The temporal-lobe focus code specifies the site. Choose this code when the documented focus excision is not more specifically described by that site-based code.
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CMS RVU26D · Effective 2026-10-01
61530 Epilepsy surgery Medicare reimbursement rates in Minnesota
Reports craniotomy or craniectomy to remove an identified seizure-generating brain focus when intraoperative electrocorticography is not performed. Compare 61530 office and facility rates across CMS payment localities in Minnesota.
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 61530 in Minnesota?
Minnesota 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
$2515.66
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 61530: Epileptogenic focus excision without electrocorticography
Reports craniotomy or craniectomy to remove an identified seizure-generating brain focus when intraoperative electrocorticography is not performed.
A neurosurgeon uses a craniectomy, trephination, or bone-flap craniotomy to remove brain tissue identified as the source of seizures. The operation is part of surgical treatment for medically refractory epilepsy after evaluation has localized a resectable focus. This code describes focus excision without electrocorticography during the operation; it is not a code for a lobectomy or for electrode placement to monitor seizures.
Select the code from the operative approach and procedure performed, including whether the surgeon removed a focus or performed a defined lobectomy, and whether electrocorticography was used. The operative report should identify the seizure-generating focus, the tissue removed, the approach, and use or nonuse of intraoperative electrocorticography. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. 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% reduction. Assistant-at-surgery payment is restricted; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 61530
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU44.42 · 51%
- Practice expense (office) RVU24.63 · 28%
- Malpractice RVU18.76 · 21%
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.
61530 compared with similar codes
Office rates for Minnesota, from the same CMS release.
This code describes temporal-lobe focus excision with intraoperative electrocorticography; 61530 describes focus excision without it.
61535 describes temporal lobectomy, not removal of an epileptogenic focus as a more limited focus-directed excision.
Compare 61530 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$2515.66
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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 61530 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,791
- Code
- 61530
- Physician work
- 44.42
- Practice expense
- 24.63
- Malpractice
- 18.76
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 44.42 | × 1.000 | 44.4200 |
| Practice expense | 24.63 | × 1.029 | 25.3443 |
| Malpractice | 18.76 | × 0.296 | 5.5530 |
| Total RVUs | 75.3172 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$2515.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 44.42 | 1 |
| Practice expense | 24.63 | 1.029 |
| Malpractice | 18.76 | 0.296 |
(44.42 × 1 + 24.63 × 1.029 + 18.76 × 0.296) × $33.4009 = $2515.66
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.
61530 billing questions
How does this differ from the temporal-lobe focus codes?
Use this code for focus excision without intraoperative electrocorticography when a more specific site-based code does not describe the operation. The temporal-lobe codes identify that location and distinguish use of electrocorticography.
Can this code describe a temporal lobectomy?
No. A lobectomy removes a defined lobe and is distinguished from excision of an epileptogenic focus; choose the code that matches the operation documented.
What documentation supports reporting this code?
The operative report should establish that the surgeon excised an epileptogenic focus, describe the approach and tissue removed, and show that intraoperative electrocorticography was not performed.
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 procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service, permits co-surgeons, and does not permit team surgery.
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.
