No office rate
61600 reports resection or excision of a lesion in the extradural anterior cranial fossa. 61611 reports adjunctive vessel or sinus transection or ligation and requires a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
61611 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$417.13
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 61611: Intracranial vessel transection or ligation
Reports intracranial vessel or cavernous sinus transection or ligation performed as an adjunct to a primary cranial operation.
This add-on represents transection or ligation of an intracranial artery, the cavernous sinus, or another intracranial vessel during a primary cranial operation. A neurosurgeon or skull-base surgeon may perform it in the operating room when vessel or sinus management is part of the operative treatment, rather than a separate endovascular service. The operative report should identify the structure treated and describe the transection or ligation as an adjunct to the primary procedure.
Report 61611 only with an eligible primary procedure; it is not a stand-alone service. CMS treats its payment as part of the primary procedure’s global period, so the add-on is included within that global surgical episode. Documentation should establish both the primary cranial operation and the additional vessel or sinus work. The code is not a substitute for a primary lesion-resection code or for a separately performed endovascular procedure.
CMS billing rules for 61611
- 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 RVU7.22 · 56%
- Practice expense (office) RVU2.53 · 20%
- Malpractice RVU3.04 · 24%
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.
61611 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
61601 describes intradural anterior cranial fossa lesion resection. Use 61611 only for separately documented adjunctive vessel or sinus transection or ligation.
No office rate
61624 is catheter-based permanent occlusion or embolization of a central nervous system vessel; 61611 is operative transection or ligation adjunctive to a cranial procedure.
The same code, a different location
How does Delaware compare?
61611 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 · 61611
Office
Unavailable
Facility
$372.57
No comparable office rate is available.
Arkansas
Arkansas · 61611
Office
Unavailable
Facility
$366.04
No comparable office rate is available.
Arizona
Arizona · 61611
Office
Unavailable
Facility
$409.96
No comparable office rate is available.
Bakersfield
California · 61611
Office
Unavailable
Facility
$400.19
No comparable office rate is available.
Chico
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
El Centro
California · 61611
Office
Unavailable
Facility
$392.80
No comparable office rate is available.
Fresno
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Hanford-Corcoran
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Madera
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Merced
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Modesto
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Napa
California · 61611
Office
Unavailable
Facility
$419.31
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61611
Office
Unavailable
Facility
$411.05
No comparable office rate is available.
Redding
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Rest Of California
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61611
Office
Unavailable
Facility
$424.72
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61611
Office
Unavailable
Facility
$402.54
No comparable office rate is available.
Salinas
California · 61611
Office
Unavailable
Facility
$401.00
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61611
Office
Unavailable
Facility
$404.49
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61611
Office
Unavailable
Facility
$429.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61611
Office
Unavailable
Facility
$426.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61611
Office
Unavailable
Facility
$443.96
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61611
Office
Unavailable
Facility
$429.85
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61611
Office
Unavailable
Facility
$395.93
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61611
Office
Unavailable
Facility
$403.32
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61611
Office
Unavailable
Facility
$400.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61611
Office
Unavailable
Facility
$406.59
No comparable office rate is available.
Stockton
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Vallejo
California · 61611
Office
Unavailable
Facility
$414.33
No comparable office rate is available.
Visalia
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Yuba City
California · 61611
Office
Unavailable
Facility
$392.30
No comparable office rate is available.
Colorado
Colorado · 61611
Office
Unavailable
Facility
$413.26
No comparable office rate is available.
Connecticut
Connecticut · 61611
Office
Unavailable
Facility
$459.85
No comparable office rate is available.
Fort Lauderdale
Florida · 61611
Office
Unavailable
Facility
$510.34
No comparable office rate is available.
Rest Of Florida
Florida · 61611
Office
Unavailable
Facility
$474.55
No comparable office rate is available.
Atlanta
Georgia · 61611
Office
Unavailable
Facility
$449.68
No comparable office rate is available.
Rest Of Georgia
Georgia · 61611
Office
Unavailable
Facility
$437.57
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61611
Office
Unavailable
Facility
$396.03
No comparable office rate is available.
