No office rate
61711 identifies an extracranial-to-intracranial arterial bypass. Choose 61708 only when the documented intracranial circulation-revision service fits that code.
On this page
CMS RVU26D · Effective 2026-10-01
61708 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2303.26
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 61708: Intracranial cerebral revascularization
Reports an intracranial operation that reconstructs or redirects blood flow to the brain, typically for selected patients with inadequate cerebral circulation.
This code represents a major intracranial vascular operation to restore or redirect blood flow to brain tissue. A neurosurgeon typically performs it in an operating room when a patient has a cerebral circulation problem requiring surgical revascularization; the operative report should identify the vessels treated and the reconstruction performed. The service is distinct from simply clipping an aneurysm or placing a clamp on a neck artery.
Report the code when the documented operative work meets this specific intracranial circulation-revision service, rather than selecting it from the diagnosis alone. The record should support the indication, operative approach, and vascular reconstruction. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral adjustment is inappropriate for this service. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 61708
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU36.27 · 49%
- Practice expense (office) RVU21.77 · 30%
- Malpractice RVU15.32 · 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.
61708 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
61703 is the neck-artery clamping service. It does not describe intracranial reconstruction to redirect cerebral blood flow.
No office rate
61700 is used for a simple intracranial aneurysm repair. An operation to revise cerebral circulation is not coded as aneurysm repair solely because an aneurysm is involved.
The same code, a different location
How does Merced compare?
61708 across payment areas
Same release and payment basis · bars start at $0
Merced · 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
Madera
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Modesto
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Napa
California · 61708
Office
Unavailable
Facility
$2506.08
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61708
Office
Unavailable
Facility
$2423.64
No comparable office rate is available.
Redding
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Rest Of California
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61708
Office
Unavailable
Facility
$2466.68
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61708
Office
Unavailable
Facility
$2375.00
No comparable office rate is available.
Salinas
California · 61708
Office
Unavailable
Facility
$2366.03
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61708
Office
Unavailable
Facility
$2394.79
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61708
Office
Unavailable
Facility
$2586.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61708
Office
Unavailable
Facility
$2569.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61708
Office
Unavailable
Facility
$2667.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61708
Office
Unavailable
Facility
$2596.39
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61708
Office
Unavailable
Facility
$2334.53
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61708
Office
Unavailable
Facility
$2394.64
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61708
Office
Unavailable
Facility
$2367.49
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61708
Office
Unavailable
Facility
$2414.99
No comparable office rate is available.
Stockton
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Vallejo
California · 61708
Office
Unavailable
Facility
$2481.01
No comparable office rate is available.
Visalia
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Yuba City
California · 61708
Office
Unavailable
Facility
$2303.26
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61708
Office
Unavailable
Facility
$2702.96
No comparable office rate is available.
Miami
Florida · 61708
Office
Unavailable
Facility
$3262.49
No comparable office rate is available.
Chicago
Illinois · 61708
Office
Unavailable
Facility
$3125.06
No comparable office rate is available.
Manhattan
New York · 61708
Office
Unavailable
Facility
$2945.48
No comparable office rate is available.
Alaska*
Alaska · 61708
Office
Unavailable
Facility
$2873.53
No comparable office rate is available.
Alabama
Alabama · 61708
Office
Unavailable
Facility
$2137.32
No comparable office rate is available.
Arkansas
Arkansas · 61708
Office
Unavailable
Facility
$2099.59
No comparable office rate is available.
Arizona
Arizona · 61708
Office
Unavailable
Facility
$2354.06
No comparable office rate is available.
Colorado
Colorado · 61708
Office
Unavailable
Facility
$2399.30
No comparable office rate is available.
Connecticut
Connecticut · 61708
Office
Unavailable
Facility
$2637.97
No comparable office rate is available.
Delaware
Delaware · 61708
Office
Unavailable
Facility
$2395.94
No comparable office rate is available.
Fort Lauderdale
Florida · 61708
Office
Unavailable
Facility
$2873.20
No comparable office rate is available.
Rest Of Florida
Florida · 61708
Office
Unavailable
Facility
$2675.68
No comparable office rate is available.
Atlanta
Georgia · 61708
Office
Unavailable
Facility
$2568.41
No comparable office rate is available.
