No office rate
61700 represents a different aneurysm-surgery circumstance. Choose 61705 when the operative report documents trapping, whether or not a bypass is performed.
On this page
CMS RVU26D · Effective 2026-10-01
61705 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2445.89
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 61705: Intracranial aneurysm trapping with or without bypass
Reports operative trapping of an intracranial, cervical, carotid, or vertebral artery aneurysm, with or without a bypass to maintain downstream blood flow.
This code describes surgical trapping of an aneurysm in the intracranial, cervical, carotid, or vertebral circulation. Trapping closes the vessel segments around the aneurysm; a bypass may be used to maintain blood flow beyond the trapped segment. Neurosurgeons typically perform this operation in a hospital operating room for aneurysms selected for open surgical management, rather than endovascular treatment. The code includes the bypass when one is performed as part of the aneurysm-trapping operation.
Select the code from the operative report’s documented technique and vascular site, not merely from the diagnosis of aneurysm. Documentation should identify the aneurysm, the vessel segments treated, the trapping performed, and any bypass. Medicare applies a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61705
- 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 RVU37.15 · 50%
- Practice expense (office) RVU22.07 · 29%
- Malpractice RVU15.67 · 21%
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.
61705 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Both codes concern aneurysm surgery, but 61705 specifically describes trapping with or without bypass. Base selection on the documented operation, not aneurysm diagnosis alone.
No office rate
61703 is another aneurysm-surgery option; 61705 is the choice when the surgeon traps the aneurysm, with or without bypass.
The same code, a different location
How does Delaware compare?
61705 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 · 61705
Office
Unavailable
Facility
$2182.10
No comparable office rate is available.
Arkansas
Arkansas · 61705
Office
Unavailable
Facility
$2143.61
No comparable office rate is available.
Arizona
Arizona · 61705
Office
Unavailable
Facility
$2403.17
No comparable office rate is available.
Bakersfield
California · 61705
Office
Unavailable
Facility
$2391.09
No comparable office rate is available.
Chico
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
El Centro
California · 61705
Office
Unavailable
Facility
$2353.02
No comparable office rate is available.
Fresno
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Hanford-Corcoran
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Madera
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Merced
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Modesto
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Napa
California · 61705
Office
Unavailable
Facility
$2556.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61705
Office
Unavailable
Facility
$2472.98
No comparable office rate is available.
Redding
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Rest Of California
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61705
Office
Unavailable
Facility
$2517.56
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61705
Office
Unavailable
Facility
$2423.37
No comparable office rate is available.
Salinas
California · 61705
Office
Unavailable
Facility
$2414.21
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61705
Office
Unavailable
Facility
$2443.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61705
Office
Unavailable
Facility
$2638.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61705
Office
Unavailable
Facility
$2620.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61705
Office
Unavailable
Facility
$2720.86
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61705
Office
Unavailable
Facility
$2648.10
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61705
Office
Unavailable
Facility
$2382.10
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61705
Office
Unavailable
Facility
$2443.09
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61705
Office
Unavailable
Facility
$2415.65
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61705
Office
Unavailable
Facility
$2463.84
No comparable office rate is available.
Stockton
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Vallejo
California · 61705
Office
Unavailable
Facility
$2530.83
No comparable office rate is available.
Visalia
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Yuba City
California · 61705
Office
Unavailable
Facility
$2350.40
No comparable office rate is available.
Colorado
Colorado · 61705
Office
Unavailable
Facility
$2448.84
No comparable office rate is available.
Connecticut
Connecticut · 61705
Office
Unavailable
Facility
$2692.88
No comparable office rate is available.
Fort Lauderdale
Florida · 61705
Office
Unavailable
Facility
$2933.88
No comparable office rate is available.
Rest Of Florida
Florida · 61705
Office
Unavailable
Facility
$2732.22
No comparable office rate is available.
Atlanta
Georgia · 61705
Office
Unavailable
Facility
$2622.11
No comparable office rate is available.
Rest Of Georgia
Georgia · 61705
Office
Unavailable
Facility
$2522.27
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61705
Office
Unavailable
Facility
$2382.04
No comparable office rate is available.
Iowa
Iowa · 61705
Office
Unavailable
Facility
$2123.13
No comparable office rate is available.