Iowa
Iowa · 61611
Office
Unavailable
Facility
$358.79
No comparable office rate is available.
Idaho
Idaho · 61611
Office
Unavailable
Facility
$366.93
No comparable office rate is available.
East St. Louis
Illinois · 61611
Office
Unavailable
Facility
$523.40
No comparable office rate is available.
Rest Of Illinois
Illinois · 61611
Office
Unavailable
Facility
$477.01
No comparable office rate is available.
Suburban Chicago
Illinois · 61611
Office
Unavailable
Facility
$509.56
No comparable office rate is available.
Indiana
Indiana · 61611
Office
Unavailable
Facility
$368.84
No comparable office rate is available.
Kansas
Kansas · 61611
Office
Unavailable
Facility
$368.72
No comparable office rate is available.
Kentucky
Kentucky · 61611
Office
Unavailable
Facility
$409.19
No comparable office rate is available.
New Orleans
Louisiana · 61611
Office
Unavailable
Facility
$436.02
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61611
Office
Unavailable
Facility
$413.21
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61611
Office
Unavailable
Facility
$442.31
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61611
Office
Unavailable
Facility
$414.92
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61611
Office
Unavailable
Facility
$461.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 61611
Office
Unavailable
Facility
$422.30
No comparable office rate is available.
Rest Of Maine
Maine · 61611
Office
Unavailable
Facility
$382.06
No comparable office rate is available.
Southern Maine
Maine · 61611
Office
Unavailable
Facility
$388.97
No comparable office rate is available.
Detroit
Michigan · 61611
Office
Unavailable
Facility
$493.90
No comparable office rate is available.
Rest Of Michigan
Michigan · 61611
Office
Unavailable
Facility
$432.94
No comparable office rate is available.
Minnesota
Minnesota · 61611
Office
Unavailable
Facility
$358.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61611
Office
Unavailable
Facility
$419.71
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61611
Office
Unavailable
Facility
$423.34
No comparable office rate is available.
Rest Of Missouri
Missouri · 61611
Office
Unavailable
Facility
$412.90
No comparable office rate is available.
Mississippi
Mississippi · 61611
Office
Unavailable
Facility
$388.95
No comparable office rate is available.
Montana**
Montana · 61611
Office
Unavailable
Facility
$426.99
No comparable office rate is available.
North Carolina
North Carolina · 61611
Office
Unavailable
Facility
$384.88
No comparable office rate is available.
North Dakota**
North Dakota · 61611
Office
Unavailable
Facility
$366.88
No comparable office rate is available.
Nebraska
Nebraska · 61611
Office
Unavailable
Facility
$357.53
No comparable office rate is available.
New Hampshire
New Hampshire · 61611
Office
Unavailable
Facility
$417.97
No comparable office rate is available.
Northern Nj
New Jersey · 61611
Office
Unavailable
Facility
$462.82
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61611
Office
Unavailable
Facility
$454.47
No comparable office rate is available.
New Mexico
New Mexico · 61611
Office
Unavailable
Facility
$440.59
No comparable office rate is available.
Nevada**
Nevada · 61611
Office
Unavailable
Facility
$410.33
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61611
Office
Unavailable
Facility
$545.62
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61611
Office
Unavailable
Facility
$467.40
No comparable office rate is available.
Queens
New York · 61611
Office
Unavailable
Facility
$502.89
No comparable office rate is available.
Rest Of New York
New York · 61611
Office
Unavailable
Facility
$392.82
No comparable office rate is available.
Ohio
Ohio · 61611
Office
Unavailable
Facility
$420.66
No comparable office rate is available.
Oklahoma
Oklahoma · 61611
Office
Unavailable
Facility
$395.51
No comparable office rate is available.
Portland
Oregon · 61611
Office
Unavailable
Facility
$414.44
No comparable office rate is available.
Rest Of Oregon
Oregon · 61611
Office
Unavailable
Facility
$396.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61611
Office
Unavailable
Facility
$454.60
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61611
Office
Unavailable
Facility
$414.68
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61611
Office
Unavailable
Facility
$426.60
No comparable office rate is available.
