61640
No office rateDilate ic vasospasm init
61650 represents prolonged infusion of a nonthrombolytic drug. 61640 represents balloon dilation for intracranial vasospasm.
On this page
CMS RVU26D · Effective 2026-10-01
61650 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$517.19
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.
Neurointerventional
About 61650: Prolonged intra-arterial drug infusion
Reports prolonged endovascular infusion of a nonthrombolytic medication into an initial vessel, including catheter placement and imaging supervision and interpretation.
This code describes endovascular treatment by prolonged infusion of a pharmacologic agent other than a thrombolytic, such as an intra-arterial vasodilator. It is used in neurointerventional care when medication is delivered through a catheter into a vessel; a clinical context can include treating cerebral vasospasm after subarachnoid hemorrhage. The service includes catheter placement and radiological supervision and interpretation, so those elements are not separately represented by this code.
Report 61650 for the initial vessel; report 61651 for each additional vessel when the service meets that add-on code’s requirements. Documentation should identify the treated vessel or vessels, the infused agent, the prolonged infusion, and the clinical indication. Medicare assigns a 0-day global period, including same-day preoperative and postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 61650
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.75 · 62%
- Practice expense (office) RVU2.73 · 17%
- Malpractice RVU3.19 · 20%
699
Medicare services in 2024 · #3262 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.
61650 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
61650 is for the initial vessel. 61651 is the add-on for each additional vessel and is not reported alone.
No office rate
61650 delivers a pharmacologic agent by prolonged infusion; 61624 describes endovascular occlusion or embolization of a central nervous system vessel.
The same code, a different location
How does Austin compare?
61650 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 · 61650
Office
Unavailable
Facility
$508.41
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 61650
Office
Unavailable
Facility
$517.63
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61650
Office
Unavailable
Facility
$569.25
No comparable office rate is available.
Miami
Florida · 61650
Office
Unavailable
Facility
$690.04
No comparable office rate is available.
Chicago
Illinois · 61650
Office
Unavailable
Facility
$664.11
No comparable office rate is available.
Manhattan
New York · 61650
Office
Unavailable
Facility
$621.44
No comparable office rate is available.
Alaska*
Alaska · 61650
Office
Unavailable
Facility
$644.31
No comparable office rate is available.
Alabama
Alabama · 61650
Office
Unavailable
Facility
$465.75
No comparable office rate is available.
Arkansas
Arkansas · 61650
Office
Unavailable
Facility
$458.86
No comparable office rate is available.
Arizona
Arizona · 61650
Office
Unavailable
Facility
$505.22
No comparable office rate is available.
Bakersfield
California · 61650
Office
Unavailable
Facility
$496.67
No comparable office rate is available.
Chico
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
El Centro
California · 61650
Office
Unavailable
Facility
$488.78
No comparable office rate is available.
Fresno
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Hanford-Corcoran
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Madera
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Merced
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Modesto
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Napa
California · 61650
Office
Unavailable
Facility
$520.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61650
Office
Unavailable
Facility
$508.94
No comparable office rate is available.
Redding
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Rest Of California
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61650
Office
Unavailable
Facility
$522.34
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61650
Office
Unavailable
Facility
$500.54
No comparable office rate is available.
Salinas
California · 61650
Office
Unavailable
Facility
$498.55
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61650
Office
Unavailable
Facility
$502.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61650
Office
Unavailable
Facility
$534.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61650
Office
Unavailable
Facility
$530.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61650
Office
Unavailable
Facility
$550.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61650
Office
Unavailable
Facility
$535.27
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61650
Office
Unavailable
Facility
$492.16
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61650
Office
Unavailable
Facility
$500.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61650
Office
Unavailable
Facility
$498.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61650
Office
Unavailable
Facility
$504.51
No comparable office rate is available.
Stockton
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Vallejo
California · 61650
Office
Unavailable
Facility
$515.26
No comparable office rate is available.
Visalia
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Yuba City
California · 61650
Office
Unavailable
Facility
$488.24
No comparable office rate is available.
Colorado
Colorado · 61650
Office
Unavailable
Facility
$509.80
No comparable office rate is available.
Connecticut
Connecticut · 61650
Office
Unavailable
Facility
$559.30
No comparable office rate is available.
Delaware
Delaware · 61650
Office
Unavailable
Facility
$513.16
No comparable office rate is available.
Fort Lauderdale
Florida · 61650
Office
Unavailable
Facility
$610.67
No comparable office rate is available.