Idaho
Idaho · 61705
Office
Unavailable
Facility
$2166.59
No comparable office rate is available.
East St. Louis
Illinois · 61705
Office
Unavailable
Facility
$2973.14
No comparable office rate is available.
Rest Of Illinois
Illinois · 61705
Office
Unavailable
Facility
$2731.93
No comparable office rate is available.
Suburban Chicago
Illinois · 61705
Office
Unavailable
Facility
$2934.04
No comparable office rate is available.
Indiana
Indiana · 61705
Office
Unavailable
Facility
$2178.56
No comparable office rate is available.
Kansas
Kansas · 61705
Office
Unavailable
Facility
$2171.02
No comparable office rate is available.
Kentucky
Kentucky · 61705
Office
Unavailable
Facility
$2375.08
No comparable office rate is available.
New Orleans
Louisiana · 61705
Office
Unavailable
Facility
$2529.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61705
Office
Unavailable
Facility
$2394.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61705
Office
Unavailable
Facility
$2637.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61705
Office
Unavailable
Facility
$2454.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61705
Office
Unavailable
Facility
$2699.10
No comparable office rate is available.
Rest Of Maryland
Maryland · 61705
Office
Unavailable
Facility
$2479.73
No comparable office rate is available.
Rest Of Maine
Maine · 61705
Office
Unavailable
Facility
$2244.58
No comparable office rate is available.
Southern Maine
Maine · 61705
Office
Unavailable
Facility
$2301.63
No comparable office rate is available.
Detroit
Michigan · 61705
Office
Unavailable
Facility
$2834.64
No comparable office rate is available.
Rest Of Michigan
Michigan · 61705
Office
Unavailable
Facility
$2504.78
No comparable office rate is available.
Minnesota
Minnesota · 61705
Office
Unavailable
Facility
$2154.30
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61705
Office
Unavailable
Facility
$2444.39
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61705
Office
Unavailable
Facility
$2467.06
No comparable office rate is available.
Rest Of Missouri
Missouri · 61705
Office
Unavailable
Facility
$2386.06
No comparable office rate is available.
Mississippi
Mississippi · 61705
Office
Unavailable
Facility
$2262.32
No comparable office rate is available.
Montana**
Montana · 61705
Office
Unavailable
Facility
$2500.35
No comparable office rate is available.
North Carolina
North Carolina · 61705
Office
Unavailable
Facility
$2263.06
No comparable office rate is available.
North Dakota**
North Dakota · 61705
Office
Unavailable
Facility
$2190.50
No comparable office rate is available.
Nebraska
Nebraska · 61705
Office
Unavailable
Facility
$2119.08
No comparable office rate is available.
New Hampshire
New Hampshire · 61705
Office
Unavailable
Facility
$2466.19
No comparable office rate is available.
Northern Nj
New Jersey · 61705
Office
Unavailable
Facility
$2733.10
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61705
Office
Unavailable
Facility
$2669.61
No comparable office rate is available.
New Mexico
New Mexico · 61705
Office
Unavailable
Facility
$2545.41
No comparable office rate is available.
Nevada**
Nevada · 61705
Office
Unavailable
Facility
$2414.72
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61705
Office
Unavailable
Facility
$3168.68
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61705
Office
Unavailable
Facility
$2737.17
No comparable office rate is available.
Queens
New York · 61705
Office
Unavailable
Facility
$2946.31
No comparable office rate is available.
Rest Of New York
New York · 61705
Office
Unavailable
Facility
$2309.09
No comparable office rate is available.
Ohio
Ohio · 61705
Office
Unavailable
Facility
$2441.45
No comparable office rate is available.
Oklahoma
Oklahoma · 61705
Office
Unavailable
Facility
$2305.80
No comparable office rate is available.
Portland
Oregon · 61705
Office
Unavailable
Facility
$2469.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 61705
Office
Unavailable
Facility
$2343.00
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61705
Office
Unavailable
Facility
$2654.97
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61705
Office
Unavailable
Facility
$2412.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61705
Office
Unavailable
Facility
$2501.65
No comparable office rate is available.
Rhode Island
Rhode Island · 61705
Office
Unavailable
Facility
$2492.77
No comparable office rate is available.
South Carolina
South Carolina · 61705
Office
Unavailable
Facility
$2366.86
No comparable office rate is available.
