No office rate
This is a neighboring intracranial vessel surgery code. Select between the codes by applying their respective CPT criteria to the operative report, not by the diagnosis alone.
On this page
CMS RVU26D · Effective 2026-10-01
61690 Aneurysm surgery Medicare reimbursement rates in Minnesota
Reports open surgical treatment of an intracranial aneurysm when the documented procedure meets this code’s criteria rather than an endovascular approach. Compare 61690 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 61690 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
$1839.78
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 61690: Intracranial aneurysm surgery
Reports open surgical treatment of an intracranial aneurysm when the documented procedure meets this code’s criteria rather than an endovascular approach.
This code describes open surgery to treat an aneurysm involving an intracranial vessel. A neurosurgeon typically performs the operation in a hospital operating room, using an intracranial approach to reach and treat the affected vessel. The operative report should identify the aneurysm, its location, the approach, and the work performed; those details support choosing this code over another aneurysm or vascular-malformation procedure.
Report the code for the service actually performed, using the applicable CPT criteria to distinguish it from related intracranial aneurysm surgery codes. CMS assigns a 90-day global period, including 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 multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61690
- 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 RVU30.56 · 48%
- Practice expense (office) RVU20.12 · 32%
- Malpractice RVU12.90 · 20%
15
Medicare services in 2024 · #6079 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.
61690 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
61697 describes complex intracranial aneurysm surgery involving the anterior circulation. Use it when the documented procedure meets that code’s criteria.
No office rate
61624 represents endovascular CNS vessel occlusion or embolization; this code represents open surgical treatment.
Compare 61690 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
$1839.78
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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 61690 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,862
- Code
- 61690
- Physician work
- 30.56
- Practice expense
- 20.12
- Malpractice
- 12.90
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.56 | × 1.000 | 30.5600 |
| Practice expense | 20.12 | × 1.029 | 20.7035 |
| Malpractice | 12.90 | × 0.296 | 3.8184 |
| Total RVUs | 55.0819 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$1839.78
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.56 | 1 |
| Practice expense | 20.12 | 1.029 |
| Malpractice | 12.9 | 0.296 |
(30.56 × 1 + 20.12 × 1.029 + 12.9 × 0.296) × $33.4009 = $1839.78
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.
61690 billing questions
How is this different from code 61692?
Both describe intracranial vessel surgery, but they are distinct codes in the same series. Use the code whose CPT criteria match the documented procedure; do not choose based on the diagnosis alone.
Is this for open surgery or endovascular treatment?
This code is for open surgical treatment. Endovascular occlusion or embolization of a CNS vessel is represented by a different procedure code, such as 61624.
What documentation supports reporting this code?
The operative report should identify the aneurysm and vessel location, describe the surgical approach and treatment performed, and provide the details needed to support the applicable code selection.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
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.
6,85961682,,Intracranial vessel surgery,A,,61.82,28.89,NA,28.89,,25.54,116.25,116.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86061684,,Intracranial vessel surgery,A,,40.60,24.04,NA,24.04,,17.13,81.77,81.77,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86161686,,Intracranial vessel surgery,A,,65.81,33.61,NA,33.61,,27.78,127.20,127.20,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86261690,,Intracranial vessel surgery,A,,30.56,20.12,NA,20.12,,12.90,63.58,63.58,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86361692,,Intracranial vessel surgery,A,,53.23,28.09,NA,28.09,,22.47,103.79,103.79,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86461697,,Brain aneurysm repr complx,A,,61.82,32.05,NA,32.05,,26.02,119.89,119.89,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86561698,,Brain aneurysm repr complx,A,,67.89,34.34,NA,34.34,,28.66,130.89,130.89,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002