Rhode Island
Rhode Island · 61611
Office
Unavailable
Facility
$423.60
No comparable office rate is available.
South Carolina
South Carolina · 61611
Office
Unavailable
Facility
$405.54
No comparable office rate is available.
South Dakota**
South Dakota · 61611
Office
Unavailable
Facility
$359.78
No comparable office rate is available.
Tennessee
Tennessee · 61611
Office
Unavailable
Facility
$372.50
No comparable office rate is available.
Austin
Texas · 61611
Office
Unavailable
Facility
$421.01
No comparable office rate is available.
Beaumont
Texas · 61611
Office
Unavailable
Facility
$412.38
No comparable office rate is available.
Brazoria
Texas · 61611
Office
Unavailable
Facility
$406.03
No comparable office rate is available.
Dallas
Texas · 61611
Office
Unavailable
Facility
$414.61
No comparable office rate is available.
Fort Worth
Texas · 61611
Office
Unavailable
Facility
$415.09
No comparable office rate is available.
Galveston
Texas · 61611
Office
Unavailable
Facility
$411.07
No comparable office rate is available.
Houston
Texas · 61611
Office
Unavailable
Facility
$466.71
No comparable office rate is available.
Rest Of Texas
Texas · 61611
Office
Unavailable
Facility
$413.04
No comparable office rate is available.
Utah
Utah · 61611
Office
Unavailable
Facility
$411.77
No comparable office rate is available.
Virginia
Virginia · 61611
Office
Unavailable
Facility
$395.91
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61611
Office
Unavailable
Facility
$426.60
No comparable office rate is available.
Vermont
Vermont · 61611
Office
Unavailable
Facility
$376.19
No comparable office rate is available.
Rest Of Washington
Washington · 61611
Office
Unavailable
Facility
$410.54
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61611
Office
Unavailable
Facility
$439.86
No comparable office rate is available.
Wisconsin
Wisconsin · 61611
Office
Unavailable
Facility
$353.38
No comparable office rate is available.
West Virginia
West Virginia · 61611
Office
Unavailable
Facility
$459.89
No comparable office rate is available.
Wyoming**
Wyoming · 61611
Office
Unavailable
Facility
$400.80
No comparable office rate is available.
See how rates vary across the country
61611 · 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 61611 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$458.84
$417.13 × 110% = $458.84
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 61611 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,841
- Code
- 61611
- Physician work
- 7.22
- Practice expense
- 2.53
- Malpractice
- 3.04
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.22 | × 1.005 | 7.2561 |
| Practice expense | 2.53 | × 0.988 | 2.4996 |
| Malpractice | 3.04 | × 0.899 | 2.7330 |
| Total RVUs | 12.4887 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$417.13
Open 61611 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.22 | 1.005 |
| Practice expense | 2.53 | 0.988 |
| Malpractice | 3.04 | 0.899 |
(7.22 × 1.005 + 2.53 × 0.988 + 3.04 × 0.899) × $33.4009 = $417.13
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
61611 · 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 | $417.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $417.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $417.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $417.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $451.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $451.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $451.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $451.96 | RVU25A |
61611 billing questions
Can 61611 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports the add-on?
The operative report should identify the intracranial vessel or cavernous sinus and describe the transection or ligation performed in addition to the primary operation.
How does the global period affect payment?
CMS pays 61611 within the primary procedure’s global period; it is not a separate stand-alone payment outside that surgical episode.
Is 61611 the same as endovascular vessel treatment?
No. It describes operative transection or ligation as an adjunct to a cranial procedure, not catheter-based embolization or occlusion.
Should it be reported with a cranial lesion resection?
It may be reported when the documented primary cranial operation qualifies and the vessel or sinus work is performed as an adjunct. The operative record must support both services.
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.
6,83861606,,Resect/excise cranial lesion,A,,41.00,26.61,NA,26.61,,14.07,81.68,81.68,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,83961607,,Resect/excise cranial lesion,A,,39.91,23.47,NA,23.47,,11.26,74.64,74.64,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84061608,,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
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