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CMS RVU26D · Effective 2026-10-01

61524 Brain cyst excision Medicare reimbursement rates in Kansas

Reports operative removal of an infratentorial brain cyst through a craniectomy or craniotomy, with the lesion’s location and type established in the operative record. Compare 61524 office and facility rates across CMS payment localities in Kansas.

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 61524 in Kansas?

Kansas 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

$1762.24

1 of 1 localities have a supported rate.

Payment area: Kansas

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.

Find 61524 in your payment locality →

Neurosurgery

About 61524: Infratentorial brain cyst excision

Reports operative removal of an infratentorial brain cyst through a craniectomy or craniotomy, with the lesion’s location and type established in the operative record.

This code is for neurosurgical removal of a cystic lesion in the infratentorial part of the brain, below the tentorium. The surgeon gains access through a craniectomy or craniotomy and removes the cyst. The service is generally performed in a hospital operating room; the operative report should identify the cyst and establish its infratentorial location.

Select this code when the lesion is a cyst and its location is infratentorial, rather than choosing a code for a tumor or abscess. Documentation should support the diagnosis, site, surgical approach, and removal performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate, and team surgery is not permitted.

CMS billing rules for 61524

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 RVU29.14 · 48%
  • Practice expense (office) RVU19.26 · 32%
  • Malpractice RVU12.32 · 20%

46

Medicare services in 2024 · #5407 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.

61524 compared with similar codes

Office rates for Kansas, from the same CMS release.

61516

Cyst excision

Supratentorial

No office rate

Both address cyst removal, but 61516 applies to a supratentorial cyst; this code applies to an infratentorial cyst.

61522

Brain abscess removal

Infratentorial

No office rate

61522 is for an infratentorial abscess. Choose this code when the lesion removed is a cyst.

61518

Brain tumor excision

Infratentorial, non-meningioma

No office rate

61518 is for an infratentorial brain tumor. This code is for an infratentorial cyst, so the documented lesion type distinguishes them.

Compare 61524 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

Office and facility base rates · shared scale starting at $0

  • Kansas →

    Office / nonfacility

    Unavailable

    Facility

    $1762.24

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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 61524 in Kansas.

PPRRVU2026_Oct_nonQPP.csv

6,789

Code
61524
Physician work
29.14
Practice expense
19.26
Malpractice
12.32

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Facility calculation for 61524 in Kansas
ComponentRVULocality factorAdjusted
Physician work29.14× 1.00029.1400
Practice expense19.26× 0.90417.4110
Malpractice12.32× 0.5046.2093
Total RVUs52.7603
Conversion factor× 33.4009

Facility rate, Kansas$1762.24

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work29.141
Practice expense19.260.904
Malpractice12.320.504

(29.14 × 1 + 19.26 × 0.904 + 12.32 × 0.504) × $33.4009 = $1762.24

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.

61524 billing questions

How does this differ from the code for an infratentorial brain abscess?

Use this code for removal of an infratentorial cyst. The abscess code, 61522, is for an abscess rather than a cyst.

How does this differ from 61516?

Both codes address cyst removal, but 61516 is for a supratentorial cyst. This code is for an infratentorial cyst.

What documentation supports code selection?

The operative report should identify the lesion as a cyst, establish its infratentorial location, and describe the surgical removal and approach.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Can modifier 50 be used, and what happens when other procedures are performed in the same session?

Modifier 50 is inappropriate for this code. Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the others at 50%.

What 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.

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.

RVUs for 61524PPRRVU2026_Oct_nonQPP.csv, line 6,789 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet