No office rate
61645 restores flow by treating an intracranial clot. Code 61624 is for catheter-based permanent occlusion or embolization in the central nervous system.
On this page
CMS RVU26D · Effective 2026-10-01
61645 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$747.96
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.
Neuroendovascular procedure
About 61645: Intracranial arterial thrombectomy
Reports catheter-based treatment of an intracranial arterial clot by mechanical removal, thrombolytic infusion, or both, commonly during acute ischemic stroke care.
A neurointerventional physician, endovascular neurosurgeon, or other qualified specialist uses an arterial catheter to treat a clot in an intracranial artery. Treatment may involve aspiration or a retrieval device to remove the clot, infusion of a thrombolytic agent, or both. The service is most often performed in a hospital angiography suite for an acute ischemic stroke caused by an intracranial arterial occlusion.
Report the service when the record supports intracranial clot treatment and identifies the target artery, occlusion, technique, and imaging findings. The code includes procedural imaging, radiological supervision and interpretation, and associated professional services. It has a 0-day global period, so same-day preoperative and postoperative care are included. CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 61645
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.63 · 65%
- Practice expense (office) RVU3.69 · 16%
- Malpractice RVU4.31 · 19%
13.3K
Medicare services in 2024 · #1326 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.
61645 compared with similar codes
Office rates for Vallejo, from the same CMS release.
61630
No office rateBalo angioplasty icr perq
Use 61645 for mechanical thrombectomy or thrombolytic treatment of an intracranial clot; 61630 addresses intracranial arterial narrowing with balloon angioplasty.
61635
No office rateIntracran angioplsty w/stent
61635 covers intracranial angioplasty with stent placement for stenosis. It is distinct from 61645, which treats an arterial clot.
61640
No office rateDilate ic vasospasm init
61640 treats intracranial vasospasm with dilation. Choose 61645 when the target is an intracranial arterial clot.
The same code, a different location
How does Vallejo compare?
61645 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Merced
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Modesto
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Napa
California · 61645
Office
Unavailable
Facility
$755.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61645
Office
Unavailable
Facility
$737.70
No comparable office rate is available.
Redding
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Rest Of California
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61645
Office
Unavailable
Facility
$755.33
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61645
Office
Unavailable
Facility
$726.75
No comparable office rate is available.
Salinas
California · 61645
Office
Unavailable
Facility
$723.81
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61645
Office
Unavailable
Facility
$728.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61645
Office
Unavailable
Facility
$774.94
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61645
Office
Unavailable
Facility
$770.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61645
Office
Unavailable
Facility
$797.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61645
Office
Unavailable
Facility
$777.28
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61645
Office
Unavailable
Facility
$714.50
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61645
Office
Unavailable
Facility
$725.83
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61645
Office
Unavailable
Facility
$723.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61645
Office
Unavailable
Facility
$731.83
No comparable office rate is available.
Stockton
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Visalia
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Yuba City
California · 61645
Office
Unavailable
Facility
$709.20
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61645
Office
Unavailable
Facility
$820.46
No comparable office rate is available.
Miami
Florida · 61645
Office
Unavailable
Facility
$981.03
No comparable office rate is available.
Chicago
Illinois · 61645
Office
Unavailable
Facility
$946.32
No comparable office rate is available.
Manhattan
New York · 61645
Office
Unavailable
Facility
$891.46
No comparable office rate is available.
Alaska*
Alaska · 61645
Office
Unavailable
Facility
$943.56
No comparable office rate is available.
Alabama
Alabama · 61645
Office
Unavailable
Facility
$677.98
No comparable office rate is available.
Arkansas
Arkansas · 61645
Office
Unavailable
Facility
$668.66
No comparable office rate is available.
Arizona
Arizona · 61645
Office
Unavailable
Facility
$731.31
No comparable office rate is available.
Colorado
Colorado · 61645
Office
Unavailable
Facility
$738.09
No comparable office rate is available.
Connecticut
Connecticut · 61645
Office
Unavailable
Facility
$805.36
No comparable office rate is available.
Delaware
Delaware · 61645
Office
Unavailable
Facility
$742.29
No comparable office rate is available.
Fort Lauderdale
Florida · 61645
Office
Unavailable
Facility
$873.78
No comparable office rate is available.
Rest Of Florida
Florida · 61645
Office
Unavailable
Facility
$822.85
No comparable office rate is available.
