No office rate
Use 61782 for extradural cranial navigation and 61781 for intradural cranial navigation. The distinction is the operative compartment.
On this page
CMS RVU26D · Effective 2026-10-01
61782 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$140.30
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 61782: Cranial extradural navigation
Reports computer-assisted navigation used during an extradural cranial operation to help the surgeon guide instruments using patient-specific imaging.
This add-on describes computer-assisted navigation during cranial surgery performed outside the dura. The surgeon uses a registered imaging dataset and tracked instruments to orient the operative approach or guide work around structures such as the skull base. It may support an extradural anterior cranial fossa operation, including a craniofacial approach, when navigation is actually used. Neurosurgeons and other surgeons performing cranial procedures may use it in an operating room.
Report 61782 with the qualifying primary cranial procedure, not by itself. Documentation should identify the navigation service and its use during the extradural operation; routine review of imaging alone does not establish that the navigation service was performed. Select this code for extradural cranial navigation rather than the intradural cranial or spinal navigation sibling. CMS treats it as an add-on paid within the primary procedure's global period, so it is not a separately payable service outside that global period.
CMS billing rules for 61782
- 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 RVU3.10 · 72%
- Practice expense (office) RVU0.76 · 18%
- Malpractice RVU0.46 · 11%
20K
Medicare services in 2024 · #1150 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.
61782 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
61783 describes computer-assisted navigation for spinal procedures; 61782 is limited to extradural cranial procedures.
No office rate
61751 describes stereotactic intracranial biopsy with CT and/or MR guidance. 61782 is an add-on for navigation during an extradural cranial operation, not a biopsy code.
The same code, a different location
How does Wyoming** compare?
61782 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · 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 Wyoming 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 · 61782
Office
Unavailable
Facility
$134.45
No comparable office rate is available.
Arkansas
Arkansas · 61782
Office
Unavailable
Facility
$133.26
No comparable office rate is available.
Arizona
Arizona · 61782
Office
Unavailable
Facility
$141.29
No comparable office rate is available.
Bakersfield
California · 61782
Office
Unavailable
Facility
$142.69
No comparable office rate is available.
Chico
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
El Centro
California · 61782
Office
Unavailable
Facility
$141.44
No comparable office rate is available.
Fresno
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Hanford-Corcoran
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Madera
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Merced
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Modesto
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Napa
California · 61782
Office
Unavailable
Facility
$151.33
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61782
Office
Unavailable
Facility
$146.02
No comparable office rate is available.
Redding
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Rest Of California
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61782
Office
Unavailable
Facility
$146.33
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61782
Office
Unavailable
Facility
$145.03
No comparable office rate is available.
Salinas
California · 61782
Office
Unavailable
Facility
$144.41
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61782
Office
Unavailable
Facility
$145.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61782
Office
Unavailable
Facility
$156.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61782
Office
Unavailable
Facility
$155.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61782
Office
Unavailable
Facility
$159.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61782
Office
Unavailable
Facility
$157.64
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61782
Office
Unavailable
Facility
$142.45
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61782
Office
Unavailable
Facility
$144.79
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61782
Office
Unavailable
Facility
$144.28
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61782
Office
Unavailable
Facility
$146.06
No comparable office rate is available.
Stockton
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Vallejo
California · 61782
Office
Unavailable
Facility
$150.58
No comparable office rate is available.
Visalia
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Yuba City
California · 61782
Office
Unavailable
Facility
$141.36
No comparable office rate is available.
Colorado
Colorado · 61782
Office
Unavailable
Facility
$143.79
No comparable office rate is available.
Connecticut
Connecticut · 61782
Office
Unavailable
Facility
$151.54
No comparable office rate is available.
Delaware
Delaware · 61782
Office
Unavailable
Facility
$142.95
No comparable office rate is available.
Fort Lauderdale
Florida · 61782
Office
Unavailable
Facility
$157.04
No comparable office rate is available.
Rest Of Florida
Florida · 61782
Office
Unavailable
Facility
$150.90
No comparable office rate is available.
Atlanta
Georgia · 61782
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Rest Of Georgia
Georgia · 61782
Office
Unavailable
Facility
$144.50
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61782
Office
Unavailable
Facility
$141.30
No comparable office rate is available.
