North Carolina
North Carolina · 61615
Office
Unavailable
Facility
$2562.85
No comparable office rate is available.
North Dakota**
North Dakota · 61615
Office
Unavailable
Facility
$2525.92
No comparable office rate is available.
Nebraska
Nebraska · 61615
Office
Unavailable
Facility
$2422.74
No comparable office rate is available.
New Hampshire
New Hampshire · 61615
Office
Unavailable
Facility
$2804.43
No comparable office rate is available.
Northern Nj
New Jersey · 61615
Office
Unavailable
Facility
$3111.01
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61615
Office
Unavailable
Facility
$3019.54
No comparable office rate is available.
New Mexico
New Mexico · 61615
Office
Unavailable
Facility
$2820.96
No comparable office rate is available.
Nevada**
Nevada · 61615
Office
Unavailable
Facility
$2737.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61615
Office
Unavailable
Facility
$3534.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61615
Office
Unavailable
Facility
$3084.48
No comparable office rate is available.
Queens
New York · 61615
Office
Unavailable
Facility
$3321.84
No comparable office rate is available.
Rest Of New York
New York · 61615
Office
Unavailable
Facility
$2614.10
No comparable office rate is available.
Ohio
Ohio · 61615
Office
Unavailable
Facility
$2721.30
No comparable office rate is available.
Oklahoma
Oklahoma · 61615
Office
Unavailable
Facility
$2584.35
No comparable office rate is available.
Portland
Oregon · 61615
Office
Unavailable
Facility
$2839.84
No comparable office rate is available.
Rest Of Oregon
Oregon · 61615
Office
Unavailable
Facility
$2667.50
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61615
Office
Unavailable
Facility
$2981.96
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61615
Office
Unavailable
Facility
$2696.09
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61615
Office
Unavailable
Facility
$2823.75
No comparable office rate is available.
Rhode Island
Rhode Island · 61615
Office
Unavailable
Facility
$2825.65
No comparable office rate is available.
South Carolina
South Carolina · 61615
Office
Unavailable
Facility
$2656.28
No comparable office rate is available.
South Dakota**
South Dakota · 61615
Office
Unavailable
Facility
$2491.46
No comparable office rate is available.
Tennessee
Tennessee · 61615
Office
Unavailable
Facility
$2484.77
No comparable office rate is available.
Utah
Utah · 61615
Office
Unavailable
Facility
$2698.49
No comparable office rate is available.
Virginia
Virginia · 61615
Office
Unavailable
Facility
$2653.89
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61615
Office
Unavailable
Facility
$2823.75
No comparable office rate is available.
Vermont
Vermont · 61615
Office
Unavailable
Facility
$2563.55
No comparable office rate is available.
Rest Of Washington
Washington · 61615
Office
Unavailable
Facility
$2777.38
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61615
Office
Unavailable
Facility
$3050.07
No comparable office rate is available.
Wisconsin
Wisconsin · 61615
Office
Unavailable
Facility
$2428.91
No comparable office rate is available.
West Virginia
West Virginia · 61615
Office
Unavailable
Facility
$2878.47
No comparable office rate is available.
Wyoming**
Wyoming · 61615
Office
Unavailable
Facility
$2690.36
No comparable office rate is available.
See how rates vary across the country
61615 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 61615 in Austin
Multiple payment areas
- 61615 in Barton Creek
- 61615 in Bee Cave
- 61615 in Briarcliff
- 61615 in Cedar Park
Multiple payment areas
- 61615 in Creedmoor
Multiple payment areas
- 61615 in Elgin
Multiple payment areas
- 61615 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 61615 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$3115.10
$2831.91 × 110% = $3115.10
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 61615 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,843
- Code
- 61615
- Physician work
- 34.88
- Practice expense
- 34.76
- Malpractice
- 14.74
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.88 | × 1.002 | 34.9498 |
| Practice expense | 34.76 | × 1.058 | 36.7761 |
| Malpractice | 14.74 | × 0.886 | 13.0596 |
| Total RVUs | 84.7855 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$2831.91
Open 61615 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 34.88 | 1.002 |
| Practice expense | 34.76 | 1.058 |
| Malpractice | 14.74 | 0.886 |
(34.88 × 1.002 + 34.76 × 1.058 + 14.74 × 0.886) × $33.4009 = $2831.91
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
61615 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2831.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $2831.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $2831.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $2831.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $2770.72 | RVU25D |
| 2025-07-01 | Not available in this setting | $2770.72 | RVU25C |
| 2025-04-01 | Not available in this setting | $2770.72 | RVU25B |
| 2025-01-01 | Not available in this setting | $2770.72 | RVU25A |
61615 billing questions
How does 61615 differ from 61616?
61615 is for an extradural skull lesion removed with craniectomy. Use 61616 when the skull lesion is intradural and the procedure includes dural work.
Is craniectomy included in 61615?
Yes. The code includes the craniectomy performed as part of resecting or excising the extradural lesion.
Can modifier 50 be reported?
No. The descriptor and anatomy make a bilateral adjustment inappropriate for 61615.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,84061608,,Resect/excise cranial lesion,A,,44.40,32.16,NA,32.16,,18.09,94.65,94.65,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84161611,,Transect artery sinus,A,,7.22,2.53,NA,2.53,,3.04,12.79,12.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84261613,,Remove aneurysm sinus,A,,43.90,33.63,NA,33.63,,18.54,96.07,96.07,0,090,0.11,0.76,0.13,2,1,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84361615,,Resect/excise lesion skull,A,,34.88,34.76,NA,34.76,,14.74,84.38,84.38,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84461616,,Resect/excise lesion skull,A,,45.57,32.19,NA,32.19,,16.71,94.47,94.47,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84561618,,Repair dura,A,,18.22,12.18,NA,12.18,,6.08,36.48,36.48,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84661619,,Repair dura,A,,21.55,16.21,NA,16.21,,9.11,46.87,46.87,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858