No office rate
61796 reports the primary cranial stereotactic radiosurgery service for a simple lesion; 61800 reports application and removal of the frame used for localization.
On this page
CMS RVU26D · Effective 2026-10-01
61800 SRS headframe Medicare reimbursement rates in Oregon
Reports placement and removal of a rigid cranial stereotactic frame used to localize targets during cranial stereotactic radiosurgery. Compare 61800 office and facility rates across CMS payment localities in Oregon.
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 61800 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$136.33–$143.57
2 of 2 localities have a supported rate.
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 61800: Stereotactic radiosurgery headframe application
Reports placement and removal of a rigid cranial stereotactic frame used to localize targets during cranial stereotactic radiosurgery.
A neurosurgeon or other qualified physician secures a rigid stereotactic frame to the patient’s head so the cranial target can be localized for stereotactic radiosurgery. The service includes removing the frame after its use. It is generally performed in the radiosurgery setting as part of treatment planning and delivery for a cranial target.
Report 61800 as an add-on with an eligible primary stereotactic radiosurgery procedure, not by itself. Documentation should support frame placement and removal for the radiosurgery session; report the frame service once for the application rather than by the number of treated targets. CMS treats this as an add-on code billed with a primary procedure and paid within that procedure’s global period. The primary service and the headframe application should be documented as part of the same treatment episode.
CMS billing rules for 61800
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.19 · 50%
- Practice expense (office) RVU1.25 · 29%
- Malpractice RVU0.92 · 21%
3.4K
Medicare services in 2024 · #2089 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.
61800 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
61798 reports the primary cranial stereotactic radiosurgery service for a complex lesion. It does not describe the headframe application reported by 61800.
No office rate
61797 reports radiosurgery for an additional simple cranial lesion. 61800 describes the frame service for the session, not an additional lesion.
No office rate
61799 reports radiosurgery for an additional complex cranial lesion. 61800 describes application and removal of the stereotactic frame.
Compare 61800 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.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$143.57
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$136.33
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61800 billing questions
Can 61800 be reported by itself?
No. It is an add-on for stereotactic radiosurgery and must be reported with an eligible primary procedure.
Is 61800 reported once for each cranial target?
The code represents the headframe application and removal, not treatment of each target. Report it once for the frame application.
What documentation supports 61800?
Document that a stereotactic headframe was secured for cranial radiosurgery and removed after its use, along with the associated primary radiosurgery service.
How does 61800 relate to the primary procedure’s global period?
CMS identifies 61800 as an add-on billed with a primary procedure and paid within that procedure’s global period.
Is 61800 the same service as cranial stereotactic radiosurgery?
No. 61800 reports application and removal of the headframe; the primary radiosurgery code reports the cranial radiosurgery service.
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.
6,89061797,,Srs cran les simple addl,A,,3.39,1.18,NA,1.18,,1.42,5.99,5.99,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89161798,,Srs cranial lesion complex,A,,19.35,12.76,NA,12.76,,7.96,40.07,40.07,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89261799,,Srs cran les complex addl,A,,4.69,1.63,NA,1.63,,1.93,8.25,8.25,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89361800,,Apply srs headframe add-on,A,,2.19,1.25,NA,1.25,,0.92,4.36,4.36,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89461850,,Implant neuroelectrodes,A,,13.01,11.15,NA,11.15,,5.48,29.64,29.64,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89561860,,Implant neuroelectrodes,A,,21.70,14.97,NA,14.97,,9.17,45.84,45.84,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89661863,,Implant neuroelectrode,A,,20.19,16.07,NA,16.07,,8.53,44.79,44.79,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00