No office rate
61322 reports the supratentorial decompressive craniectomy without lobectomy. Report 61316 as an add-on only when the removed flap is also placed subcutaneously.
On this page
CMS RVU26D · Effective 2026-10-01
61316 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$77.98
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 61316: Subcutaneous cranial bone flap placement
Reports placement of a cranial bone flap beneath the skin during cranial surgery so it can be preserved for possible later reconstruction.
During cranial surgery, the neurosurgeon places a removed bone flap in a subcutaneous pocket, commonly in the abdomen, to preserve it for possible later cranioplasty. This is a separate storage step during the operation, not the later reconstruction of the skull. It may accompany a decompressive craniectomy when the flap cannot be replaced immediately.
Report 61316 only with a primary procedure. The operative note should identify the cranial bone flap, document its subcutaneous placement, and support that this step occurred during the same operative session as the primary cranial surgery. Do not report it for a flap that was removed but not placed subcutaneously, or for later replacement of a stored flap. CMS pays this add-on within the primary procedure's global period; it is not a standalone service.
CMS billing rules for 61316
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.36 · 57%
- Practice expense (office) RVU0.47 · 20%
- Malpractice RVU0.56 · 23%
33
Medicare services in 2024 · #5602 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.
61316 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
61323 describes supratentorial decompression with lobectomy. It is a primary operation; 61316 separately reports subcutaneous placement of the removed cranial flap.
No office rate
62143 concerns replacement of a bone flap or prosthetic plate. 61316 describes placing a flap beneath the skin for possible later reconstruction, not replacing it.
The same code, a different location
How does Delaware compare?
61316 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 61316
Office
Unavailable
Facility
$69.75
No comparable office rate is available.
Arkansas
Arkansas · 61316
Office
Unavailable
Facility
$68.54
No comparable office rate is available.
Arizona
Arizona · 61316
Office
Unavailable
Facility
$76.65
No comparable office rate is available.
Bakersfield
California · 61316
Office
Unavailable
Facility
$74.88
No comparable office rate is available.
Chico
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
El Centro
California · 61316
Office
Unavailable
Facility
$73.52
No comparable office rate is available.
Fresno
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Hanford-Corcoran
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Madera
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Merced
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Modesto
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Napa
California · 61316
Office
Unavailable
Facility
$78.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61316
Office
Unavailable
Facility
$76.91
No comparable office rate is available.
Redding
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Rest Of California
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61316
Office
Unavailable
Facility
$79.40
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61316
Office
Unavailable
Facility
$75.34
No comparable office rate is available.
Salinas
California · 61316
Office
Unavailable
Facility
$75.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61316
Office
Unavailable
Facility
$75.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61316
Office
Unavailable
Facility
$80.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61316
Office
Unavailable
Facility
$79.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61316
Office
Unavailable
Facility
$83.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61316
Office
Unavailable
Facility
$80.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61316
Office
Unavailable
Facility
$74.10
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61316
Office
Unavailable
Facility
$75.48
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61316
Office
Unavailable
Facility
$75.03
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61316
Office
Unavailable
Facility
$76.09
No comparable office rate is available.
Stockton
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Vallejo
California · 61316
Office
Unavailable
Facility
$77.56
No comparable office rate is available.
Visalia
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Yuba City
California · 61316
Office
Unavailable
Facility
$73.43
No comparable office rate is available.
Colorado
Colorado · 61316
Office
Unavailable
Facility
$77.28
No comparable office rate is available.
Connecticut
Connecticut · 61316
Office
Unavailable
Facility
$85.87
No comparable office rate is available.
Fort Lauderdale
Florida · 61316
Office
Unavailable
Facility
$95.15
No comparable office rate is available.
Rest Of Florida
Florida · 61316
Office
Unavailable
Facility
$88.55
No comparable office rate is available.
Atlanta
Georgia · 61316
Office
Unavailable
Facility
$83.98
No comparable office rate is available.
Rest Of Georgia
Georgia · 61316
Office
Unavailable
Facility
$81.72
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61316
Office
Unavailable
Facility
$74.10
No comparable office rate is available.
Iowa
Iowa · 61316
Office
Unavailable
Facility
$67.21
No comparable office rate is available.
Idaho
Idaho · 61316
Office
Unavailable
Facility
$68.72
No comparable office rate is available.