Atlanta
Georgia · 61645
Office
Unavailable
Facility
$788.24
No comparable office rate is available.
Rest Of Georgia
Georgia · 61645
Office
Unavailable
Facility
$770.19
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61645
Office
Unavailable
Facility
$712.14
No comparable office rate is available.
Iowa
Iowa · 61645
Office
Unavailable
Facility
$658.58
No comparable office rate is available.
Idaho
Idaho · 61645
Office
Unavailable
Facility
$670.14
No comparable office rate is available.
East St. Louis
Illinois · 61645
Office
Unavailable
Facility
$891.98
No comparable office rate is available.
Rest Of Illinois
Illinois · 61645
Office
Unavailable
Facility
$826.19
No comparable office rate is available.
Suburban Chicago
Illinois · 61645
Office
Unavailable
Facility
$873.75
No comparable office rate is available.
Indiana
Indiana · 61645
Office
Unavailable
Facility
$672.87
No comparable office rate is available.
Kansas
Kansas · 61645
Office
Unavailable
Facility
$672.63
No comparable office rate is available.
Kentucky
Kentucky · 61645
Office
Unavailable
Facility
$729.95
No comparable office rate is available.
New Orleans
Louisiana · 61645
Office
Unavailable
Facility
$768.17
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61645
Office
Unavailable
Facility
$735.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61645
Office
Unavailable
Facility
$783.97
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61645
Office
Unavailable
Facility
$740.99
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61645
Office
Unavailable
Facility
$806.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 61645
Office
Unavailable
Facility
$750.42
No comparable office rate is available.
Rest Of Maine
Maine · 61645
Office
Unavailable
Facility
$691.59
No comparable office rate is available.
Southern Maine
Maine · 61645
Office
Unavailable
Facility
$701.63
No comparable office rate is available.
Detroit
Michigan · 61645
Office
Unavailable
Facility
$850.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 61645
Office
Unavailable
Facility
$763.71
No comparable office rate is available.
Minnesota
Minnesota · 61645
Office
Unavailable
Facility
$658.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61645
Office
Unavailable
Facility
$745.03
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61645
Office
Unavailable
Facility
$750.23
No comparable office rate is available.
Rest Of Missouri
Missouri · 61645
Office
Unavailable
Facility
$735.11
No comparable office rate is available.
Mississippi
Mississippi · 61645
Office
Unavailable
Facility
$701.16
No comparable office rate is available.
Montana**
Montana · 61645
Office
Unavailable
Facility
$755.57
No comparable office rate is available.
North Carolina
North Carolina · 61645
Office
Unavailable
Facility
$695.64
No comparable office rate is available.
North Dakota**
North Dakota · 61645
Office
Unavailable
Facility
$670.35
No comparable office rate is available.
Nebraska
Nebraska · 61645
Office
Unavailable
Facility
$656.83
No comparable office rate is available.
New Hampshire
New Hampshire · 61645
Office
Unavailable
Facility
$742.92
No comparable office rate is available.
Northern Nj
New Jersey · 61645
Office
Unavailable
Facility
$816.16
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61645
Office
Unavailable
Facility
$800.71
No comparable office rate is available.
New Mexico
New Mexico · 61645
Office
Unavailable
Facility
$774.57
No comparable office rate is available.
Nevada**
Nevada · 61645
Office
Unavailable
Facility
$731.94
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61645
Office
Unavailable
Facility
$933.80
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61645
Office
Unavailable
Facility
$819.79
No comparable office rate is available.
Queens
New York · 61645
Office
Unavailable
Facility
$873.20
No comparable office rate is available.
Rest Of New York
New York · 61645
Office
Unavailable
Facility
$706.94
No comparable office rate is available.
Ohio
Ohio · 61645
Office
Unavailable
Facility
$746.29
No comparable office rate is available.
Oklahoma
Oklahoma · 61645
Office
Unavailable
Facility
$710.57
No comparable office rate is available.
Portland
Oregon · 61645
Office
Unavailable
Facility
$740.51
No comparable office rate is available.
Rest Of Oregon
Oregon · 61645
Office
Unavailable
Facility
$712.61
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61645
Office
Unavailable
Facility
$797.50
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61645
Office
Unavailable
Facility
$737.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61645
Office
Unavailable
Facility
$755.06
No comparable office rate is available.
Rhode Island
Rhode Island · 61645
Office
Unavailable
Facility
$753.67
No comparable office rate is available.
