CPT code 61607: Cranial lesion resection2026 Medicare rate & RVUs in Texas
Reports craniotomy to remove an extradural lesion in the posterior cranial fossa below the tentorium, such as a neoplastic, vascular, or infectious lesion.
CMS doesn’t publish an office rate for 61607 in Texas.
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 61607 covers
A neurosurgeon reports this service for craniotomy and removal of a neoplastic, vascular, or infectious lesion located outside the dura in the posterior cranial fossa below the tentorium. The operation is generally performed in a hospital operating room. The location and extradural compartment distinguish this service from resections for anterior fossa, infratemporal, or intradural lesions.
The operative report should establish the lesion’s posterior fossa location, its extradural position, and the craniotomy and resection performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 61607 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $2,498.30 |
| Beaumont | Unavailable | $2,395.79 |
| Brazoria | Unavailable | $2,413.91 |
| Dallas | Unavailable | $2,448.50 |
| Fort Worth | Unavailable | $2,445.55 |
| Galveston | Unavailable | $2,433.53 |
| Houston | Unavailable | $2,639.63 |
| Rest Of Texas | Unavailable | $2,416.58 |
How the 61607 rate is calculated
Each of 61607’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 · 61607
RVUs × geographic indexes × conversion factor
Work39.91
39.91 RVUs× 1.000 GPCI
Practice expense23.47
23.47 RVUs× 1.000 GPCI
Malpractice11.26
11.26 RVUs× 1.000 GPCI
Adjusted RVUs
74.6400
Conversion factor
$33.4009
Medicare rate
$2,493.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 61607
61607 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61607
Cranial lesion resection
| 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) | 2 | 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 · 61607
Cranial lesion resection
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
61607 without 51 · national facility
$2,493.04
Cranial lesion resection
61607-51 · Second procedure: 50%
$1,246.52
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%).
61607 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 61608Cranial lesion resection
- Use 61607 for an extradural posterior fossa lesion below the tentorium; 61608 describes the intradural counterpart.
- 61605Skull-base resection
- 61605 concerns an extradural lesion in the infratemporal region, rather than an extradural lesion in the posterior fossa below the tentorium.
- 61600Skull base resection
- 61600 is for an extradural lesion in the anterior cranial fossa. The fossa location, not simply the extradural compartment, separates it from 61607.
61607 billing questions
How is this code distinguished from 61608?
This code describes an extradural lesion below the tentorium in the posterior fossa. Code 61608 is for a lesion in the intradural compartment in that region.
What operative details support reporting this code?
Document the posterior fossa location below the tentorium, the extradural compartment, and the craniotomy and lesion resection performed.
Should modifier 50 be used for lesions on both sides?
No. The anatomy and service represented by this code are not reported as a bilateral procedure with modifier 50.
How are additional procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures in the session are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is permitted.
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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