East St. Louis
Illinois · 61316
Office
Unavailable
Facility
$97.54
No comparable office rate is available.
Rest Of Illinois
Illinois · 61316
Office
Unavailable
Facility
$88.99
No comparable office rate is available.
Suburban Chicago
Illinois · 61316
Office
Unavailable
Facility
$95.01
No comparable office rate is available.
Indiana
Indiana · 61316
Office
Unavailable
Facility
$69.07
No comparable office rate is available.
Kansas
Kansas · 61316
Office
Unavailable
Facility
$69.04
No comparable office rate is available.
Kentucky
Kentucky · 61316
Office
Unavailable
Facility
$76.50
No comparable office rate is available.
New Orleans
Louisiana · 61316
Office
Unavailable
Facility
$81.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61316
Office
Unavailable
Facility
$77.24
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61316
Office
Unavailable
Facility
$82.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61316
Office
Unavailable
Facility
$77.59
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61316
Office
Unavailable
Facility
$86.13
No comparable office rate is available.
Rest Of Maryland
Maryland · 61316
Office
Unavailable
Facility
$78.94
No comparable office rate is available.
Rest Of Maine
Maine · 61316
Office
Unavailable
Facility
$71.50
No comparable office rate is available.
Southern Maine
Maine · 61316
Office
Unavailable
Facility
$72.78
No comparable office rate is available.
Detroit
Michigan · 61316
Office
Unavailable
Facility
$92.11
No comparable office rate is available.
Rest Of Michigan
Michigan · 61316
Office
Unavailable
Facility
$80.88
No comparable office rate is available.
Minnesota
Minnesota · 61316
Office
Unavailable
Facility
$67.12
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61316
Office
Unavailable
Facility
$78.44
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61316
Office
Unavailable
Facility
$79.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 61316
Office
Unavailable
Facility
$77.18
No comparable office rate is available.
Mississippi
Mississippi · 61316
Office
Unavailable
Facility
$72.76
No comparable office rate is available.
Montana**
Montana · 61316
Office
Unavailable
Facility
$79.79
No comparable office rate is available.
North Carolina
North Carolina · 61316
Office
Unavailable
Facility
$72.02
No comparable office rate is available.
North Dakota**
North Dakota · 61316
Office
Unavailable
Facility
$68.72
No comparable office rate is available.
Nebraska
Nebraska · 61316
Office
Unavailable
Facility
$66.99
No comparable office rate is available.
New Hampshire
New Hampshire · 61316
Office
Unavailable
Facility
$78.13
No comparable office rate is available.
Northern Nj
New Jersey · 61316
Office
Unavailable
Facility
$86.47
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61316
Office
Unavailable
Facility
$84.90
No comparable office rate is available.
New Mexico
New Mexico · 61316
Office
Unavailable
Facility
$82.28
No comparable office rate is available.
Nevada**
Nevada · 61316
Office
Unavailable
Facility
$76.72
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61316
Office
Unavailable
Facility
$101.73
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61316
Office
Unavailable
Facility
$87.29
No comparable office rate is available.
Queens
New York · 61316
Office
Unavailable
Facility
$93.86
No comparable office rate is available.
Rest Of New York
New York · 61316
Office
Unavailable
Facility
$73.49
No comparable office rate is available.
Ohio
Ohio · 61316
Office
Unavailable
Facility
$78.61
No comparable office rate is available.
Oklahoma
Oklahoma · 61316
Office
Unavailable
Facility
$73.98
No comparable office rate is available.
Portland
Oregon · 61316
Office
Unavailable
Facility
$77.51
No comparable office rate is available.
Rest Of Oregon
Oregon · 61316
Office
Unavailable
Facility
$74.21
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61316
Office
Unavailable
Facility
$84.90
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61316
Office
Unavailable
Facility
$77.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61316
Office
Unavailable
Facility
$79.72
No comparable office rate is available.
Rhode Island
Rhode Island · 61316
Office
Unavailable
Facility
$79.19
No comparable office rate is available.
South Carolina
South Carolina · 61316
Office
Unavailable
Facility
$75.83
No comparable office rate is available.
South Dakota**
South Dakota · 61316
Office
Unavailable
Facility
$67.41
No comparable office rate is available.
Tennessee
Tennessee · 61316
Office
Unavailable
Facility
$69.74
No comparable office rate is available.
