Billing code 61682: Aneurysm surgeryMedicare rate & RVUs in Texas
Reports complex open intracranial surgery to treat an aneurysm, when the operative service meets the billing code complexity category rather than the simple level.
CMS doesn’t publish an office rate for 61682 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 61682 covers
This code represents open surgery through an intracranial approach to treat a complex aneurysm of a cerebral vessel. A neurosurgeon typically performs the operation in a hospital operating room. Surgical treatment may include aneurysm clipping; the operative report should identify the aneurysm, its location, the approach, and the work that supports the complex category. Aneurysm size alone should not be used to infer complexity.
Choose this code rather than 61680 when the documented operation meets the complex category; use the territory-specific complex aneurysm codes when those descriptions fit. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one 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 service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not 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 61682 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 | $3,845.70 |
| Beaumont | Unavailable | $3,735.44 |
| Brazoria | Unavailable | $3,703.02 |
| Dallas | Unavailable | $3,776.44 |
| Fort Worth | Unavailable | $3,777.88 |
| Galveston | Unavailable | $3,745.89 |
| Houston | Unavailable | $4,213.37 |
| Rest Of Texas | Unavailable | $3,750.90 |
How the 61682 rate is calculated
Each of 61682’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 · 61682
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 61.82Practice expense 28.89Malpractice 25.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 61682
61682 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61682
Aneurysm surgery
| 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) | 0 | Not 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 · 61682
Aneurysm surgery
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
61682 without 51 · national facility
$3,882.85
Aneurysm surgery
61682-51 · Second procedure: 50%
$1,941.43
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%).
61682 compared with similar codes
Compare codes
61682 vs 61680 vs 61697 vs 61698 vs 61690: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 61680AVM surgery
- Use 61680 for the simple intracranial aneurysm surgery category; use 61682 for a documented operation meeting the complex category.
- 61697Aneurysm repair
- This code identifies complex aneurysm surgery in the anterior circulation. Use it when that territory-specific description applies instead of the general complex category.
- 61698Aneurysm repair
- This code identifies complex aneurysm surgery in the posterior circulation. Use it when that territory-specific description applies instead of the general complex category.
- 61690Aneurysm surgery
- 61690 is for supratentorial arteriovenous malformation surgery, not aneurysm surgery.
61682 billing questions
How does this differ from 61680?
61680 is the simple intracranial aneurysm surgery level. Report 61682 when the operative service meets the complex category, as supported by the operative documentation.
What documentation supports the complex category?
The operative report should identify the aneurysm and its location, describe the intracranial approach and surgical work, and explain the features supporting the complex classification.
Can modifier 50 be used for aneurysms on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support modifier 50.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the other procedures in that 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 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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