This code is for the simple intracranial AVM surgery category; 61682 is used when the operative case meets the complex category.
On this page
CMS RVU26D · Effective 2026-10-01
61680 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2199.03
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 61680: Simple intracranial AVM surgery
Reports open surgical treatment of a simple intracranial arteriovenous malformation, such as microsurgical disconnection or removal by a neurosurgeon.
This service covers open neurosurgical treatment of an arteriovenous malformation within the brain. A neurosurgeon typically uses an operative approach to identify and interrupt abnormal vascular connections or remove the malformation. The work is distinct from catheter-based embolization and from surgery on a spinal AVM. It is generally performed in a hospital operating room, with the operative report describing the malformation, its location, and the surgical treatment performed.
Select this code when the case meets the simple category in the intracranial AVM surgery family; do not choose it solely from lesion size. Documentation should establish the intracranial site, the AVM treated, and the operative work supporting the simple classification. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures subject to the standard reduction are performed in the same session, the highest-valued is paid in full and the others at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 61680
- 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 not permitted.
Where the value comes from
- Work RVU31.74 · 48%
- Practice expense (office) RVU20.93 · 32%
- Malpractice RVU13.42 · 20%
120
Medicare services in 2024 · #4739 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.
61680 compared with similar codes
Office rates for Austin, from the same CMS release.
61680 concerns an AVM within the brain. 61684 is for simple-category surgical treatment of a spinal AVM.
61680 addresses an intracranial AVM; 61690 is for a simple intracranial dural arteriovenous fistula.
61680 is open surgical treatment. 61624 describes catheter-based CNS embolization, a different method of treating a vascular lesion.
The same code, a different location
How does Austin compare?
61680 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 · 61680
Office
Unavailable
Facility
$2128.33
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 61680
Office
Unavailable
Facility
$2228.25
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61680
Office
Unavailable
Facility
$2439.80
No comparable office rate is available.
Miami
Florida · 61680
Office
Unavailable
Facility
$2921.49
No comparable office rate is available.
Chicago
Illinois · 61680
Office
Unavailable
Facility
$2798.85
No comparable office rate is available.
Manhattan
New York · 61680
Office
Unavailable
Facility
$2651.23
No comparable office rate is available.
Alaska*
Alaska · 61680
Office
Unavailable
Facility
$2581.72
No comparable office rate is available.
Alabama
Alabama · 61680
Office
Unavailable
Facility
$1925.54
No comparable office rate is available.
Arkansas
Arkansas · 61680
Office
Unavailable
Facility
$1891.50
No comparable office rate is available.
Arizona
Arizona · 61680
Office
Unavailable
Facility
$2121.25
No comparable office rate is available.
Bakersfield
California · 61680
Office
Unavailable
Facility
$2119.46
No comparable office rate is available.
Chico
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
El Centro
California · 61680
Office
Unavailable
Facility
$2086.86
No comparable office rate is available.
Fresno
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Hanford-Corcoran
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Madera
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Merced
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Modesto
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Napa
California · 61680
Office
Unavailable
Facility
$2276.03
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61680
Office
Unavailable
Facility
$2195.40
No comparable office rate is available.
Redding
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Rest Of California
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61680
Office
Unavailable
Facility
$2227.77
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61680
Office
Unavailable
Facility
$2151.60
No comparable office rate is available.
Salinas
California · 61680
Office
Unavailable
Facility
$2143.50
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61680
Office
Unavailable
Facility
$2171.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61680
Office
Unavailable
Facility
$2352.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61680
Office
Unavailable
Facility
$2337.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61680
Office
Unavailable
Facility
$2425.09
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61680
Office
Unavailable
Facility
$2362.79
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61680
Office
Unavailable
Facility
$2114.68
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61680
Office
Unavailable
Facility
$2172.05
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61680
Office
Unavailable
Facility
$2145.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61680
Office
Unavailable
Facility
$2190.68
No comparable office rate is available.
Stockton
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Vallejo
California · 61680
Office
Unavailable
Facility
$2254.06
No comparable office rate is available.
Visalia
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Yuba City
California · 61680
Office
Unavailable
Facility
$2084.62
No comparable office rate is available.
Colorado
Colorado · 61680
Office
Unavailable
Facility
$2166.76
No comparable office rate is available.
