Billing code 61567: Subpial transectionsMedicare rate & RVUs in Ohio
Reports multiple small cortical incisions with intraoperative electrocorticography to limit seizure spread while preserving function in selected epilepsy surgery cases.
CMS doesn’t publish an office rate for 61567 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 61567 covers
This code describes multiple subpial transections performed during epilepsy surgery with intraoperative electrocorticography. The neurosurgeon makes a series of small incisions in the cerebral cortex to interrupt seizure spread while seeking to preserve important cortical function. A typical setting is surgery for medically refractory focal epilepsy when the seizure-generating region involves eloquent cortex, such as areas responsible for language or movement. The operative report should identify the cortical area treated and document the transections and electrocorticography performed.
Select this code when the documented operation is multiple subpial transections with electrocorticography, rather than removal of an epileptogenic focus or transections without electrocorticography. The 90-day global period includes 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 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
61567 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $2,411.63 |
How the 61567 rate is calculated
Each of 61567’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 61567
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 36.08Practice expense 22.75Malpractice 15.23
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 61567
61567 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61567
Subpial transections
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 61567
Subpial transections
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
61567 without 51 · national facility
$2,473.67
Subpial transections
61567-51 · Second procedure: 50%
$1,236.84
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
61567 compared with similar codes
Compare codes
61567 vs 61566 vs 61536 vs 61538: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 61566Brain tissue removal
- Use 61567 for multiple subpial transections performed with electrocorticography. Code 61566 describes the corresponding transection procedure without it.
- 61536Temporal lobectomy
- 61536 describes excision of a temporal-lobe epileptogenic focus with electrocorticography; 61567 describes multiple cortical transections rather than focus excision.
- 61538Temporal lobectomy
- 61538 describes excision of an epileptogenic focus outside the temporal lobe with electrocorticography. Choose 61567 when the documented operation is multiple subpial transections.
61567 billing questions
How does this differ from 61566?
Both codes describe multiple subpial transections; 61567 is the choice when electrocorticography is performed, while 61566 describes the service without it.
Is electrocorticography part of the code selection?
Yes. The distinction between 61567 and its sibling 61566 is whether electrocorticography is performed. The operative documentation should support that distinction.
Should modifier 50 be used for transections on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor or anatomy.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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