No office rate
61796 is the primary simple-lesion radiosurgery procedure; 61797 adds each further simple lesion treated.
On this page
CMS RVU26D · Effective 2026-10-01
61797 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$183.77
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.
Stereotactic radiosurgery
About 61797: Additional simple cranial radiosurgery lesion
Reports treatment of each additional simple cranial target during stereotactic radiosurgery, alongside the primary code for a simple lesion.
Code 61797 represents stereotactic radiosurgery directed at an additional simple intracranial lesion during a treatment session. SRS delivers focused radiation to a cranial target without open surgical removal; clinical targets may include brain metastases or other intracranial lesions selected for radiosurgical treatment. Neurosurgeons and radiation oncologists commonly participate in planning and treatment, often in a hospital or specialized radiosurgery setting.
Report 61797 for each additional simple lesion treated, with 61796 as the primary procedure for the simple-lesion treatment. The record should identify the lesions treated, support their classification as simple, and document the radiosurgery plan and delivered treatment. This is an add-on code: it is not billed alone, and Medicare payment falls within the primary procedure’s global period.
CMS billing rules for 61797
- 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 RVU3.39 · 57%
- Practice expense (office) RVU1.18 · 20%
- Malpractice RVU1.42 · 24%
8.4K
Medicare services in 2024 · #1567 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.
61797 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
61798 is the primary code for a complex cranial lesion. Use 61797 only for additional lesions classified as simple.
No office rate
61799 reports each additional complex lesion, while 61797 reports each additional simple lesion.
The same code, a different location
How does Madera compare?
61797 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Modesto
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Napa
California · 61797
Office
Unavailable
Facility
$196.40
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61797
Office
Unavailable
Facility
$192.53
No comparable office rate is available.
Redding
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Rest Of California
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61797
Office
Unavailable
Facility
$198.92
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61797
Office
Unavailable
Facility
$188.56
No comparable office rate is available.
Salinas
California · 61797
Office
Unavailable
Facility
$187.84
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61797
Office
Unavailable
Facility
$189.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61797
Office
Unavailable
Facility
$201.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61797
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61797
Office
Unavailable
Facility
$207.94
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61797
Office
Unavailable
Facility
$201.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61797
Office
Unavailable
Facility
$185.47
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61797
Office
Unavailable
Facility
$188.92
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61797
Office
Unavailable
Facility
$187.78
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61797
Office
Unavailable
Facility
$190.45
No comparable office rate is available.
Stockton
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Vallejo
California · 61797
Office
Unavailable
Facility
$194.08
No comparable office rate is available.
Visalia
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Yuba City
California · 61797
Office
Unavailable
Facility
$183.77
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61797
Office
Unavailable
Facility
$218.56
No comparable office rate is available.
Miami
Florida · 61797
Office
Unavailable
Facility
$274.21
No comparable office rate is available.
Chicago
Illinois · 61797
Office
Unavailable
Facility
$262.48
No comparable office rate is available.
Manhattan
New York · 61797
Office
Unavailable
Facility
$241.50
No comparable office rate is available.
Alaska*
Alaska · 61797
Office
Unavailable
Facility
$237.95
No comparable office rate is available.
Alabama
Alabama · 61797
Office
Unavailable
Facility
$174.56
No comparable office rate is available.
Arkansas
Arkansas · 61797
Office
Unavailable
Facility
$171.51
No comparable office rate is available.
Arizona
Arizona · 61797
Office
Unavailable
Facility
$192.02
No comparable office rate is available.
Colorado
Colorado · 61797
Office
Unavailable
Facility
$193.57
No comparable office rate is available.
Connecticut
Connecticut · 61797
Office
Unavailable
Facility
$215.33
No comparable office rate is available.
Delaware
Delaware · 61797
Office
Unavailable
Facility
$195.37
No comparable office rate is available.
Fort Lauderdale
Florida · 61797
Office
Unavailable
Facility
$238.91
No comparable office rate is available.
Rest Of Florida
Florida · 61797
Office
Unavailable
Facility
$222.19
No comparable office rate is available.
Atlanta
Georgia · 61797
Office
Unavailable
Facility
$210.57
No comparable office rate is available.
Rest Of Georgia
Georgia · 61797
Office
Unavailable
Facility
$204.92
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61797
Office
Unavailable
Facility
$185.50
No comparable office rate is available.
Iowa
Iowa · 61797
Office
Unavailable
Facility
$168.12
No comparable office rate is available.
