No office rate
This code includes intraoperative electrocorticography with focus excision. Choose 61533 when the focus is excised without electrocorticography during surgery.
On this page
CMS RVU26D · Effective 2026-10-01
61534 Epilepsy surgery Medicare reimbursement rates in Missouri
Reports craniotomy to remove an epileptogenic brain focus when electrocorticography is performed during surgery to help guide the resection. Compare 61534 office and facility rates across CMS payment localities in Missouri.
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 61534 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1543.84–$1603.50
3 of 3 localities have a supported rate.
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.
Where 61534 pays more and less in Missouri
Neurosurgery
About 61534: Epileptogenic focus excision with electrocorticography
Reports craniotomy to remove an epileptogenic brain focus when electrocorticography is performed during surgery to help guide the resection.
A neurosurgeon uses a craniotomy to reach and remove brain tissue identified as the source of seizures. During the operation, electrocorticography records electrical activity from the exposed brain and may help define the tissue targeted for resection. This service is typically performed in a hospital operating room for a patient being treated surgically for medically refractory epilepsy; it is not a code for diagnostic intracranial electrode placement alone.
Select this code when the operative record supports both excision of an epileptogenic focus and electrocorticography during the surgery. The note should describe the craniotomy, the focus and tissue removed, and the intraoperative recording. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 61534
- 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 RVU22.43 · 46%
- Practice expense (office) RVU16.90 · 35%
- Malpractice RVU9.47 · 19%
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.
61534 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
61530 describes a temporal-lobe lobectomy procedure. Use 61534 for excision of an epileptogenic focus when intraoperative electrocorticography is performed, as supported by the operative record.
No office rate
61522 is for removal of a brain abscess. It is not the focus-excision code for epilepsy surgery with intraoperative electrocorticography.
Compare 61534 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$1588.26
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1603.50
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1543.84
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61534 billing questions
How does this differ from 61533?
Both codes describe excision of an epileptogenic focus. Use 61534 when electrocorticography is performed during the operation; 61533 is the corresponding option without intraoperative electrocorticography.
Does this include electrocorticography?
Yes. The code selection reflects electrocorticography performed during the focus-excision surgery, not just routine monitoring outside the operation.
What documentation supports reporting 61534?
Document the craniotomy and focus excision, the tissue removed, and that electrocorticography was performed intraoperatively. The operative report should make the relationship between the recordings and the surgical resection clear.
Can an assistant surgeon be reported?
CMS permits assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation.
How does the 90-day global period affect postoperative visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical global care.
What happens if other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures performed in that session.
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.
6,79161530,,Removal of brain lesion,A,,44.42,24.63,NA,24.63,,18.76,87.81,87.81,0,090,0.11,0.76,0.13,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,79261531,,Implant brain electrodes,A,,16.00,14.29,NA,14.29,,6.74,37.03,37.03,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,79361533,,Implant brain electrodes,A,,20.92,15.31,NA,15.31,,8.83,45.06,45.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,79461534,,Removal of brain lesion,A,,22.43,16.90,NA,16.90,,9.47,48.80,48.80,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,79561535,,Remove brain electrodes,A,,12.82,12.47,NA,12.47,,5.40,30.69,30.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,79661536,,Removal of brain lesion,A,,36.78,21.94,NA,21.94,,15.53,74.25,74.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,79761537,,Removal of brain tissue,A,,35.54,19.96,NA,19.96,,15.01,70.51,70.51,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00