No office rate
Both codes describe meningioma excision, but 61512 is for a supratentorial lesion and 61519 is for an infratentorial lesion.
On this page
CMS RVU26D · Effective 2026-10-01
61519 Meningioma removal Medicare reimbursement rates in Oklahoma
Report 61519 for craniectomy or craniotomy to remove an infratentorial meningioma, such as a dural-based tumor in the posterior fossa. Compare 61519 office and facility rates across CMS payment localities in Oklahoma.
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 61519 in Oklahoma?
Oklahoma 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
$2603.01
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 61519: Infratentorial meningioma excision
Report 61519 for craniectomy or craniotomy to remove an infratentorial meningioma, such as a dural-based tumor in the posterior fossa.
A neurosurgeon uses a craniectomy, trephination, or bone-flap craniotomy to reach and remove a meningioma below the tentorium. These operations commonly address dural-based tumors in the posterior fossa and are performed in a hospital operating room. The operative report should establish the lesion’s infratentorial location and the meningioma-directed resection; pathology may confirm the diagnosis after surgery.
Choose this code based on the lesion and operative site, not simply because a brain tumor was removed. Distinguish it from supratentorial meningioma excision and codes for other infratentorial tumor locations or types. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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 descriptor. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 61519
- 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 RVU42.34 · 50%
- Practice expense (office) RVU24.43 · 29%
- Malpractice RVU17.73 · 21%
270
Medicare services in 2024 · #4077 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.
61519 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
61518 is for specified infratentorial brain tumors other than meningioma. Choose 61519 when the infratentorial lesion being excised is a meningioma.
No office rate
61520 identifies an infratentorial cerebellopontine angle tumor. Use 61519 for an infratentorial meningioma when the operative location is not coded under that distinct tumor-location service.
Compare 61519 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$2603.01
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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 61519 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
6,785
- Code
- 61519
- Physician work
- 42.34
- Practice expense
- 24.43
- Malpractice
- 17.73
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.34 | × 1.000 | 42.3400 |
| Practice expense | 24.43 | × 0.893 | 21.8160 |
| Malpractice | 17.73 | × 0.777 | 13.7762 |
| Total RVUs | 77.9322 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$2603.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 42.34 | 1 |
| Practice expense | 24.43 | 0.893 |
| Malpractice | 17.73 | 0.777 |
(42.34 × 1 + 24.43 × 0.893 + 17.73 × 0.777) × $33.4009 = $2603.01
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.
61519 billing questions
How does 61519 differ from 61512?
61519 is for an infratentorial meningioma; 61512 is for a supratentorial meningioma. The operative report’s documented location distinguishes the two.
When would 61518 be considered instead?
61518 describes excision of an infratentorial brain tumor other than a meningioma and certain separately identified tumor locations. Use 61519 when the resected lesion is a meningioma in the applicable infratentorial location.
Are related postoperative visits separately included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
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.
6,78261516,,Crnec treph exc cyst sttl,A,,25.92,17.81,NA,17.81,,10.82,54.55,54.55,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78361517,,Implt brn intrcv chemotx agt,A,,1.35,0.47,NA,0.47,,0.56,2.38,2.38,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78461518,,Removal of brain lesion,A,,38.89,25.12,NA,25.12,,16.38,80.39,80.39,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78561519,,Remove brain lining lesion,A,,42.34,24.43,NA,24.43,,17.73,84.50,84.50,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78661520,,Removal of brain lesion,A,,55.66,27.93,NA,27.93,,21.17,104.76,104.76,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78761521,,Removal of brain lesion,A,,45.82,25.49,NA,25.49,,18.83,90.14,90.14,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78861522,,Removal of brain abscess,A,,30.75,19.82,NA,19.82,,12.98,63.55,63.55,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193