Iowa
Iowa · 61782
Office
Unavailable
Facility
$132.87
No comparable office rate is available.
Idaho
Idaho · 61782
Office
Unavailable
Facility
$134.16
No comparable office rate is available.
East St. Louis
Illinois · 61782
Office
Unavailable
Facility
$157.84
No comparable office rate is available.
Rest Of Illinois
Illinois · 61782
Office
Unavailable
Facility
$150.73
No comparable office rate is available.
Suburban Chicago
Illinois · 61782
Office
Unavailable
Facility
$157.56
No comparable office rate is available.
Indiana
Indiana · 61782
Office
Unavailable
Facility
$134.54
No comparable office rate is available.
Kansas
Kansas · 61782
Office
Unavailable
Facility
$134.23
No comparable office rate is available.
Kentucky
Kentucky · 61782
Office
Unavailable
Facility
$140.17
No comparable office rate is available.
New Orleans
Louisiana · 61782
Office
Unavailable
Facility
$144.88
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61782
Office
Unavailable
Facility
$140.73
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61782
Office
Unavailable
Facility
$151.77
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61782
Office
Unavailable
Facility
$144.17
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61782
Office
Unavailable
Facility
$151.44
No comparable office rate is available.
Rest Of Maryland
Maryland · 61782
Office
Unavailable
Facility
$144.37
No comparable office rate is available.
Rest Of Maine
Maine · 61782
Office
Unavailable
Facility
$136.45
No comparable office rate is available.
Southern Maine
Maine · 61782
Office
Unavailable
Facility
$138.39
No comparable office rate is available.
Detroit
Michigan · 61782
Office
Unavailable
Facility
$153.94
No comparable office rate is available.
Rest Of Michigan
Michigan · 61782
Office
Unavailable
Facility
$144.07
No comparable office rate is available.
Minnesota
Minnesota · 61782
Office
Unavailable
Facility
$134.21
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61782
Office
Unavailable
Facility
$142.39
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61782
Office
Unavailable
Facility
$143.10
No comparable office rate is available.
Rest Of Missouri
Missouri · 61782
Office
Unavailable
Facility
$140.39
No comparable office rate is available.
Mississippi
Mississippi · 61782
Office
Unavailable
Facility
$136.75
No comparable office rate is available.
Montana**
Montana · 61782
Office
Unavailable
Facility
$144.26
No comparable office rate is available.
North Carolina
North Carolina · 61782
Office
Unavailable
Facility
$137.04
No comparable office rate is available.
North Dakota**
North Dakota · 61782
Office
Unavailable
Facility
$135.17
No comparable office rate is available.
Nebraska
Nebraska · 61782
Office
Unavailable
Facility
$132.78
No comparable office rate is available.
New Hampshire
New Hampshire · 61782
Office
Unavailable
Facility
$143.41
No comparable office rate is available.
Northern Nj
New Jersey · 61782
Office
Unavailable
Facility
$155.92
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61782
Office
Unavailable
Facility
$152.26
No comparable office rate is available.
New Mexico
New Mexico · 61782
Office
Unavailable
Facility
$145.27
No comparable office rate is available.
Nevada**
Nevada · 61782
Office
Unavailable
Facility
$141.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61782
Office
Unavailable
Facility
$168.88
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61782
Office
Unavailable
Facility
$154.59
No comparable office rate is available.
Queens
New York · 61782
Office
Unavailable
Facility
$162.33
No comparable office rate is available.
Rest Of New York
New York · 61782
Office
Unavailable
Facility
$138.46
No comparable office rate is available.
Ohio
Ohio · 61782
Office
Unavailable
Facility
$142.21
No comparable office rate is available.
Oklahoma
Oklahoma · 61782
Office
Unavailable
Facility
$138.15
No comparable office rate is available.
Portland
Oregon · 61782
Office
Unavailable
Facility
$144.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 61782
Office
Unavailable
Facility
$139.63
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61782
Office
Unavailable
Facility
$150.16
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61782
Office
Unavailable
Facility
$141.37
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61782
Office
Unavailable
Facility
$144.34
No comparable office rate is available.
Rhode Island
Rhode Island · 61782
Office
Unavailable
Facility
$145.44
No comparable office rate is available.
