No office rate
Use 61700 for simple intracranial aneurysm surgery. Use 61702 when the operative work and documentation support the complex service.
On this page
CMS RVU26D · Effective 2026-10-01
61702 Aneurysm surgery Medicare reimbursement rates in Idaho
Reports complex open surgery for an intracranial aneurysm, typically performed by a neurosurgeon when the operative work exceeds a simple aneurysm repair. Compare 61702 office and facility rates across CMS payment localities in Idaho.
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 61702 in Idaho?
Idaho 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
$3300.27
1 of 1 localities have a supported rate.
Payment area: Idaho
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 61702: Complex intracranial aneurysm surgery
Reports complex open surgery for an intracranial aneurysm, typically performed by a neurosurgeon when the operative work exceeds a simple aneurysm repair.
This code represents complex open operative treatment of an intracranial aneurysm, commonly involving surgical exposure and microsurgical repair or clipping. A neurosurgeon, often with cerebrovascular expertise, performs the operation in a hospital operating room. It is distinct from catheter-based aneurysm treatment and from surgery for a different vascular lesion, such as an arteriovenous malformation.
Choose this code when the operative report supports complex aneurysm surgery rather than the simple service in the same code family. Document the aneurysm, operative approach, repair performed, and the factors establishing the complexity. CMS assigns a 90-day global period, including 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61702
- 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 RVU58.54 · 51%
- Practice expense (office) RVU31.06 · 27%
- Malpractice RVU24.72 · 22%
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.
61702 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
61703 describes aneurysm surgery involving carotid artery trapping. It represents a distinct operative circumstance, not the general complex aneurysm service in 61702.
No office rate
61705 is associated with aneurysm surgery involving revision of circulation to the head. Distinguish it from complex aneurysm repair without that specific revascularization circumstance.
Compare 61702 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
Idaho →
Office / nonfacility
Unavailable
Facility
$3300.27
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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 61702 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,867
- Code
- 61702
- Physician work
- 58.54
- Practice expense
- 31.06
- Malpractice
- 24.72
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 58.54 | × 1.000 | 58.5400 |
| Practice expense | 31.06 | × 0.920 | 28.5752 |
| Malpractice | 24.72 | × 0.473 | 11.6926 |
| Total RVUs | 98.8078 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$3300.27
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 58.54 | 1 |
| Practice expense | 31.06 | 0.92 |
| Malpractice | 24.72 | 0.473 |
(58.54 × 1 + 31.06 × 0.92 + 24.72 × 0.473) × $33.4009 = $3300.27
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.
61702 billing questions
How is 61702 distinguished from 61700?
61702 is for complex intracranial aneurysm surgery; 61700 is the simple service in the same family. The operative documentation should support the complexity represented by 61702.
Is 61702 used for catheter-based aneurysm treatment?
No. This code represents open surgical treatment of an intracranial aneurysm, not catheter-based treatment.
Should modifier 50 be appended for aneurysms on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, while 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.
6,86461697,,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
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772