$10,924.92
Choose 61624 for permanent embolization of a CNS vessel; 61626 is for permanent embolization outside the CNS.
On this page
CMS RVU26D · Effective 2026-10-01
61624 CNS embolization Medicare reimbursement rates in Hawaii
Reports catheter-based permanent blockage of a central nervous system vessel, such as treatment of an intracranial aneurysm, arteriovenous malformation, or fistula. Compare 61624 office and facility rates across CMS payment localities in Hawaii.
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 61624 in Hawaii?
Hawaii 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
$979.96
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Neurointerventional procedure
About 61624: Transcatheter CNS vessel embolization
Reports catheter-based permanent blockage of a central nervous system vessel, such as treatment of an intracranial aneurysm, arteriovenous malformation, or fistula.
A neurointerventional physician delivers embolic material through a catheter to permanently block or reduce flow in a central nervous system vessel. Common treatment targets include intracranial aneurysms, arteriovenous malformations, dural arteriovenous fistulas, and selected tumors or bleeding sources. The service is generally performed in a hospital angiography suite or operating room with imaging used to guide catheter placement and embolic delivery.
Report this code for permanent catheter-based occlusion or embolization in the central nervous system, not temporary balloon occlusion or treatment of a non-CNS vessel. The operative report should identify the target, clinical indication, embolization performed, and the permanent treatment approach. 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 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 61624
- 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 RVU19.50 · 62%
- Practice expense (office) RVU5.41 · 17%
- Malpractice RVU6.37 · 20%
14.4K
Medicare services in 2024 · #1277 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.
61624 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
61623 describes temporary balloon occlusion in the head or neck. Use 61624 when the treatment permanently occludes or embolizes a CNS vessel.
No office rate
61645 addresses percutaneous removal of an arterial thrombus. It is not the code for permanent embolization of an aneurysm, malformation, fistula, or other target.
Compare 61624 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$979.96
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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 61624 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,848
- Code
- 61624
- Physician work
- 19.50
- Practice expense
- 5.41
- Malpractice
- 6.37
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.50 | × 1.000 | 19.5000 |
| Practice expense | 5.41 | × 1.137 | 6.1512 |
| Malpractice | 6.37 | × 0.579 | 3.6882 |
| Total RVUs | 29.3394 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$979.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.5 | 1 |
| Practice expense | 5.41 | 1.137 |
| Malpractice | 6.37 | 0.579 |
(19.5 × 1 + 5.41 × 1.137 + 6.37 × 0.579) × $33.4009 = $979.96
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.
61624 billing questions
How is this code different from 61626?
61624 is for permanent embolization in the central nervous system. Code 61626 is for permanent embolization outside the CNS.
Is temporary balloon occlusion reported with this code?
No. Code 61624 describes permanent embolization; 61623 describes temporary balloon occlusion in the head or neck.
Can the same-day preoperative or postoperative visit be billed separately?
The CMS global period is 0 days, and same-day preoperative and postoperative care is included in the procedure.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction.
Which modifiers and surgical roles should the billing team check?
Modifier 50 is inappropriate. CMS does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
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.
6,84561618,,Repair dura,A,,18.22,12.18,NA,12.18,,6.08,36.48,36.48,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84661619,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014