Rest Of Florida
Florida · 61650
Office
Unavailable
Facility
$572.97
No comparable office rate is available.
Atlanta
Georgia · 61650
Office
Unavailable
Facility
$547.24
No comparable office rate is available.
Rest Of Georgia
Georgia · 61650
Office
Unavailable
Facility
$534.00
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61650
Office
Unavailable
Facility
$491.03
No comparable office rate is available.
Iowa
Iowa · 61650
Office
Unavailable
Facility
$451.39
No comparable office rate is available.
Idaho
Idaho · 61650
Office
Unavailable
Facility
$459.95
No comparable office rate is available.
East St. Louis
Illinois · 61650
Office
Unavailable
Facility
$624.14
No comparable office rate is available.
Rest Of Illinois
Illinois · 61650
Office
Unavailable
Facility
$575.45
No comparable office rate is available.
Suburban Chicago
Illinois · 61650
Office
Unavailable
Facility
$610.39
No comparable office rate is available.
Indiana
Indiana · 61650
Office
Unavailable
Facility
$461.97
No comparable office rate is available.
Kansas
Kansas · 61650
Office
Unavailable
Facility
$461.79
No comparable office rate is available.
Kentucky
Kentucky · 61650
Office
Unavailable
Facility
$504.21
No comparable office rate is available.
New Orleans
Louisiana · 61650
Office
Unavailable
Facility
$532.50
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61650
Office
Unavailable
Facility
$508.43
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61650
Office
Unavailable
Facility
$542.71
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61650
Office
Unavailable
Facility
$511.81
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61650
Office
Unavailable
Facility
$560.51
No comparable office rate is available.
Rest Of Maryland
Maryland · 61650
Office
Unavailable
Facility
$519.01
No comparable office rate is available.
Rest Of Maine
Maine · 61650
Office
Unavailable
Facility
$475.82
No comparable office rate is available.
Southern Maine
Maine · 61650
Office
Unavailable
Facility
$483.25
No comparable office rate is available.
Detroit
Michigan · 61650
Office
Unavailable
Facility
$593.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 61650
Office
Unavailable
Facility
$529.20
No comparable office rate is available.
Minnesota
Minnesota · 61650
Office
Unavailable
Facility
$451.03
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61650
Office
Unavailable
Facility
$515.38
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61650
Office
Unavailable
Facility
$519.23
No comparable office rate is available.
Rest Of Missouri
Missouri · 61650
Office
Unavailable
Facility
$508.04
No comparable office rate is available.
Mississippi
Mississippi · 61650
Office
Unavailable
Facility
$482.91
No comparable office rate is available.
Montana**
Montana · 61650
Office
Unavailable
Facility
$523.18
No comparable office rate is available.
North Carolina
North Carolina · 61650
Office
Unavailable
Facility
$478.82
No comparable office rate is available.
North Dakota**
North Dakota · 61650
Office
Unavailable
Facility
$460.10
No comparable office rate is available.
Nebraska
Nebraska · 61650
Office
Unavailable
Facility
$450.10
No comparable office rate is available.
New Hampshire
New Hampshire · 61650
Office
Unavailable
Facility
$513.81
No comparable office rate is available.
Northern Nj
New Jersey · 61650
Office
Unavailable
Facility
$565.74
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61650
Office
Unavailable
Facility
$555.14
No comparable office rate is available.
New Mexico
New Mexico · 61650
Office
Unavailable
Facility
$537.24
No comparable office rate is available.
Nevada**
Nevada · 61650
Office
Unavailable
Facility
$505.69
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61650
Office
Unavailable
Facility
$652.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61650
Office
Unavailable
Facility
$569.08
No comparable office rate is available.
Queens
New York · 61650
Office
Unavailable
Facility
$607.92
No comparable office rate is available.
Rest Of New York
New York · 61650
Office
Unavailable
Facility
$487.19
No comparable office rate is available.
Ohio
Ohio · 61650
Office
Unavailable
Facility
$516.31
No comparable office rate is available.
Oklahoma
Oklahoma · 61650
Office
Unavailable
Facility
$489.87
No comparable office rate is available.
Portland
Oregon · 61650
Office
Unavailable
Facility
$511.45
No comparable office rate is available.
Rest Of Oregon
Oregon · 61650
Office
Unavailable
Facility
$491.38
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61650
Office
Unavailable
Facility
$553.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61650
Office
Unavailable
Facility
$510.05
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61650
Office
Unavailable
Facility
$522.80
No comparable office rate is available.
