Billing code 61702: Aneurysm surgeryMedicare rate & RVUs in Ohio
Reports complex open surgery for an intracranial aneurysm, typically performed by a neurosurgeon when the operative work exceeds a simple aneurysm repair.
CMS doesn’t publish an office rate for 61702 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 61702 covers
This code represents complex open operative treatment of an intracranial aneurysm, commonly involving surgical exposure and microsurgical repair or clipping. A neurosurgeon, often with cerebrovascular expertise, performs the operation in a hospital operating room. It is distinct from catheter-based aneurysm treatment and from surgery for a different vascular lesion, such as an arteriovenous malformation.
Choose this code when the operative report supports complex aneurysm surgery rather than the simple service in the same code family. Document the aneurysm, operative approach, repair performed, and the factors establishing the complexity. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; 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.
61702 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $3,734.74 |
How the 61702 rate is calculated
Each of 61702’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 · 61702
RVUs × geographic indexes × conversion factor
Work58.54
58.54 RVUs× 1.000 GPCI
Practice expense31.06
31.06 RVUs× 1.000 GPCI
Malpractice24.72
24.72 RVUs× 1.000 GPCI
Adjusted RVUs
114.3200
Conversion factor
$33.4009
Medicare rate
$3,818.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 61702
61702 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61702
Aneurysm surgery
| 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 · 61702
Aneurysm surgery
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
61702 without 51 · national facility
$3,818.39
Aneurysm surgery
61702-51 · Second procedure: 50%
$1,909.20
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%).
61702 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 61700Aneurysm repair
- Use 61700 for simple intracranial aneurysm surgery. Use 61702 when the operative work and documentation support the complex service.
- 61703Arterial clamping
- 61703 describes aneurysm surgery involving carotid artery trapping. It represents a distinct operative circumstance, not the general complex aneurysm service in 61702.
- 61705Aneurysm surgery
- 61705 is associated with aneurysm surgery involving revision of circulation to the head. Distinguish it from complex aneurysm repair without that specific revascularization circumstance.
61702 billing questions
How is 61702 distinguished from 61700?
61702 is for complex intracranial aneurysm surgery; 61700 is the simple service in the same family. The operative documentation should support the complexity represented by 61702.
Is 61702 used for catheter-based aneurysm treatment?
No. This code represents open surgical treatment of an intracranial aneurysm, not catheter-based treatment.
Should modifier 50 be appended for aneurysms on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, while 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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