No office rate
Use 61782 for extradural cranial navigation and 61781 for intradural cranial navigation. The distinction is the operative compartment.
On this page
CMS RVU26D · Effective 2026-10-01
61782 Cranial navigation Medicare reimbursement rates in Indiana
Reports computer-assisted navigation used during an extradural cranial operation to help the surgeon guide instruments using patient-specific imaging. Compare 61782 office and facility rates across CMS payment localities in Indiana.
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 61782 in Indiana?
Indiana 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
$134.54
1 of 1 localities have a supported rate.
Payment area: Indiana
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 61782: Cranial extradural navigation
Reports computer-assisted navigation used during an extradural cranial operation to help the surgeon guide instruments using patient-specific imaging.
This add-on describes computer-assisted navigation during cranial surgery performed outside the dura. The surgeon uses a registered imaging dataset and tracked instruments to orient the operative approach or guide work around structures such as the skull base. It may support an extradural anterior cranial fossa operation, including a craniofacial approach, when navigation is actually used. Neurosurgeons and other surgeons performing cranial procedures may use it in an operating room.
Report 61782 with the qualifying primary cranial procedure, not by itself. Documentation should identify the navigation service and its use during the extradural operation; routine review of imaging alone does not establish that the navigation service was performed. Select this code for extradural cranial navigation rather than the intradural cranial or spinal navigation sibling. CMS treats it as an add-on paid within the primary procedure's global period, so it is not a separately payable service outside that global period.
CMS billing rules for 61782
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.10 · 72%
- Practice expense (office) RVU0.76 · 18%
- Malpractice RVU0.46 · 11%
20K
Medicare services in 2024 · #1150 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.
61782 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
61783 describes computer-assisted navigation for spinal procedures; 61782 is limited to extradural cranial procedures.
No office rate
61751 describes stereotactic intracranial biopsy with CT and/or MR guidance. 61782 is an add-on for navigation during an extradural cranial operation, not a biopsy code.
Compare 61782 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
Indiana →
Office / nonfacility
Unavailable
Facility
$134.54
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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 61782 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,885
- Code
- 61782
- Physician work
- 3.10
- Practice expense
- 0.76
- Malpractice
- 0.46
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.10 | × 1.000 | 3.1000 |
| Practice expense | 0.76 | × 0.927 | 0.7045 |
| Malpractice | 0.46 | × 0.486 | 0.2236 |
| Total RVUs | 4.0281 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$134.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.1 | 1 |
| Practice expense | 0.76 | 0.927 |
| Malpractice | 0.46 | 0.486 |
(3.1 × 1 + 0.76 × 0.927 + 0.46 × 0.486) × $33.4009 = $134.54
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.
61782 billing questions
How is 61782 different from 61781?
61782 is for computer-assisted navigation during an extradural cranial procedure. Use 61781 when the navigated cranial procedure is intradural.
Can 61782 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
What documentation supports reporting 61782?
The operative record should establish that computer-assisted navigation was used during the extradural cranial procedure. Merely reviewing preoperative images does not describe the navigation service.
Is 61782 separately payable outside the primary procedure's global period?
No. CMS pays this add-on within the primary procedure's global period.
Is 61782 the right code for spinal navigation?
No. 61782 is for extradural cranial navigation; 61783 is the spinal navigation sibling.
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.
6,88261760,,Implant brain electrodes,A,,21.83,15.49,NA,15.49,,9.21,46.53,46.53,0,090,0.11,0.76,0.13,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88361770,,Incise skull for treatment,A,,22.61,15.29,NA,15.29,,9.55,47.45,47.45,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88461781,,Scan proc cranial intra,A,,3.66,1.27,NA,1.27,,1.51,6.44,6.44,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88561782,,Scan proc cranial extra,A,,3.10,0.76,NA,0.76,,0.46,4.32,4.32,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88661783,,Scan proc spinal,A,,3.66,1.24,NA,1.24,,1.31,6.21,6.21,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88761790,,Treat trigeminal nerve,A,,11.31,10.89,NA,10.89,,4.68,26.88,26.88,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,88861791,,Treat trigeminal tract,A,,15.02,12.38,NA,12.38,,6.33,33.73,33.73,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915