Idaho
Idaho · 61797
Office
Unavailable
Facility
$171.92
No comparable office rate is available.
East St. Louis
Illinois · 61797
Office
Unavailable
Facility
$245.01
No comparable office rate is available.
Rest Of Illinois
Illinois · 61797
Office
Unavailable
Facility
$223.35
No comparable office rate is available.
Suburban Chicago
Illinois · 61797
Office
Unavailable
Facility
$238.54
No comparable office rate is available.
Indiana
Indiana · 61797
Office
Unavailable
Facility
$172.82
No comparable office rate is available.
Kansas
Kansas · 61797
Office
Unavailable
Facility
$172.76
No comparable office rate is available.
Kentucky
Kentucky · 61797
Office
Unavailable
Facility
$191.67
No comparable office rate is available.
New Orleans
Louisiana · 61797
Office
Unavailable
Facility
$204.20
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61797
Office
Unavailable
Facility
$193.55
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61797
Office
Unavailable
Facility
$207.14
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61797
Office
Unavailable
Facility
$194.34
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61797
Office
Unavailable
Facility
$216.00
No comparable office rate is available.
Rest Of Maryland
Maryland · 61797
Office
Unavailable
Facility
$197.79
No comparable office rate is available.
Rest Of Maine
Maine · 61797
Office
Unavailable
Facility
$178.99
No comparable office rate is available.
Southern Maine
Maine · 61797
Office
Unavailable
Facility
$182.22
No comparable office rate is available.
Detroit
Michigan · 61797
Office
Unavailable
Facility
$231.23
No comparable office rate is available.
Rest Of Michigan
Michigan · 61797
Office
Unavailable
Facility
$202.76
No comparable office rate is available.
Minnesota
Minnesota · 61797
Office
Unavailable
Facility
$167.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61797
Office
Unavailable
Facility
$196.58
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61797
Office
Unavailable
Facility
$198.27
No comparable office rate is available.
Rest Of Missouri
Missouri · 61797
Office
Unavailable
Facility
$193.40
No comparable office rate is available.
Mississippi
Mississippi · 61797
Office
Unavailable
Facility
$182.21
No comparable office rate is available.
Montana**
Montana · 61797
Office
Unavailable
Facility
$199.98
No comparable office rate is available.
North Carolina
North Carolina · 61797
Office
Unavailable
Facility
$180.31
No comparable office rate is available.
North Dakota**
North Dakota · 61797
Office
Unavailable
Facility
$171.90
No comparable office rate is available.
Nebraska
Nebraska · 61797
Office
Unavailable
Facility
$167.54
No comparable office rate is available.
New Hampshire
New Hampshire · 61797
Office
Unavailable
Facility
$195.76
No comparable office rate is available.
Northern Nj
New Jersey · 61797
Office
Unavailable
Facility
$216.74
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61797
Office
Unavailable
Facility
$212.83
No comparable office rate is available.
New Mexico
New Mexico · 61797
Office
Unavailable
Facility
$206.33
No comparable office rate is available.
Nevada**
Nevada · 61797
Office
Unavailable
Facility
$192.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61797
Office
Unavailable
Facility
$255.41
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61797
Office
Unavailable
Facility
$218.87
No comparable office rate is available.
Queens
New York · 61797
Office
Unavailable
Facility
$235.45
No comparable office rate is available.
Rest Of New York
New York · 61797
Office
Unavailable
Facility
$184.01
No comparable office rate is available.
Ohio
Ohio · 61797
Office
Unavailable
Facility
$197.02
No comparable office rate is available.
Oklahoma
Oklahoma · 61797
Office
Unavailable
Facility
$185.28
No comparable office rate is available.
Portland
Oregon · 61797
Office
Unavailable
Facility
$194.12
No comparable office rate is available.
Rest Of Oregon
Oregon · 61797
Office
Unavailable
Facility
$185.83
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61797
Office
Unavailable
Facility
$212.88
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61797
Office
Unavailable
Facility
$194.23
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61797
Office
Unavailable
Facility
$199.79
No comparable office rate is available.
Rhode Island
Rhode Island · 61797
Office
Unavailable
Facility
$198.40
No comparable office rate is available.
South Carolina
South Carolina · 61797
Office
Unavailable
Facility
$189.96
No comparable office rate is available.
South Dakota**
South Dakota · 61797
Office
Unavailable
Facility
$168.58
No comparable office rate is available.
