No office rate
Use 61607 for an extradural posterior fossa lesion below the tentorium; 61608 describes the intradural counterpart.
On this page
CMS RVU26D · Effective 2026-10-01
61607 Cranial lesion resection Medicare reimbursement rates in Ohio
Reports craniotomy to remove an extradural lesion in the posterior cranial fossa below the tentorium, such as a neoplastic, vascular, or infectious lesion. Compare 61607 office and facility rates across CMS payment localities in Ohio.
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 61607 in Ohio?
Ohio 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
$2427.85
1 of 1 localities have a supported rate.
Payment area: Ohio
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 61607: Posterior fossa extradural lesion resection
Reports craniotomy to remove an extradural lesion in the posterior cranial fossa below the tentorium, such as a neoplastic, vascular, or infectious lesion.
A neurosurgeon reports this service for craniotomy and removal of a neoplastic, vascular, or infectious lesion located outside the dura in the posterior cranial fossa below the tentorium. The operation is generally performed in a hospital operating room. The location and extradural compartment distinguish this service from resections for anterior fossa, infratemporal, or intradural lesions.
The operative report should establish the lesion’s posterior fossa location, its extradural position, and the craniotomy and resection performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is permitted.
CMS billing rules for 61607
- 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 permitted.
Where the value comes from
- Work RVU39.91 · 53%
- Practice expense (office) RVU23.47 · 31%
- Malpractice RVU11.26 · 15%
100
Medicare services in 2024 · #4887 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.
61607 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
61605 concerns an extradural lesion in the infratemporal region, rather than an extradural lesion in the posterior fossa below the tentorium.
No office rate
61600 is for an extradural lesion in the anterior cranial fossa. The fossa location, not simply the extradural compartment, separates it from 61607.
Compare 61607 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
Ohio →
Office / nonfacility
Unavailable
Facility
$2427.85
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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 61607 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,839
- Code
- 61607
- Physician work
- 39.91
- Practice expense
- 23.47
- Malpractice
- 11.26
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 39.91 | × 1.000 | 39.9100 |
| Practice expense | 23.47 | × 0.913 | 21.4281 |
| Malpractice | 11.26 | × 1.008 | 11.3501 |
| Total RVUs | 72.6882 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$2427.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 39.91 | 1 |
| Practice expense | 23.47 | 0.913 |
| Malpractice | 11.26 | 1.008 |
(39.91 × 1 + 23.47 × 0.913 + 11.26 × 1.008) × $33.4009 = $2427.85
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.
61607 billing questions
How is this code distinguished from 61608?
This code describes an extradural lesion below the tentorium in the posterior fossa. Code 61608 is for a lesion in the intradural compartment in that region.
What operative details support reporting this code?
Document the posterior fossa location below the tentorium, the extradural compartment, and the craniotomy and lesion resection performed.
Should modifier 50 be used for lesions on both sides?
No. The anatomy and service represented by this code are not reported as a bilateral procedure with modifier 50.
How are additional procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures in the session are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is permitted.
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.
6,83661601,,Resect/excise cranial lesion,A,,30.36,29.56,NA,29.56,,11.95,71.87,71.87,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,83761605,,Resect/excise cranial lesion,A,,31.76,19.93,NA,19.93,,5.57,57.26,57.26,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,83861606,,Resect/excise cranial lesion,A,,41.00,26.61,NA,26.61,,14.07,81.68,81.68,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,83961607,,Resect/excise cranial lesion,A,,39.91,23.47,NA,23.47,,11.26,74.64,74.64,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84061608,,Resect/excise cranial lesion,A,,44.40,32.16,NA,32.16,,18.09,94.65,94.65,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84161611,,Transect artery sinus,A,,7.22,2.53,NA,2.53,,3.04,12.79,12.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84261613,,Remove aneurysm sinus,A,,43.90,33.63,NA,33.63,,18.54,96.07,96.07,0,090,0.11,0.76,0.13,2,1,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703