Rhode Island
Rhode Island · 61650
Office
Unavailable
Facility
$521.08
No comparable office rate is available.
South Carolina
South Carolina · 61650
Office
Unavailable
Facility
$500.48
No comparable office rate is available.
South Dakota**
South Dakota · 61650
Office
Unavailable
Facility
$452.64
No comparable office rate is available.
Tennessee
Tennessee · 61650
Office
Unavailable
Facility
$465.76
No comparable office rate is available.
Utah
Utah · 61650
Office
Unavailable
Facility
$507.05
No comparable office rate is available.
Virginia
Virginia · 61650
Office
Unavailable
Facility
$490.52
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61650
Office
Unavailable
Facility
$522.80
No comparable office rate is available.
Vermont
Vermont · 61650
Office
Unavailable
Facility
$469.85
No comparable office rate is available.
Rest Of Washington
Washington · 61650
Office
Unavailable
Facility
$506.99
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61650
Office
Unavailable
Facility
$540.88
No comparable office rate is available.
Wisconsin
Wisconsin · 61650
Office
Unavailable
Facility
$445.83
No comparable office rate is available.
West Virginia
West Virginia · 61650
Office
Unavailable
Facility
$557.37
No comparable office rate is available.
Wyoming**
Wyoming · 61650
Office
Unavailable
Facility
$495.69
No comparable office rate is available.
See how rates vary across the country
61650 · 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.
- 61650 in Austin
Multiple payment areas
- 61650 in Barton Creek
- 61650 in Bee Cave
- 61650 in Briarcliff
- 61650 in Cedar Park
Multiple payment areas
- 61650 in Creedmoor
Multiple payment areas
- 61650 in Elgin
Multiple payment areas
- 61650 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 61650 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$568.91
$517.19 × 110% = $568.91
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 61650 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,856
- Code
- 61650
- Physician work
- 9.75
- Practice expense
- 2.73
- Malpractice
- 3.19
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.75 | × 1.002 | 9.7695 |
| Practice expense | 2.73 | × 1.058 | 2.8883 |
| Malpractice | 3.19 | × 0.886 | 2.8263 |
| Total RVUs | 15.4842 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$517.19
Open 61650 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.75 | 1.002 |
| Practice expense | 2.73 | 1.058 |
| Malpractice | 3.19 | 0.886 |
(9.75 × 1.002 + 2.73 × 1.058 + 3.19 × 0.886) × $33.4009 = $517.19
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
61650 · 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 | $517.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $517.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $517.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $517.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $567.07 | RVU25D |
| 2025-07-01 | Not available in this setting | $567.07 | RVU25C |
| 2025-04-01 | Not available in this setting | $567.07 | RVU25B |
| 2025-01-01 | Not available in this setting | $567.07 | RVU25A |
61650 billing questions
When is 61650 reported instead of 61640?
Use 61650 for prolonged infusion of a nonthrombolytic pharmacologic agent. Code 61640 describes initial-vessel balloon dilation for intracranial vasospasm.
How is an additional treated vessel reported?
Use 61650 for the initial vessel and 61651 for each additional vessel when the additional-vessel service is performed.
Can catheter placement or imaging supervision be billed separately?
Catheter placement and radiological supervision and interpretation are included in 61650.
What documentation supports reporting 61650?
Document the indication, infused pharmacologic agent, prolonged infusion, and vessel treated. Identify any additional vessel reported with 61651.
Should modifier 50 be used for bilateral treatment?
No. The CMS bilateral adjustment does not apply to 61650, and modifier 50 is inappropriate.
How are assistant and multiple-procedure claims handled?
Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 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.
6,85361641,,Dilat ic vspsm ea vsl sm ter,N,+,4.33,0.00,,0.00,,0.59,4.92,4.92,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85461642,,Dilat ic vspsm ea diff ter,N,+,8.66,0.00,,0.00,,1.18,9.84,9.84,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85561645,,Perq art m-thrombect &/nfs,A,,14.63,3.69,NA,3.69,,4.31,22.63,22.63,0,000,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85661650,,Evasc prlng admn rx agnt 1st,A,,9.75,2.73,NA,2.73,,3.19,15.67,15.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85761651,,Evasc prlng admn rx agnt add,A,,4.14,1.19,NA,1.19,,1.37,6.70,6.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85861680,,Intracranial vessel surgery,A,,31.74,20.93,NA,20.93,,13.42,66.09,66.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85961682,,Intracranial vessel surgery,A,,61.82,28.89,NA,28.89,,25.54,116.25,116.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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