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CMS RVU26D · Effective 2026-10-01

62164 Brain tumor excision Medicare reimbursement rates in Michigan

Reports neuroendoscopic removal of an intracranial brain tumor when the surgeon uses an endoscopic approach to excise the tumor. Compare 62164 office and facility rates across CMS payment localities in Michigan.

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 62164 in Michigan?

Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$2051.51–$2313.39

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $261.88 per service.

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 62164 in your payment locality →

Neurosurgery

About 62164: Endoscopic intracranial brain tumor excision

Reports neuroendoscopic removal of an intracranial brain tumor when the surgeon uses an endoscopic approach to excise the tumor.

A neurosurgeon uses a neuroendoscope to reach and remove an intracranial brain tumor. The operation is generally performed in a hospital operating room; the approach may include an opening for access when needed. Code selection follows the tumor-excision service and endoscopic technique, not simply the tumor’s location or the presence of an endoscope during another procedure. Pituitary tumor excision and colloid cyst removal have distinct codes in this neuroendoscopy family.

The operative report should identify the tumor, the endoscopic approach, and the excision 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%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Because this is an intracranial procedure rather than a paired-side service, modifier 50 is inappropriate.

CMS billing rules for 62164

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 RVU28.69 · 47%
  • Practice expense (office) RVU20.85 · 34%
  • Malpractice RVU12.13 · 20%

40

Medicare services in 2024 · #5507 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.

62164 compared with similar codes

Office rates for Michigan, from the same CMS release.

62161

Brain neuroendoscopy

Cyst or adhesion dissection

No office rate

This code is for tumor excision. Code 62161 describes a different intracranial neuroendoscopic task, such as dissection.

62162

Neuroendoscopy

Colloid cyst removal

No office rate

Choose 62162 for endoscopic removal of a colloid cyst; choose this code for excision of another brain tumor.

62165

Pituitary tumor removal

Endoscopic transnasal approach

No office rate

Code 62165 is specific to pituitary tumor excision. This code is for other intracranial brain tumor excision.

Compare 62164 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.

2 of 2 payment localities

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

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62164 billing questions

When should this code be chosen over the pituitary tumor code?

Use this code for neuroendoscopic excision of an intracranial brain tumor. Pituitary tumor excision is represented by 62165.

How does this differ from the colloid cyst code?

Code 62162 is specific to endoscopic removal of a colloid cyst. This code represents excision of a brain tumor other than that separately identified service.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, with other procedures subject to the standard 50% multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

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

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 62164PPRRVU2026_Oct_nonQPP.csv, line 6,926 (RVU26D)