No office rate
This code represents the simple level of intracranial aneurysm repair. Use 61702 when the documented operation meets the complex level.
On this page
CMS RVU26D · Effective 2026-10-01
61700 Aneurysm repair Medicare reimbursement rates in Delaware
Reports open surgical treatment of a simple intracranial brain aneurysm, typically by a neurosurgeon using a craniotomy to expose and treat the aneurysm. Compare 61700 office and facility rates across CMS payment localities in Delaware.
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 61700 in Delaware?
Delaware 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
$3140.69
1 of 1 localities have a supported rate.
Payment area: Delaware
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 61700: Simple intracranial aneurysm repair
Reports open surgical treatment of a simple intracranial brain aneurysm, typically by a neurosurgeon using a craniotomy to expose and treat the aneurysm.
A neurosurgeon typically performs this open operation in a hospital operating room, exposing an intracranial aneurysm through a craniotomy and treating it directly, commonly with a clip. The service is for a simple aneurysm within the brain’s circulation; the operative report should identify the aneurysm, its location, the surgical approach, and the work performed.
Select this code rather than the complex aneurysm-repair code when the documented operation meets the simple level in this code family. Report the operation, not a diagnosis alone. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61700
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU49.35 · 51%
- Practice expense (office) RVU26.72 · 28%
- Malpractice RVU20.06 · 21%
130
Medicare services in 2024 · #4674 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.
61700 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
61703 describes aneurysm surgery using a cervical approach. This code is for the simple intracranial approach.
No office rate
61624 is an endovascular occlusion or embolization service for a CNS aneurysm; this code reports open surgical treatment.
Compare 61700 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
Delaware →
Office / nonfacility
Unavailable
Facility
$3140.69
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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 61700 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,866
- Code
- 61700
- Physician work
- 49.35
- Practice expense
- 26.72
- Malpractice
- 20.06
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 49.35 | × 1.005 | 49.5967 |
| Practice expense | 26.72 | × 0.988 | 26.3994 |
| Malpractice | 20.06 | × 0.899 | 18.0339 |
| Total RVUs | 94.0300 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$3140.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 49.35 | 1.005 |
| Practice expense | 26.72 | 0.988 |
| Malpractice | 20.06 | 0.899 |
(49.35 × 1.005 + 26.72 × 0.988 + 20.06 × 0.899) × $33.4009 = $3140.69
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.
61700 billing questions
How do I choose this code instead of the complex aneurysm-repair code?
Use this code for a simple intracranial aneurysm operation and the complex sibling code when the operative report supports the complex level. Document the aneurysm, approach, and operative work rather than relying on the diagnosis alone.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for aneurysms on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures 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.
6,86361692,,Intracranial vessel surgery,A,,53.23,28.09,NA,28.09,,22.47,103.79,103.79,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86461697,,Brain aneurysm repr complx,A,,61.82,32.05,NA,32.05,,26.02,119.89,119.89,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86561698,,Brain aneurysm repr complx,A,,67.89,34.34,NA,34.34,,28.66,130.89,130.89,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86661700,,Brain aneurysm repr simple,A,,49.35,26.72,NA,26.72,,20.06,96.13,96.13,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86761702,,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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503