No office rate
Choose 61548 for the transnasal or transseptal route. Choose 61546 when the surgeon reaches the pituitary through an intracranial approach.
On this page
CMS RVU26D · Effective 2026-10-01
61548 Pituitary surgery Medicare reimbursement rates in Kansas
Reports pituitary gland or tumor removal through a transnasal or transseptal route, rather than an intracranial approach or endoscopic procedure. Compare 61548 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 61548 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
$1308.98
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.
Neurosurgery
About 61548: Transnasal pituitary tumor removal
Reports pituitary gland or tumor removal through a transnasal or transseptal route, rather than an intracranial approach or endoscopic procedure.
This code describes surgery to remove pituitary tissue or a pituitary tumor through the nose or nasal septum and into the sphenoid region. It is typically performed in a hospital operating room by a neurosurgeon. An otolaryngologist may participate in the nasal or sinus access as a co-surgeon. Common clinical situations include pituitary tumors causing hormone-related disease or pressure on nearby structures. For an endoscopic transnasal pituitary tumor operation, compare 62165.
Report the code when the operative record supports the transnasal or transseptal route and pituitary removal. The major-surgery global period includes 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. Bilateral adjustment is inappropriate for this midline procedure. An assistant at surgery may be paid, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 61548
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.79 · 51%
- Practice expense (office) RVU13.62 · 31%
- Malpractice RVU8.11 · 18%
332
Medicare services in 2024 · #3916 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.
61548 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
62165 describes neuroendoscopic transnasal removal of a pituitary tumor. Use 61548 when the documented procedure is not the neuroendoscopic service described by 62165.
Compare 61548 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
Kansas →
Office / nonfacility
Unavailable
Facility
$1308.98
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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 61548 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,806
- Code
- 61548
- Physician work
- 22.79
- Practice expense
- 13.62
- Malpractice
- 8.11
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.79 | × 1.000 | 22.7900 |
| Practice expense | 13.62 | × 0.904 | 12.3125 |
| Malpractice | 8.11 | × 0.504 | 4.0874 |
| Total RVUs | 39.1899 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1308.98
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.79 | 1 |
| Practice expense | 13.62 | 0.904 |
| Malpractice | 8.11 | 0.504 |
(22.79 × 1 + 13.62 × 0.904 + 8.11 × 0.504) × $33.4009 = $1308.98
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.
61548 billing questions
How does this differ from 61546?
61548 is for pituitary removal through a transnasal or transseptal route. 61546 describes an intracranial approach.
When should 62165 be considered instead?
Compare 62165 when the pituitary tumor is removed using a neuroendoscopic transnasal approach. The operative report should support the method performed.
Does the code include the related postoperative visits?
The 90-day global period includes related postoperative care for 90 days and the preoperative visit on the day before surgery.
Can modifier 50 be reported?
No. Bilateral adjustment is inappropriate for this midline pituitary procedure.
Can an assistant or co-surgeon participate?
CMS permits payment for an assistant at surgery and permits co-surgeons. Team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and 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.
6,80361544,,Remove & treat brain lesion,A,,26.68,17.33,NA,17.33,,11.28,55.29,55.29,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,80461545,,Excision of brain tumor,A,,45.27,27.50,NA,27.50,,19.10,91.87,91.87,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,80561546,,Removal of pituitary gland,A,,32.60,20.47,NA,20.47,,13.77,66.84,66.84,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,80661548,,Removal of pituitary gland,A,,22.79,13.62,NA,13.62,,8.11,44.52,44.52,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,80761550,,Release of skull seams,A,,15.20,14.87,NA,14.87,,6.41,36.48,36.48,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,80861552,,Release of skull seams,A,,19.89,16.01,NA,16.01,,8.38,44.28,44.28,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,80961556,,Incise skull/sutures,A,,23.49,16.82,NA,16.82,,9.92,50.23,50.23,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958