South Dakota**
South Dakota · 61705
Office
Unavailable
Facility
$2153.86
No comparable office rate is available.
Tennessee
Tennessee · 61705
Office
Unavailable
Facility
$2191.98
No comparable office rate is available.
Austin
Texas · 61705
Office
Unavailable
Facility
$2486.96
No comparable office rate is available.
Beaumont
Texas · 61705
Office
Unavailable
Facility
$2397.89
No comparable office rate is available.
Brazoria
Texas · 61705
Office
Unavailable
Facility
$2389.54
No comparable office rate is available.
Dallas
Texas · 61705
Office
Unavailable
Facility
$2435.29
No comparable office rate is available.
Fort Worth
Texas · 61705
Office
Unavailable
Facility
$2434.72
No comparable office rate is available.
Galveston
Texas · 61705
Office
Unavailable
Facility
$2416.14
No comparable office rate is available.
Houston
Texas · 61705
Office
Unavailable
Facility
$2702.96
No comparable office rate is available.
Rest Of Texas
Texas · 61705
Office
Unavailable
Facility
$2413.03
No comparable office rate is available.
Utah
Utah · 61705
Office
Unavailable
Facility
$2403.78
No comparable office rate is available.
Virginia
Virginia · 61705
Office
Unavailable
Facility
$2334.98
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61705
Office
Unavailable
Facility
$2501.65
No comparable office rate is available.
Vermont
Vermont · 61705
Office
Unavailable
Facility
$2235.47
No comparable office rate is available.
Rest Of Washington
Washington · 61705
Office
Unavailable
Facility
$2431.50
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61705
Office
Unavailable
Facility
$2634.99
No comparable office rate is available.
Wisconsin
Wisconsin · 61705
Office
Unavailable
Facility
$2108.25
No comparable office rate is available.
West Virginia
West Virginia · 61705
Office
Unavailable
Facility
$2630.41
No comparable office rate is available.
Wyoming**
Wyoming · 61705
Office
Unavailable
Facility
$2365.31
No comparable office rate is available.
See how rates vary across the country
61705 · 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 61705 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2690.48
$2445.89 × 110% = $2690.48
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 61705 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,869
- Code
- 61705
- Physician work
- 37.15
- Practice expense
- 22.07
- Malpractice
- 15.67
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.15 | × 1.005 | 37.3357 |
| Practice expense | 22.07 | × 0.988 | 21.8052 |
| Malpractice | 15.67 | × 0.899 | 14.0873 |
| Total RVUs | 73.2282 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$2445.89
Open 61705 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37.15 | 1.005 |
| Practice expense | 22.07 | 0.988 |
| Malpractice | 15.67 | 0.899 |
(37.15 × 1.005 + 22.07 × 0.988 + 15.67 × 0.899) × $33.4009 = $2445.89
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
61705 · 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 | $2445.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $2445.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $2445.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $2445.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $2546.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $2546.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $2546.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $2546.25 | RVU25A |
61705 billing questions
How is 61705 distinguished from other intracranial aneurysm surgery codes?
Use 61705 when the documented operation traps the aneurysm, with or without bypass. Codes such as 61700, 61702, and 61703 describe other aneurysm-surgery approaches or circumstances.
Can the bypass be reported separately?
The bypass is included when it is performed as part of the aneurysm-trapping operation described by 61705. Do not separately report the same bypass work.
Does modifier 50 apply when aneurysms are treated on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 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.
6,86661700,,Brain aneurysm repr simple,A,,49.35,26.72,NA,26.72,,20.06,96.13,96.13,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86761702,,Inner skull vessel surgery,A,,58.54,31.06,NA,31.06,,24.72,114.32,114.32,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86861703,,Clamp neck artery,A,,18.33,14.40,NA,14.40,,7.72,40.45,40.45,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86961705,,Revise circulation to head,A,,37.15,22.07,NA,22.07,,15.67,74.89,74.89,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87061708,,Revise circulation to head,A,,36.27,21.77,NA,21.77,,15.32,73.36,73.36,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87161710,,Revise circulation to head,A,,30.51,18.68,NA,18.68,,12.88,62.07,62.07,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87261711,,Fusion of skull arteries,A,,37.27,21.94,NA,21.94,,15.48,74.69,74.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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