South Carolina
South Carolina · 61645
Office
Unavailable
Facility
$724.90
No comparable office rate is available.
South Dakota**
South Dakota · 61645
Office
Unavailable
Facility
$660.27
No comparable office rate is available.
Tennessee
Tennessee · 61645
Office
Unavailable
Facility
$677.99
No comparable office rate is available.
Austin
Texas · 61645
Office
Unavailable
Facility
$747.58
No comparable office rate is available.
Beaumont
Texas · 61645
Office
Unavailable
Facility
$734.55
No comparable office rate is available.
Brazoria
Texas · 61645
Office
Unavailable
Facility
$726.99
No comparable office rate is available.
Dallas
Texas · 61645
Office
Unavailable
Facility
$739.33
No comparable office rate is available.
Fort Worth
Texas · 61645
Office
Unavailable
Facility
$739.96
No comparable office rate is available.
Galveston
Texas · 61645
Office
Unavailable
Facility
$734.15
No comparable office rate is available.
Houston
Texas · 61645
Office
Unavailable
Facility
$813.04
No comparable office rate is available.
Rest Of Texas
Texas · 61645
Office
Unavailable
Facility
$735.61
No comparable office rate is available.
Utah
Utah · 61645
Office
Unavailable
Facility
$733.78
No comparable office rate is available.
Virginia
Virginia · 61645
Office
Unavailable
Facility
$711.44
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61645
Office
Unavailable
Facility
$755.06
No comparable office rate is available.
Vermont
Vermont · 61645
Office
Unavailable
Facility
$683.51
No comparable office rate is available.
Rest Of Washington
Washington · 61645
Office
Unavailable
Facility
$734.34
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61645
Office
Unavailable
Facility
$781.93
No comparable office rate is available.
Wisconsin
Wisconsin · 61645
Office
Unavailable
Facility
$651.07
No comparable office rate is available.
West Virginia
West Virginia · 61645
Office
Unavailable
Facility
$801.76
No comparable office rate is available.
Wyoming**
Wyoming · 61645
Office
Unavailable
Facility
$718.43
No comparable office rate is available.
See how rates vary across the country
61645 · 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?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 61645 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$822.76
$747.96 × 110% = $822.76
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 61645 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
6,855
- Code
- 61645
- Physician work
- 14.63
- Practice expense
- 3.69
- Malpractice
- 4.31
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.063 | 15.5517 |
| Practice expense | 3.69 | × 1.318 | 4.8634 |
| Malpractice | 4.31 | × 0.459 | 1.9783 |
| Total RVUs | 22.3934 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$747.96
Open 61645 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1.063 |
| Practice expense | 3.69 | 1.318 |
| Malpractice | 4.31 | 0.459 |
(14.63 × 1.063 + 3.69 × 1.318 + 4.31 × 0.459) × $33.4009 = $747.96
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
61645 · 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 | $747.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $747.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $747.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $747.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $838.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $838.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $838.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $838.82 | RVU25A |
61645 billing questions
When should 61645 be chosen instead of intracranial angioplasty?
Use 61645 for catheter-based treatment of an intracranial arterial clot. Angioplasty codes address vessel narrowing rather than clot removal.
Does 61645 include the procedural imaging?
Yes. The code includes imaging and radiological supervision and interpretation associated with the thrombectomy or thrombolytic infusion.
What should the procedure note document?
Document the intracranial artery and occlusion treated, the imaging findings, and whether the physician used mechanical clot removal, thrombolytic infusion, or both.
How is bilateral performance reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral service at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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.
6,85261640,,Dilate ic vasospasm init,N,+,12.32,0.00,,0.00,,1.69,14.01,14.01,9,000,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85361641,,Dilat ic vspsm ea vsl sm ter,N,+,4.33,0.00,,0.00,,0.59,4.92,4.92,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85461642,,Dilat ic vspsm ea diff ter,N,+,8.66,0.00,,0.00,,1.18,9.84,9.84,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85561645,,Perq art m-thrombect &/nfs,A,,14.63,3.69,NA,3.69,,4.31,22.63,22.63,0,000,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85661650,,Evasc prlng admn rx agnt 1st,A,,9.75,2.73,NA,2.73,,3.19,15.67,15.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85761651,,Evasc prlng admn rx agnt add,A,,4.14,1.19,NA,1.19,,1.37,6.70,6.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85861680,,Intracranial vessel surgery,A,,31.74,20.93,NA,20.93,,13.42,66.09,66.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536