Connecticut
Connecticut · 61680
Office
Unavailable
Facility
$2376.63
No comparable office rate is available.
Delaware
Delaware · 61680
Office
Unavailable
Facility
$2159.10
No comparable office rate is available.
Fort Lauderdale
Florida · 61680
Office
Unavailable
Facility
$2578.73
No comparable office rate is available.
Rest Of Florida
Florida · 61680
Office
Unavailable
Facility
$2402.17
No comparable office rate is available.
Atlanta
Georgia · 61680
Office
Unavailable
Facility
$2311.93
No comparable office rate is available.
Rest Of Georgia
Georgia · 61680
Office
Unavailable
Facility
$2218.03
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61680
Office
Unavailable
Facility
$2114.53
No comparable office rate is available.
Iowa
Iowa · 61680
Office
Unavailable
Facility
$1877.75
No comparable office rate is available.
Idaho
Idaho · 61680
Office
Unavailable
Facility
$1915.32
No comparable office rate is available.
East St. Louis
Illinois · 61680
Office
Unavailable
Facility
$2606.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 61680
Office
Unavailable
Facility
$2399.00
No comparable office rate is available.
Suburban Chicago
Illinois · 61680
Office
Unavailable
Facility
$2579.80
No comparable office rate is available.
Indiana
Indiana · 61680
Office
Unavailable
Facility
$1926.04
No comparable office rate is available.
Kansas
Kansas · 61680
Office
Unavailable
Facility
$1918.03
No comparable office rate is available.
Kentucky
Kentucky · 61680
Office
Unavailable
Facility
$2091.77
No comparable office rate is available.
New Orleans
Louisiana · 61680
Office
Unavailable
Facility
$2227.18
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61680
Office
Unavailable
Facility
$2108.25
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61680
Office
Unavailable
Facility
$2337.25
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61680
Office
Unavailable
Facility
$2170.49
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61680
Office
Unavailable
Facility
$2381.69
No comparable office rate is available.
Rest Of Maryland
Maryland · 61680
Office
Unavailable
Facility
$2189.70
No comparable office rate is available.
Rest Of Maine
Maine · 61680
Office
Unavailable
Facility
$1982.10
No comparable office rate is available.
Southern Maine
Maine · 61680
Office
Unavailable
Facility
$2035.77
No comparable office rate is available.
Detroit
Michigan · 61680
Office
Unavailable
Facility
$2490.49
No comparable office rate is available.
Rest Of Michigan
Michigan · 61680
Office
Unavailable
Facility
$2204.47
No comparable office rate is available.
Minnesota
Minnesota · 61680
Office
Unavailable
Facility
$1912.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61680
Office
Unavailable
Facility
$2154.51
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61680
Office
Unavailable
Facility
$2174.81
No comparable office rate is available.
Rest Of Missouri
Missouri · 61680
Office
Unavailable
Facility
$2099.34
No comparable office rate is available.
Mississippi
Mississippi · 61680
Office
Unavailable
Facility
$1993.30
No comparable office rate is available.
Montana**
Montana · 61680
Office
Unavailable
Facility
$2206.57
No comparable office rate is available.
North Carolina
North Carolina · 61680
Office
Unavailable
Facility
$1998.81
No comparable office rate is available.
North Dakota**
North Dakota · 61680
Office
Unavailable
Facility
$1941.21
No comparable office rate is available.
Nebraska
Nebraska · 61680
Office
Unavailable
Facility
$1874.83
No comparable office rate is available.
New Hampshire
New Hampshire · 61680
Office
Unavailable
Facility
$2180.10
No comparable office rate is available.
Northern Nj
New Jersey · 61680
Office
Unavailable
Facility
$2416.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61680
Office
Unavailable
Facility
$2357.67
No comparable office rate is available.
New Mexico
New Mexico · 61680
Office
Unavailable
Facility
$2239.54
No comparable office rate is available.
Nevada**
Nevada · 61680
Office
Unavailable
Facility
$2133.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61680
Office
Unavailable
Facility
$2791.58
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61680
Office
Unavailable
Facility
$2415.72
No comparable office rate is available.
Queens
New York · 61680
Office
Unavailable
Facility
$2600.67
No comparable office rate is available.
Rest Of New York
New York · 61680
Office
Unavailable
Facility
$2039.38
No comparable office rate is available.