Rest Of Georgia
Georgia · 61708
Office
Unavailable
Facility
$2470.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61708
Office
Unavailable
Facility
$2334.48
No comparable office rate is available.
Iowa
Iowa · 61708
Office
Unavailable
Facility
$2079.93
No comparable office rate is available.
Idaho
Idaho · 61708
Office
Unavailable
Facility
$2122.45
No comparable office rate is available.
East St. Louis
Illinois · 61708
Office
Unavailable
Facility
$2910.98
No comparable office rate is available.
Rest Of Illinois
Illinois · 61708
Office
Unavailable
Facility
$2675.12
No comparable office rate is available.
Suburban Chicago
Illinois · 61708
Office
Unavailable
Facility
$2873.44
No comparable office rate is available.
Indiana
Indiana · 61708
Office
Unavailable
Facility
$2134.19
No comparable office rate is available.
Kansas
Kansas · 61708
Office
Unavailable
Facility
$2126.68
No comparable office rate is available.
Kentucky
Kentucky · 61708
Office
Unavailable
Facility
$2326.08
No comparable office rate is available.
New Orleans
Louisiana · 61708
Office
Unavailable
Facility
$2476.98
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61708
Office
Unavailable
Facility
$2345.18
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61708
Office
Unavailable
Facility
$2584.74
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61708
Office
Unavailable
Facility
$2404.34
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61708
Office
Unavailable
Facility
$2644.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 61708
Office
Unavailable
Facility
$2429.17
No comparable office rate is available.
Rest Of Maine
Maine · 61708
Office
Unavailable
Facility
$2198.70
No comparable office rate is available.
Southern Maine
Maine · 61708
Office
Unavailable
Facility
$2254.93
No comparable office rate is available.
Detroit
Michigan · 61708
Office
Unavailable
Facility
$2775.87
No comparable office rate is available.
Rest Of Michigan
Michigan · 61708
Office
Unavailable
Facility
$2453.04
No comparable office rate is available.
Minnesota
Minnesota · 61708
Office
Unavailable
Facility
$2111.14
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61708
Office
Unavailable
Facility
$2394.17
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61708
Office
Unavailable
Facility
$2416.41
No comparable office rate is available.
Rest Of Missouri
Missouri · 61708
Office
Unavailable
Facility
$2336.64
No comparable office rate is available.
Mississippi
Mississippi · 61708
Office
Unavailable
Facility
$2215.66
No comparable office rate is available.
Montana**
Montana · 61708
Office
Unavailable
Facility
$2449.27
No comparable office rate is available.
North Carolina
North Carolina · 61708
Office
Unavailable
Facility
$2216.85
No comparable office rate is available.
North Dakota**
North Dakota · 61708
Office
Unavailable
Facility
$2146.34
No comparable office rate is available.
Nebraska
Nebraska · 61708
Office
Unavailable
Facility
$2076.02
No comparable office rate is available.
New Hampshire
New Hampshire · 61708
Office
Unavailable
Facility
$2416.14
No comparable office rate is available.
Northern Nj
New Jersey · 61708
Office
Unavailable
Facility
$2677.75
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61708
Office
Unavailable
Facility
$2615.28
No comparable office rate is available.
New Mexico
New Mexico · 61708
Office
Unavailable
Facility
$2492.79
No comparable office rate is available.
Nevada**
Nevada · 61708
Office
Unavailable
Facility
$2365.56
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61708
Office
Unavailable
Facility
$3103.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61708
Office
Unavailable
Facility
$2681.34
No comparable office rate is available.
Queens
New York · 61708
Office
Unavailable
Facility
$2886.33
No comparable office rate is available.
Rest Of New York
New York · 61708
Office
Unavailable
Facility
$2261.96
No comparable office rate is available.
Ohio
Ohio · 61708
Office
Unavailable
Facility
$2391.12
No comparable office rate is available.
Oklahoma
Oklahoma · 61708
Office
Unavailable
Facility
$2258.38
No comparable office rate is available.
Portland
Oregon · 61708
Office
Unavailable
Facility
$2419.39
No comparable office rate is available.
Rest Of Oregon
Oregon · 61708
Office
Unavailable
Facility
$2295.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61708
Office
Unavailable
Facility
$2600.67
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61708
Office
Unavailable
Facility
$2362.52
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61708
Office
Unavailable
Facility
$2450.61
No comparable office rate is available.
