No office rate
61700 is for simple intracranial aneurysm repair. Use 61703 when the documented service is clamping a cervical carotid artery in the neck.
On this page
CMS RVU26D · Effective 2026-10-01
61703 Arterial clamping Medicare reimbursement rates in Delaware
Cervical carotid artery clamping is reported for operative control of neck arterial flow during neurosurgical treatment involving the circulation to the head. Compare 61703 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 61703 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
$1322.31
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 61703: Cervical carotid artery clamping
Cervical carotid artery clamping is reported for operative control of neck arterial flow during neurosurgical treatment involving the circulation to the head.
This service covers a surgeon’s operative clamping of a cervical carotid artery in the neck to control arterial flow during neurosurgical treatment involving the head circulation. It is distinct from operating directly on an intracranial vessel or aneurysm. The operative report should identify the artery and neck site, describe the clamping performed, and connect it to the surgical plan.
Report the service for the documented neck-artery clamping, not merely because an intracranial vascular procedure was performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61703
- 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 RVU18.33 · 45%
- Practice expense (office) RVU14.40 · 36%
- Malpractice RVU7.72 · 19%
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.
61703 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
61702 concerns surgery on an intracranial vessel; 61703 identifies clamping of a neck artery.
No office rate
61705 concerns revising circulation to the head. This code describes cervical carotid artery clamping, not a circulation-revision service.
Compare 61703 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
$1322.31
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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 61703 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,868
- Code
- 61703
- Physician work
- 18.33
- Practice expense
- 14.40
- Malpractice
- 7.72
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.33 | × 1.005 | 18.4216 |
| Practice expense | 14.40 | × 0.988 | 14.2272 |
| Malpractice | 7.72 | × 0.899 | 6.9403 |
| Total RVUs | 39.5891 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1322.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.33 | 1.005 |
| Practice expense | 14.4 | 0.988 |
| Malpractice | 7.72 | 0.899 |
(18.33 × 1.005 + 14.4 × 0.988 + 7.72 × 0.899) × $33.4009 = $1322.31
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.
61703 billing questions
How is this different from intracranial aneurysm surgery?
This code identifies clamping of a cervical carotid artery in the neck. Codes for intracranial aneurysm or vessel surgery describe operative work directed at structures inside the skull.
Should modifier 50 be reported for bilateral clamping?
No. Modifier 50 is inappropriate for this code; report the documented service without a bilateral adjustment.
What documentation supports reporting this service?
The operative report should identify the cervical artery and site, describe the clamping, and explain its role in the operative plan.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
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.
6,86561698,,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
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
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