No office rate
61650 covers the initial vessel treated with prolonged pharmacologic administration; 61651 is added for each additional vessel treated.
On this page
CMS RVU26D · Effective 2026-10-01
61651 Drug infusion Medicare reimbursement rates in Nebraska
Report 61651 for prolonged intra-arterial administration of a therapeutic agent in each additional intracranial vessel treated during neuroendovascular therapy. Compare 61651 office and facility rates across CMS payment localities in Nebraska.
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 61651 in Nebraska?
Nebraska 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
$192.26
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Neuroendovascular therapy
About 61651: Additional-vessel intracranial drug infusion
Report 61651 for prolonged intra-arterial administration of a therapeutic agent in each additional intracranial vessel treated during neuroendovascular therapy.
This add-on describes prolonged delivery of a pharmacologic agent into an additional intracranial vessel, such as intra-arterial vasodilator treatment for cerebral vasospasm after aneurysmal subarachnoid hemorrhage. A neurointerventional radiologist, endovascular neurosurgeon, or other qualified specialist typically performs the treatment in an angiography suite. The service may also involve prolonged intra-arterial drug delivery for another intracranial vascular indication, such as thrombolytic therapy.
Report 61651 for each additional treated vessel after the initial vessel reported with 61650; it represents another vessel, not extra minutes or another drug dose in the same vessel. The primary service includes catheter placement, diagnostic angiography, and imaging guidance, so those elements are not separately represented by this add-on. Documentation should identify the additional vessel treated and the prolonged pharmacologic administration performed. As an add-on code, 61651 is reported with its primary procedure, and payment falls within that procedure’s global period.
CMS billing rules for 61651
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.14 · 62%
- Practice expense (office) RVU1.19 · 18%
- Malpractice RVU1.37 · 20%
427
Medicare services in 2024 · #3679 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.
61651 compared with similar codes
Office rates for Nebraska, from the same CMS release.
61641
No office rateDilat ic vspsm ea vsl sm ter
61641 describes an additional vessel treated with balloon angioplasty for vasospasm in the same vascular territory. 61651 describes prolonged pharmacologic administration in another vessel.
61642
No office rateDilat ic vspsm ea diff ter
61642 describes balloon angioplasty for vasospasm in an additional vessel in a different vascular territory; 61651 is for prolonged pharmacologic administration.
Compare 61651 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$192.26
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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 61651 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,857
- Code
- 61651
- Physician work
- 4.14
- Practice expense
- 1.19
- Malpractice
- 1.37
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 1.19 | × 0.923 | 1.0984 |
| Malpractice | 1.37 | × 0.378 | 0.5179 |
| Total RVUs | 5.7562 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$192.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.14 | 1 |
| Practice expense | 1.19 | 0.923 |
| Malpractice | 1.37 | 0.378 |
(4.14 × 1 + 1.19 × 0.923 + 1.37 × 0.378) × $33.4009 = $192.26
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.
61651 billing questions
When is 61651 reported with 61650?
Use 61650 for the initial vessel treated with prolonged pharmacologic administration and 61651 for each additional vessel treated. The add-on must be reported with the primary procedure.
Is 61651 based on additional treatment time?
No. It represents treatment in an additional vessel, not additional minutes or another dose in the same vessel.
Can catheter placement or angiography be billed separately with 61651?
Those elements are included in the endovascular therapy service. The add-on identifies treatment of another vessel, rather than separate catheter placement or imaging guidance.
What documentation supports an additional-vessel unit?
Document the additional intracranial vessel treated and the prolonged intra-arterial pharmacologic administration performed there. The record should distinguish it from the initial vessel.
How does 61651 differ from 61641 or 61642?
61651 is for an additional vessel treated with prolonged pharmacologic administration. Codes 61641 and 61642 describe additional vessels treated with balloon angioplasty for intracranial vasospasm.
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.
6,85461642,,Dilat ic vspsm ea diff ter,N,+,8.66,0.00,,0.00,,1.18,9.84,9.84,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85561645,,Perq art m-thrombect &/nfs,A,,14.63,3.69,NA,3.69,,4.31,22.63,22.63,0,000,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85661650,,Evasc prlng admn rx agnt 1st,A,,9.75,2.73,NA,2.73,,3.19,15.67,15.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85761651,,Evasc prlng admn rx agnt add,A,,4.14,1.19,NA,1.19,,1.37,6.70,6.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85861680,,Intracranial vessel surgery,A,,31.74,20.93,NA,20.93,,13.42,66.09,66.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85961682,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068