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 Cerebral revascularization Medicare reimbursement rates in Alaska
Reports an intracranial operation that reconstructs or redirects blood flow to the brain, typically for selected patients with inadequate cerebral circulation. Compare 61708 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 61708 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2873.53
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alaska, 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.
Compare 61708 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$2873.53
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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 Alaska*.
PPRRVU2026_Oct_nonQPP.csv
6,870
- Code
- 61708
- Physician work
- 36.27
- Practice expense
- 21.77
- Malpractice
- 15.32
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.27 | × 1.500 | 54.4050 |
| Practice expense | 21.77 | × 1.065 | 23.1850 |
| Malpractice | 15.32 | × 0.551 | 8.4413 |
| Total RVUs | 86.0314 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$2873.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.27 | 1.5 |
| Practice expense | 21.77 | 1.065 |
| Malpractice | 15.32 | 0.551 |
(36.27 × 1.5 + 21.77 × 1.065 + 15.32 × 0.551) × $33.4009 = $2873.53
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.
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
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609