Tennessee
Tennessee · 61797
Office
Unavailable
Facility
$174.53
No comparable office rate is available.
Austin
Texas · 61797
Office
Unavailable
Facility
$197.18
No comparable office rate is available.
Beaumont
Texas · 61797
Office
Unavailable
Facility
$193.16
No comparable office rate is available.
Brazoria
Texas · 61797
Office
Unavailable
Facility
$190.19
No comparable office rate is available.
Dallas
Texas · 61797
Office
Unavailable
Facility
$194.20
No comparable office rate is available.
Fort Worth
Texas · 61797
Office
Unavailable
Facility
$194.42
No comparable office rate is available.
Galveston
Texas · 61797
Office
Unavailable
Facility
$192.54
No comparable office rate is available.
Houston
Texas · 61797
Office
Unavailable
Facility
$218.53
No comparable office rate is available.
Rest Of Texas
Texas · 61797
Office
Unavailable
Facility
$193.46
No comparable office rate is available.
Utah
Utah · 61797
Office
Unavailable
Facility
$192.87
No comparable office rate is available.
Virginia
Virginia · 61797
Office
Unavailable
Facility
$185.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61797
Office
Unavailable
Facility
$199.79
No comparable office rate is available.
Vermont
Vermont · 61797
Office
Unavailable
Facility
$176.25
No comparable office rate is available.
Rest Of Washington
Washington · 61797
Office
Unavailable
Facility
$192.30
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61797
Office
Unavailable
Facility
$206.00
No comparable office rate is available.
Wisconsin
Wisconsin · 61797
Office
Unavailable
Facility
$165.59
No comparable office rate is available.
West Virginia
West Virginia · 61797
Office
Unavailable
Facility
$215.35
No comparable office rate is available.
Wyoming**
Wyoming · 61797
Office
Unavailable
Facility
$187.74
No comparable office rate is available.
See how rates vary across the country
61797 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 61797 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$202.15
$183.77 × 110% = $202.15
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 61797 in Madera.
PPRRVU2026_Oct_nonQPP.csv
6,890
- Code
- 61797
- Physician work
- 3.39
- Practice expense
- 1.18
- Malpractice
- 1.42
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.39 | × 1.017 | 3.4476 |
| Practice expense | 1.18 | × 1.096 | 1.2933 |
| Malpractice | 1.42 | × 0.536 | 0.7611 |
| Total RVUs | 5.5020 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$183.77
Open 61797 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.39 | 1.017 |
| Practice expense | 1.18 | 1.096 |
| Malpractice | 1.42 | 0.536 |
(3.39 × 1.017 + 1.18 × 1.096 + 1.42 × 0.536) × $33.4009 = $183.77
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
61797 · 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 | $183.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $183.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $183.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $183.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $200.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $200.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $200.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $200.15 | RVU25A |
61797 billing questions
When is 61797 reported instead of 61796?
Use 61796 for the primary simple-lesion radiosurgery procedure. Report 61797 for each additional simple lesion treated in that session.
Can 61797 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure, 61796 for simple-lesion treatment.
How many units should be reported?
Report one unit for each additional simple lesion treated. The record should identify each target and show that radiosurgery was delivered to it.
How does 61797 differ from 61799?
Both represent additional cranial lesions, but 61797 is for lesions classified as simple and 61799 for those classified as complex.
What documentation supports the additional-lesion code?
Document the number and identity of lesions, their simple classification, the treatment plan, and delivery of radiosurgery to each additional target.
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.
6,88761790,,Treat trigeminal nerve,A,,11.31,10.89,NA,10.89,,4.68,26.88,26.88,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88861791,,Treat trigeminal tract,A,,15.02,12.38,NA,12.38,,6.33,33.73,33.73,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88961796,,Srs cranial lesion simple,A,,13.58,11.06,NA,11.06,,5.68,30.32,30.32,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89061797,,Srs cran les simple addl,A,,3.39,1.18,NA,1.18,,1.42,5.99,5.99,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89161798,,Srs cranial lesion complex,A,,19.35,12.76,NA,12.76,,7.96,40.07,40.07,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89261799,,Srs cran les complex addl,A,,4.69,1.63,NA,1.63,,1.93,8.25,8.25,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89361800,,Apply srs headframe add-on,A,,2.19,1.25,NA,1.25,,0.92,4.36,4.36,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508