Austin
Texas · 61316
Office
Unavailable
Facility
$78.70
No comparable office rate is available.
Beaumont
Texas · 61316
Office
Unavailable
Facility
$77.09
No comparable office rate is available.
Brazoria
Texas · 61316
Office
Unavailable
Facility
$75.94
No comparable office rate is available.
Dallas
Texas · 61316
Office
Unavailable
Facility
$77.52
No comparable office rate is available.
Fort Worth
Texas · 61316
Office
Unavailable
Facility
$77.60
No comparable office rate is available.
Galveston
Texas · 61316
Office
Unavailable
Facility
$76.86
No comparable office rate is available.
Houston
Texas · 61316
Office
Unavailable
Facility
$87.11
No comparable office rate is available.
Rest Of Texas
Texas · 61316
Office
Unavailable
Facility
$77.21
No comparable office rate is available.
Utah
Utah · 61316
Office
Unavailable
Facility
$76.98
No comparable office rate is available.
Virginia
Virginia · 61316
Office
Unavailable
Facility
$74.06
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61316
Office
Unavailable
Facility
$79.72
No comparable office rate is available.
Vermont
Vermont · 61316
Office
Unavailable
Facility
$70.43
No comparable office rate is available.
Rest Of Washington
Washington · 61316
Office
Unavailable
Facility
$76.78
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61316
Office
Unavailable
Facility
$82.24
No comparable office rate is available.
Wisconsin
Wisconsin · 61316
Office
Unavailable
Facility
$66.23
No comparable office rate is available.
West Virginia
West Virginia · 61316
Office
Unavailable
Facility
$85.83
No comparable office rate is available.
Wyoming**
Wyoming · 61316
Office
Unavailable
Facility
$74.96
No comparable office rate is available.
See how rates vary across the country
61316 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 61316 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$85.78
$77.98 × 110% = $85.78
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 61316 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,763
- Code
- 61316
- Physician work
- 1.36
- Practice expense
- 0.47
- Malpractice
- 0.56
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.36 | × 1.005 | 1.3668 |
| Practice expense | 0.47 | × 0.988 | 0.4644 |
| Malpractice | 0.56 | × 0.899 | 0.5034 |
| Total RVUs | 2.3346 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$77.98
Open 61316 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.36 | 1.005 |
| Practice expense | 0.47 | 0.988 |
| Malpractice | 0.56 | 0.899 |
(1.36 × 1.005 + 0.47 × 0.988 + 0.56 × 0.899) × $33.4009 = $77.98
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
61316 · 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 | $77.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $77.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $77.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $77.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $84.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $84.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $84.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $84.99 | RVU25A |
61316 billing questions
Can 61316 be reported by itself?
No. It is an add-on code and must be billed with a primary procedure from the same operative session.
How is bone-flap storage different from cranioplasty?
61316 reports placing the removed flap beneath the skin for possible later use. Cranioplasty codes describe reconstruction or replacement of the skull defect, generally at a later operation.
What documentation supports 61316?
The operative report should identify the removed cranial flap and describe its placement in a subcutaneous pocket during the primary surgery.
How many units are reported when one flap is stored?
Report the service for the documented placement of the cranial bone flap; the operative note should make clear what was placed and where.
How does the global period affect payment?
CMS pays 61316 within the global period of the primary procedure with which it is billed.
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.
6,76061313,,Crnec/crnot sttl icere,A,,27.39,19.42,NA,19.42,,11.50,58.31,58.31,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76161314,,Crnec/crnot ittl xdrl/sdrl,A,,25.25,17.69,NA,17.69,,10.62,53.56,53.56,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76261315,,Crnec/crnot ittl ntracereblr,A,,28.91,19.26,NA,19.26,,12.22,60.39,60.39,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76361316,,Inc&subq plmt crnl bone grf,A,,1.36,0.47,NA,0.47,,0.56,2.39,2.39,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76461320,,Crnec/crnot drg icr abs sttl,A,,26.73,17.13,NA,17.13,,11.14,55.00,55.00,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76561321,,Crnec/crnot drg icr abs ittl,A,,29.77,19.60,NA,19.60,,12.58,61.95,61.95,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76661322,,Crnec/crnot dcmprv w/o lobec,A,,33.40,21.53,NA,21.53,,14.04,68.97,68.97,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503