No office rate
Use 61514 for a supratentorial brain abscess. Use 61510 when the target is a supratentorial brain tumor other than a meningioma.
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CMS RVU26D · Effective 2026-10-01
61514 Brain abscess surgery Medicare reimbursement rates in Rhode Island
Reports open cranial surgery to excise a brain abscess located above the tentorium, performed by a neurosurgeon in an operative setting. Compare 61514 office and facility rates across CMS payment localities in Rhode Island.
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 61514 in Rhode Island?
Rhode Island 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
$1854.26
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 61514: Supratentorial brain abscess excision
Reports open cranial surgery to excise a brain abscess located above the tentorium, performed by a neurosurgeon in an operative setting.
A neurosurgeon uses a cranial opening, such as a craniectomy, trephination, or bone-flap craniotomy, to reach and excise an abscess in the supratentorial brain. This code is for operative treatment of an intracranial infection, rather than removal of a tumor or meningioma. The service is typically performed in a hospital operating room, with the operative report identifying the abscess and its location above the tentorium.
Report the code when the operative service matches the supratentorial abscess procedure, not merely because imaging or pathology identifies an abscess. Documentation should describe the cranial approach, target and location, and work performed to excise it. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 61514
- 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 RVU26.55 · 48%
- Practice expense (office) RVU18.01 · 32%
- Malpractice RVU11.05 · 20%
224
Medicare services in 2024 · #4221 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.
61514 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Use 61512 for excision of a supratentorial meningioma; 61514 identifies an abscess as the operative target.
No office rate
Use 61516 for a supratentorial brain cyst. The diagnosis and operative target for 61514 are a brain abscess.
Compare 61514 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$1854.26
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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 61514 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,781
- Code
- 61514
- Physician work
- 26.55
- Practice expense
- 18.01
- Malpractice
- 11.05
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.55 | × 1.019 | 27.0544 |
| Practice expense | 18.01 | × 1.033 | 18.6043 |
| Malpractice | 11.05 | × 0.892 | 9.8566 |
| Total RVUs | 55.5154 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1854.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.55 | 1.019 |
| Practice expense | 18.01 | 1.033 |
| Malpractice | 11.05 | 0.892 |
(26.55 × 1.019 + 18.01 × 1.033 + 11.05 × 0.892) × $33.4009 = $1854.26
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.
61514 billing questions
How is this code distinguished from brain tumor excision?
Use this code for excision of a supratentorial brain abscess. Code 61510 is for a supratentorial brain tumor other than a meningioma.
What operative documentation supports this code?
The operative report should identify the abscess, establish its supratentorial location, and describe the cranial approach and excision performed.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and related postoperative care during the 90-day period are included.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% 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 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.
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6,77961510,,Crnec treph exc brn tum sttl,A,,30.06,22.01,NA,22.01,,12.64,64.71,64.71,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78061512,,Crnec treph exc mngioma sttl,A,,36.21,22.34,NA,22.34,,15.21,73.76,73.76,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78161514,,Crnec treph exc brn abs sttl,A,,26.55,18.01,NA,18.01,,11.05,55.61,55.61,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,78261516,,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
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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
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9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
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