Rhode Island
Rhode Island · 61708
Office
Unavailable
Facility
$2442.04
No comparable office rate is available.
South Carolina
South Carolina · 61708
Office
Unavailable
Facility
$2318.27
No comparable office rate is available.
South Dakota**
South Dakota · 61708
Office
Unavailable
Facility
$2110.52
No comparable office rate is available.
Tennessee
Tennessee · 61708
Office
Unavailable
Facility
$2147.20
No comparable office rate is available.
Austin
Texas · 61708
Office
Unavailable
Facility
$2436.55
No comparable office rate is available.
Beaumont
Texas · 61708
Office
Unavailable
Facility
$2348.52
No comparable office rate is available.
Brazoria
Texas · 61708
Office
Unavailable
Facility
$2340.86
No comparable office rate is available.
Dallas
Texas · 61708
Office
Unavailable
Facility
$2385.62
No comparable office rate is available.
Fort Worth
Texas · 61708
Office
Unavailable
Facility
$2385.00
No comparable office rate is available.
Galveston
Texas · 61708
Office
Unavailable
Facility
$2366.88
No comparable office rate is available.
Houston
Texas · 61708
Office
Unavailable
Facility
$2647.29
No comparable office rate is available.
Rest Of Texas
Texas · 61708
Office
Unavailable
Facility
$2363.57
No comparable office rate is available.
Utah
Utah · 61708
Office
Unavailable
Facility
$2354.47
No comparable office rate is available.
Virginia
Virginia · 61708
Office
Unavailable
Facility
$2287.49
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61708
Office
Unavailable
Facility
$2450.61
No comparable office rate is available.
Vermont
Vermont · 61708
Office
Unavailable
Facility
$2190.24
No comparable office rate is available.
Rest Of Washington
Washington · 61708
Office
Unavailable
Facility
$2382.28
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61708
Office
Unavailable
Facility
$2582.28
No comparable office rate is available.
Wisconsin
Wisconsin · 61708
Office
Unavailable
Facility
$2065.65
No comparable office rate is available.
West Virginia
West Virginia · 61708
Office
Unavailable
Facility
$2575.58
No comparable office rate is available.
Wyoming**
Wyoming · 61708
Office
Unavailable
Facility
$2317.25
No comparable office rate is available.
See how rates vary across the country
61708 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 61708 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2533.59
$2303.26 × 110% = $2533.59
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 61708 in Merced.
PPRRVU2026_Oct_nonQPP.csv
6,870
- Code
- 61708
- Physician work
- 36.27
- Practice expense
- 21.77
- Malpractice
- 15.32
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.27 | × 1.017 | 36.8866 |
| Practice expense | 21.77 | × 1.096 | 23.8599 |
| Malpractice | 15.32 | × 0.536 | 8.2115 |
| Total RVUs | 68.9580 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$2303.26
Open 61708 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.27 | 1.017 |
| Practice expense | 21.77 | 1.096 |
| Malpractice | 15.32 | 0.536 |
(36.27 × 1.017 + 21.77 × 1.096 + 15.32 × 0.536) × $33.4009 = $2303.26
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
61708 · 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 | $2303.26 | RVU26D |
| 2026-07-01 | Not available in this setting | $2303.26 | RVU26C |
| 2026-04-01 | Not available in this setting | $2303.26 | RVU26B |
| 2026-01-01 | Not available in this setting | $2303.26 | RVU26A |
| 2025-10-01 | Not available in this setting | $2386.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $2386.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $2386.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $2386.81 | RVU25A |
61708 billing questions
How is this distinguished from 61711?
Use 61708 for the intracranial circulation-revision service documented in the operative report. Code 61711 describes a different, specifically named extracranial-to-intracranial arterial bypass service.
Can an aneurysm procedure be reported with 61708?
The operative work determines whether a separate aneurysm service is reportable. Do not report a second code for work already included in the intracranial vascular reconstruction.
Does the 90-day global include postoperative visits?
Yes. Related postoperative care during the 90-day period is included, along with the day-before preoperative visit.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure 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.
6,86761702,,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
6,87361715,,Mrgfus strtctc ablt trgt icr,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623