Billing code 61519: Meningioma removalMedicare rate & RVUs in Utah
Report 61519 for craniectomy or craniotomy to remove an infratentorial meningioma, such as a dural-based tumor in the posterior fossa.
CMS doesn’t publish an office rate for 61519 in Utah.
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 61519 covers
A neurosurgeon uses a craniectomy, trephination, or bone-flap craniotomy to reach and remove a meningioma below the tentorium. These operations commonly address dural-based tumors in the posterior fossa and are performed in a hospital operating room. The operative report should establish the lesion’s infratentorial location and the meningioma-directed resection; pathology may confirm the diagnosis after surgery.
Choose this code based on the lesion and operative site, not simply because a brain tumor was removed. Distinguish it from supratentorial meningioma excision and codes for other infratentorial tumor locations or types. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same 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 descriptor. An assistant at surgery may be paid; co-surgeons require 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.
61519 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $2,713.01 |
How the 61519 rate is calculated
Each of 61519’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 · 61519
RVUs × geographic indexes × conversion factor
Work42.34
42.34 RVUs× 1.000 GPCI
Practice expense24.43
24.43 RVUs× 1.000 GPCI
Malpractice17.73
17.73 RVUs× 1.000 GPCI
Adjusted RVUs
84.5000
Conversion factor
$33.4009
Medicare rate
$2,822.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 61519
61519 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61519
Meningioma removal
| 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 · 61519
Meningioma removal
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
61519 without 51 · national facility
$2,822.38
Meningioma removal
61519-51 · Second procedure: 50%
$1,411.19
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%).
61519 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 61512Meningioma excision
- Both codes describe meningioma excision, but 61512 is for a supratentorial lesion and 61519 is for an infratentorial lesion.
- 61518Brain tumor excision
- 61518 is for specified infratentorial brain tumors other than meningioma. Choose 61519 when the infratentorial lesion being excised is a meningioma.
- 61520Brain lesion removal
- 61520 identifies an infratentorial cerebellopontine angle tumor. Use 61519 for an infratentorial meningioma when the operative location is not coded under that distinct tumor-location service.
61519 billing questions
How does 61519 differ from 61512?
61519 is for an infratentorial meningioma; 61512 is for a supratentorial meningioma. The operative report’s documented location distinguishes the two.
When would 61518 be considered instead?
61518 describes excision of an infratentorial brain tumor other than a meningioma and certain separately identified tumor locations. Use 61519 when the resected lesion is a meningioma in the applicable infratentorial location.
Are related postoperative visits separately included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same 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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