Billing code 61343: Posterior fossa decompressionMedicare rate & RVUs in Redding

In Redding, Medicare pays $1,994.61 for 61343 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 61343 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 61343 covers

This operation removes bone at the base of the skull and from the upper cervical spine to relieve pressure on the lower brainstem and spinal cord. Neurosurgeons commonly perform it for symptomatic Chiari malformation with crowding at the foramen magnum. It is generally an operating-room procedure in a hospital or other surgical facility.

Select this code when the operative report supports posterior fossa decompression that includes cervical laminectomy for the cervicomedullary region. The report should identify the decompression performed and the relevant anatomy; the cervical bone removal is part of this operative service, not a separate laminectomy for the same decompression. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

How Redding compares for 61343

Across 109 of 109 payment localities, the facility rate for 61343 runs from $1,790.32 in Wisconsin to $2,790.02 in Miami. Redding pays $1,994.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

61343 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 61343 in every payment locality

How the 61343 rate is calculated

Each of 61343’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 61343

61343 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 61343

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 61343 has changed in Redding

Price 61343 for an earlier date of service

Where the Redding rate applies

Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• 61343 in Redding
• 61343 in Anderson
• 61343 in Bella Vista
• 61343 in Big Bend
• 61343 in Burney
• 61343 in Cassel
• 61343 in Castella
• 61343 in Centerville

Browse all communities in California

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates