No office rate
61623 temporarily occludes an artery for evaluation; 61624 is used for endovascular occlusion or embolization within the CNS.
On this page
CMS RVU26D · Effective 2026-10-01
61623 Balloon occlusion Medicare reimbursement rates in Rhode Island
Reports temporary endovascular occlusion of a head or neck artery, commonly to assess collateral circulation before a planned permanent vessel occlusion. Compare 61623 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 61623 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
$517.06
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.
Neurointerventional radiology
About 61623: Temporary arterial balloon occlusion test
Reports temporary endovascular occlusion of a head or neck artery, commonly to assess collateral circulation before a planned permanent vessel occlusion.
A neurointerventional physician uses an endovascular balloon or another temporary occlusion technique to block flow in a head or neck artery while assessing whether collateral circulation can maintain perfusion. A common use is testing tolerance to temporary internal carotid artery occlusion before a planned vessel sacrifice. The service is typically performed in a hospital angiography suite with imaging guidance; the code includes the associated radiological supervision and interpretation.
Report the code when temporary arterial occlusion is actually performed, not for balloon angioplasty or permanent embolization. Documentation should identify the artery, temporary occlusion method, purpose of the test, and imaging findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 61623
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.70 · 62%
- Practice expense (office) RVU2.87 · 18%
- Malpractice RVU2.95 · 19%
195
Medicare services in 2024 · #4345 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.
61623 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$10,030.23
61623 is temporary occlusion for assessment. 61626 describes endovascular occlusion or embolization outside the CNS.
61630
No office rateBalo angioplasty icr perq
61623 tests the effect of temporary arterial blockage. 61630 uses balloon angioplasty to treat an intracranial arterial narrowing.
61640
No office rateDilate ic vasospasm init
61623 is temporary arterial occlusion for evaluation; 61640 is an initial endovascular treatment for intracranial vasospasm.
Compare 61623 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
$517.06
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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 61623 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,847
- Code
- 61623
- Physician work
- 9.70
- Practice expense
- 2.87
- Malpractice
- 2.95
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.70 | × 1.019 | 9.8843 |
| Practice expense | 2.87 | × 1.033 | 2.9647 |
| Malpractice | 2.95 | × 0.892 | 2.6314 |
| Total RVUs | 15.4804 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$517.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.7 | 1.019 |
| Practice expense | 2.87 | 1.033 |
| Malpractice | 2.95 | 0.892 |
(9.7 × 1.019 + 2.87 × 1.033 + 2.95 × 0.892) × $33.4009 = $517.06
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.
61623 billing questions
When should this code be chosen instead of 61630?
Use 61623 for temporary arterial occlusion, such as testing collateral circulation. Code 61630 describes balloon angioplasty to treat an intracranial narrowing.
Does the code include imaging supervision and interpretation?
Yes. The service includes the radiological supervision and interpretation associated with the temporary occlusion.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% reduction.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.
What should the procedure note document?
Identify the artery and temporary occlusion method, explain the clinical purpose—such as assessing collateral circulation—and record the imaging findings.
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.
6,84461616,,Resect/excise lesion skull,A,,45.57,32.19,NA,32.19,,16.71,94.47,94.47,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84561618,,Repair dura,A,,18.22,12.18,NA,12.18,,6.08,36.48,36.48,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84661619,,Repair dura,A,,21.55,16.21,NA,16.21,,9.11,46.87,46.87,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84761623,,Evasc temp balo artl occ h/n,A,,9.70,2.87,NA,2.87,,2.95,15.52,15.52,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84861624,,Tcat perm occls/embolj cns,A,,19.50,5.41,NA,5.41,,6.37,31.28,31.28,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84961626,,Tcat perm occls/embol noncns,A,,14.93,272.48,,3.60,,4.05,291.46,22.58,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85061630,,Balo angioplasty icr perq,R,,21.52,9.22,NA,9.22,,6.82,37.56,37.56,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537