Ohio
Ohio · 61680
Office
Unavailable
Facility
$2150.23
No comparable office rate is available.
Oklahoma
Oklahoma · 61680
Office
Unavailable
Facility
$2032.71
No comparable office rate is available.
Portland
Oregon · 61680
Office
Unavailable
Facility
$2187.28
No comparable office rate is available.
Rest Of Oregon
Oregon · 61680
Office
Unavailable
Facility
$2071.54
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61680
Office
Unavailable
Facility
$2341.72
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61680
Office
Unavailable
Facility
$2125.49
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61680
Office
Unavailable
Facility
$2208.43
No comparable office rate is available.
Rhode Island
Rhode Island · 61680
Office
Unavailable
Facility
$2202.27
No comparable office rate is available.
South Carolina
South Carolina · 61680
Office
Unavailable
Facility
$2087.10
No comparable office rate is available.
South Dakota**
South Dakota · 61680
Office
Unavailable
Facility
$1909.83
No comparable office rate is available.
Tennessee
Tennessee · 61680
Office
Unavailable
Facility
$1936.31
No comparable office rate is available.
Utah
Utah · 61680
Office
Unavailable
Facility
$2119.80
No comparable office rate is available.
Virginia
Virginia · 61680
Office
Unavailable
Facility
$2063.80
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61680
Office
Unavailable
Facility
$2208.43
No comparable office rate is available.
Vermont
Vermont · 61680
Office
Unavailable
Facility
$1979.04
No comparable office rate is available.
Rest Of Washington
Washington · 61680
Office
Unavailable
Facility
$2151.17
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61680
Office
Unavailable
Facility
$2337.14
No comparable office rate is available.
Wisconsin
Wisconsin · 61680
Office
Unavailable
Facility
$1867.92
No comparable office rate is available.
West Virginia
West Virginia · 61680
Office
Unavailable
Facility
$2309.08
No comparable office rate is available.
Wyoming**
Wyoming · 61680
Office
Unavailable
Facility
$2090.92
No comparable office rate is available.
See how rates vary across the country
61680 · 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.
- 61680 in Austin
Multiple payment areas
- 61680 in Barton Creek
- 61680 in Bee Cave
- 61680 in Briarcliff
- 61680 in Cedar Park
Multiple payment areas
- 61680 in Creedmoor
Multiple payment areas
- 61680 in Elgin
Multiple payment areas
- 61680 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 61680 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2418.93
$2199.03 × 110% = $2418.93
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 61680 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,858
- Code
- 61680
- Physician work
- 31.74
- Practice expense
- 20.93
- Malpractice
- 13.42
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.74 | × 1.002 | 31.8035 |
| Practice expense | 20.93 | × 1.058 | 22.1439 |
| Malpractice | 13.42 | × 0.886 | 11.8901 |
| Total RVUs | 65.8375 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$2199.03
Open 61680 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.74 | 1.002 |
| Practice expense | 20.93 | 1.058 |
| Malpractice | 13.42 | 0.886 |
(31.74 × 1.002 + 20.93 × 1.058 + 13.42 × 0.886) × $33.4009 = $2199.03
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
61680 · 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 | $2199.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $2199.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $2199.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $2199.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $2227.80 | RVU25D |
| 2025-07-01 | Not available in this setting | $2227.80 | RVU25C |
| 2025-04-01 | Not available in this setting | $2227.80 | RVU25B |
| 2025-01-01 | Not available in this setting | $2227.80 | RVU25A |
61680 billing questions
How do I distinguish this from 61682?
Both describe surgery for an intracranial AVM. Use 61680 for the simple category and 61682 when the operative case meets the complex category; document the work and factors supporting the classification.
Is this the code for an intracranial dural fistula?
No. This code is for an intracranial AVM. Surgery for an intracranial dural arteriovenous fistula is represented in the 61690/61692 family.
Does this include catheter embolization?
No. This code represents open surgical treatment. Catheter-based embolization of a CNS lesion is a separate endovascular service, such as 61624, when performed and reportable.
What documentation supports reporting 61680?
The operative report should identify the intracranial AVM and its location, describe the surgical treatment performed, and support classification in the simple rather than complex category.
What postoperative care is included?
The 90-day 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-surgeon payment requires supporting documentation; team-surgery payment is not 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 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.