South Carolina
South Carolina · 61782
Office
Unavailable
Facility
$140.06
No comparable office rate is available.
South Dakota**
South Dakota · 61782
Office
Unavailable
Facility
$134.09
No comparable office rate is available.
Tennessee
Tennessee · 61782
Office
Unavailable
Facility
$134.87
No comparable office rate is available.
Austin
Texas · 61782
Office
Unavailable
Facility
$144.22
No comparable office rate is available.
Beaumont
Texas · 61782
Office
Unavailable
Facility
$140.92
No comparable office rate is available.
Brazoria
Texas · 61782
Office
Unavailable
Facility
$141.51
No comparable office rate is available.
Dallas
Texas · 61782
Office
Unavailable
Facility
$142.94
No comparable office rate is available.
Fort Worth
Texas · 61782
Office
Unavailable
Facility
$142.89
No comparable office rate is available.
Galveston
Texas · 61782
Office
Unavailable
Facility
$142.30
No comparable office rate is available.
Houston
Texas · 61782
Office
Unavailable
Facility
$150.72
No comparable office rate is available.
Rest Of Texas
Texas · 61782
Office
Unavailable
Facility
$141.51
No comparable office rate is available.
Utah
Utah · 61782
Office
Unavailable
Facility
$141.20
No comparable office rate is available.
Virginia
Virginia · 61782
Office
Unavailable
Facility
$139.34
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61782
Office
Unavailable
Facility
$144.34
No comparable office rate is available.
Vermont
Vermont · 61782
Office
Unavailable
Facility
$136.45
No comparable office rate is available.
Rest Of Washington
Washington · 61782
Office
Unavailable
Facility
$143.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61782
Office
Unavailable
Facility
$152.42
No comparable office rate is available.
Wisconsin
Wisconsin · 61782
Office
Unavailable
Facility
$132.59
No comparable office rate is available.
West Virginia
West Virginia · 61782
Office
Unavailable
Facility
$147.59
No comparable office rate is available.
See how rates vary across the country
61782 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 61782 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$154.33
$140.30 × 110% = $154.33
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 61782 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,885
- Code
- 61782
- Physician work
- 3.10
- Practice expense
- 0.76
- Malpractice
- 0.46
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.10 | × 1.000 | 3.1000 |
| Practice expense | 0.76 | × 1.000 | 0.7600 |
| Malpractice | 0.46 | × 0.740 | 0.3404 |
| Total RVUs | 4.2004 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$140.30
Open 61782 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.1 | 1 |
| Practice expense | 0.76 | 1 |
| Malpractice | 0.46 | 0.74 |
(3.1 × 1 + 0.76 × 1 + 0.46 × 0.74) × $33.4009 = $140.30
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
61782 · 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 | $140.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $140.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $140.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $140.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $163.09 | RVU25D |
| 2025-07-01 | Not available in this setting | $163.09 | RVU25C |
| 2025-04-01 | Not available in this setting | $163.09 | RVU25B |
| 2025-01-01 | Not available in this setting | $163.09 | RVU25A |
61782 billing questions
How is 61782 different from 61781?
61782 is for computer-assisted navigation during an extradural cranial procedure. Use 61781 when the navigated cranial procedure is intradural.
Can 61782 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports reporting 61782?
The operative record should establish that computer-assisted navigation was used during the extradural cranial procedure. Merely reviewing preoperative images does not describe the navigation service.
Is 61782 separately payable outside the primary procedure's global period?
No. CMS pays this add-on within the primary procedure's global period.
Is 61782 the right code for spinal navigation?
No. 61782 is for extradural cranial navigation; 61783 is the spinal navigation sibling.
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.
6,88261760,,Implant brain electrodes,A,,21.83,15.49,NA,15.49,,9.21,46.53,46.53,0,090,0.11,0.76,0.13,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88361770,,Incise skull for treatment,A,,22.61,15.29,NA,15.29,,9.55,47.45,47.45,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88461781,,Scan proc cranial intra,A,,3.66,1.27,NA,1.27,,1.51,6.44,6.44,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88561782,,Scan proc cranial extra,A,,3.10,0.76,NA,0.76,,0.46,4.32,4.32,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88661783,,Scan proc spinal,A,,3.66,1.24,NA,1.24,,1.31,6.21,6.21,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,