No office rate
Choose 61626 for a permanent embolization target outside the CNS; 61624 is the corresponding CNS embolization code.
On this page
CMS RVU26D · Effective 2026-10-01
61626 Vascular embolization Medicare reimbursement rates in Florida
Reports catheter-based permanent occlusion or embolization of a non-central-nervous-system vessel, such as treatment of a vascular malformation, tumor, or bleeding. Compare 61626 office and facility rates across CMS payment localities in Florida.
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 61626 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$9402.62–$10315.00
3 of 3 localities have a supported rate.
Facility setting
$816.94–$965.96
3 of 3 localities have a supported rate.
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.
Where 61626 pays more and less in Florida
3 payment localities
$9402.62 to $10315.00
Interventional radiology
About 61626: Permanent Non-CNS Vascular Embolization
Reports catheter-based permanent occlusion or embolization of a non-central-nervous-system vessel, such as treatment of a vascular malformation, tumor, or bleeding.
An interventional radiologist or another appropriately trained physician uses a catheter to deliver an embolic material or device that permanently blocks a non-CNS vessel. Clinical purposes include controlling bleeding, treating a vascular malformation, or reducing a tumor’s blood supply. The procedure is generally performed in a hospital or other interventional setting, with imaging used to guide the catheter and embolic treatment. The non-CNS designation is the key distinction from intracranial embolization; the procedure is not a temporary balloon occlusion.
Report the code when the treated target is outside the central nervous system and the intent is permanent occlusion or embolization. Documentation should identify the target vessel and site, the clinical indication, the permanent treatment performed, and the embolic method. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 61626
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.93 · 5%
- Practice expense (office) RVU272.48 · 93%
- Malpractice RVU4.05 · 1%
1.3K
Medicare services in 2024 · #2746 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.
61626 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
61623 describes temporary balloon occlusion in a head or neck vessel. This code is for permanent occlusion or embolization outside the CNS.
$7,683.96–$8,371.91
37243 applies to qualifying embolization for tumor treatment or organ ischemia or infarction. Select between it and 61626 based on the applicable code family and documented service.
$5,885.97–$6,415.09
37244 applies to qualifying embolization for hemorrhage or lymphatic leak. It is distinct from selecting 61626 solely because embolization is permanent and non-CNS.
Compare 61626 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$9962.64
Facility
$865.06
Miami →
Office / nonfacility
$10315.00
Facility
$965.96
Rest Of Florida →
Office / nonfacility
$9402.62
Facility
$816.94
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61626 billing questions
How do I distinguish this code from 61624?
The distinction is the treated anatomy: 61626 is for permanent embolization outside the central nervous system, while 61624 is for CNS embolization.
Is this code for temporary balloon occlusion?
No. It describes permanent vascular occlusion or embolization; temporary balloon occlusion is a different service.
What documentation supports reporting 61626?
Document the non-CNS target vessel and site, the indication, the permanent embolization performed, and the method or material used.
Can modifier 50 be reported for bilateral embolization?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure reduction work?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
Can an assistant or co-surgeon be paid for this procedure?
CMS restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.
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.
6,84661619,,Repair dura,A,,21.55,16.21,NA,16.21,,9.11,46.87,46.87,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84761623,,Evasc temp balo artl occ h/n,A,,9.70,2.87,NA,2.87,,2.95,15.52,15.52,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84861624,,Tcat perm occls/embolj cns,A,,19.50,5.41,NA,5.41,,6.37,31.28,31.28,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84961626,,Tcat perm occls/embol noncns,A,,14.93,272.48,,3.60,,4.05,291.46,22.58,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85061630,,Balo angioplasty icr perq,R,,21.52,9.22,NA,9.22,,6.82,37.56,37.56,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85161635,,Intracran angioplsty w/stent,R,,23.67,9.66,NA,9.66,,7.28,40.61,40.61,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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