No office rate
Both describe graft-based repair of a dural or cerebrospinal fluid leak. Choose 61619 when the leak involves the skull base; 61618 is for a leak that does not.
On this page
CMS RVU26D · Effective 2026-10-01
61619 Dural repair Medicare reimbursement rates in Kansas
Reports graft-based repair of a dural or cerebrospinal fluid leak involving the skull base, such as a defect causing cranial fluid drainage. Compare 61619 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 61619 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
$1362.60
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 61619: Skull base dural leak repair with graft
Reports graft-based repair of a dural or cerebrospinal fluid leak involving the skull base, such as a defect causing cranial fluid drainage.
This service repairs a dural defect or cerebrospinal fluid leak that involves the skull base, using a free tissue graft such as fascia, pericranium, fat, or muscle. Neurosurgeons and skull-base surgeons, including otolaryngologists working in a multidisciplinary team, may perform it in a hospital operating room. Clinical settings include repair of a skull-base leak associated with rhinorrhea or otorrhea, or closure of a skull-base dural defect encountered during surgery.
Report the code when the operative record supports a leak or defect involving the skull base and describes the graft-based repair. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. 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 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is permitted.
CMS billing rules for 61619
- 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 permitted.
Where the value comes from
- Work RVU21.55 · 46%
- Practice expense (office) RVU16.21 · 35%
- Malpractice RVU9.11 · 19%
78
Medicare services in 2024 · #5078 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.
61619 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
This code identifies graft-based repair of a leak involving the skull base. Code 62100 describes craniotomy for dural or cerebrospinal fluid leak repair; select according to the operative service documented.
Compare 61619 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
$1362.60
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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 61619 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,846
- Code
- 61619
- Physician work
- 21.55
- Practice expense
- 16.21
- Malpractice
- 9.11
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.55 | × 1.000 | 21.5500 |
| Practice expense | 16.21 | × 0.904 | 14.6538 |
| Malpractice | 9.11 | × 0.504 | 4.5914 |
| Total RVUs | 40.7953 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1362.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.55 | 1 |
| Practice expense | 16.21 | 0.904 |
| Malpractice | 9.11 | 0.504 |
(21.55 × 1 + 16.21 × 0.904 + 9.11 × 0.504) × $33.4009 = $1362.60
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.
61619 billing questions
How do I distinguish this code from 61618?
Use 61619 for a dural or cerebrospinal fluid leak involving the skull base. Code 61618 is the related repair code for a leak that does not involve the skull base.
What documentation supports reporting 61619?
Document the skull-base location, the dural defect or leak being repaired, and the free tissue graft used. The operative report should make clear that the repair addresses the leak or defect rather than merely describing routine closure.
Can modifier 50 be used for bilateral repair?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is permitted.
How does the global period affect postoperative visits?
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.
6,84361615,,Resect/excise lesion skull,A,,34.88,34.76,NA,34.76,,14.74,84.38,84.38,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84461616,,Resect/excise lesion skull,A,,45.57,32.19,NA,32.19,,16.71,94.47,94.47,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84561618,,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
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