No office rate
This code describes intracranial aneurysm repair. Code 61711 is for the specified superficial temporal-to-middle cerebral artery bypass, not aneurysm repair.
On this page
CMS RVU26D · Effective 2026-10-01
61711 Cerebral artery bypass Medicare reimbursement rates in Nebraska
Reports a direct extracranial-to-intracranial arterial bypass connecting the superficial temporal artery to the middle cerebral artery to augment cerebral blood flow. Compare 61711 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 61711 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
$2116.68
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.
Neurosurgery
About 61711: Superficial temporal to cerebral artery bypass
Reports a direct extracranial-to-intracranial arterial bypass connecting the superficial temporal artery to the middle cerebral artery to augment cerebral blood flow.
A neurosurgeon performs a direct extracranial-to-intracranial bypass by connecting the superficial temporal artery to the middle cerebral artery. The operation creates an alternate route for blood flow when intracranial circulation is inadequate, such as in selected patients with moyamoya disease or occlusive cerebrovascular disease. It is generally performed in a hospital operating room using microsurgical technique.
Report this code when the operative report supports the specified donor-to-recipient artery bypass; the documented indication and completed anastomosis should distinguish it from other cranial vascular operations. The service 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 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 61711
- 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 RVU37.27 · 50%
- Practice expense (office) RVU21.94 · 29%
- Malpractice RVU15.48 · 21%
158
Medicare services in 2024 · #4525 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.
61711 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This is another intracranial vascular operation. Choose based on the procedure actually performed; code 61711 requires the specified direct arterial bypass.
No office rate
This code describes cranial stereotactic computer-assisted navigation, not the bypass itself. It does not replace code 61711 when the specified anastomosis is performed.
Compare 61711 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
$2116.68
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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 61711 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,872
- Code
- 61711
- Physician work
- 37.27
- Practice expense
- 21.94
- Malpractice
- 15.48
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.27 | × 1.000 | 37.2700 |
| Practice expense | 21.94 | × 0.923 | 20.2506 |
| Malpractice | 15.48 | × 0.378 | 5.8514 |
| Total RVUs | 63.3721 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$2116.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37.27 | 1 |
| Practice expense | 21.94 | 0.923 |
| Malpractice | 15.48 | 0.378 |
(37.27 × 1 + 21.94 × 0.923 + 15.48 × 0.378) × $33.4009 = $2116.68
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.
61711 billing questions
What distinguishes this code from other intracranial vascular surgery codes?
The defining service is a direct bypass from the superficial temporal artery to the middle cerebral artery. Select another code when the operative report describes a different vascular procedure or target.
What documentation supports reporting this bypass?
Document the indication, donor and recipient arteries, the anastomosis performed, and the completed bypass. The operative details should establish that the superficial temporal artery was connected to the middle cerebral artery.
Are related postoperative visits separately included?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this service.
How does the multiple-procedure rule affect payment?
When this bypass and other procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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.
6,86961705,,Revise circulation to head,A,,37.15,22.07,NA,22.07,,15.67,74.89,74.89,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87061708,,Revise circulation to head,A,,36.27,21.77,NA,21.77,,15.32,73.36,73.36,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87161710,,Revise circulation to head,A,,30.51,18.68,NA,18.68,,12.88,62.07,62.07,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87261711,,Fusion of skull arteries,A,,37.27,21.94,NA,21.94,,15.48,74.69,74.69,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87361715,,Mrgfus strtctc ablt trgt icr,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87461715,26,Mrgfus strtctc ablt trgt icr,A,,18.48,12.98,,12.98,,7.10,38.56,38.56,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,87561715,TC,Mrgfus strtctc ablt trgt icr,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
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