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CMS RVU26D · Effective 2026-10-01

61545 Brain tumor surgery Medicare reimbursement rates in Utah

Report this neurosurgical service when the surgeon operatively removes a brain tumor, rather than treating a tumor in the pituitary gland or skull. Compare 61545 office and facility rates across CMS payment localities in Utah.

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 61545 in Utah?

Utah 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

$2948.36

1 of 1 localities have a supported rate.

Payment area: Utah

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.

Find 61545 in your payment locality →

Neurosurgery

About 61545: Intracranial brain tumor excision

Report this neurosurgical service when the surgeon operatively removes a brain tumor, rather than treating a tumor in the pituitary gland or skull.

A neurosurgeon removes a tumor arising in brain tissue through an operative cranial approach, such as a craniotomy or craniectomy. The procedure is generally performed in a hospital operating room for a patient with an intracranial tumor requiring surgical removal. The operative report should establish the tumor as the target and describe the approach and excision performed.

Select this code when the documented operation matches brain-tumor excision, not removal of a pituitary gland or a tumor arising from skull bone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 61545

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 RVU45.27 · 49%
  • Practice expense (office) RVU27.50 · 30%
  • Malpractice RVU19.10 · 21%

20

Medicare services in 2024 · #5931 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.

61545 compared with similar codes

Office rates for Utah, from the same CMS release.

61546

Pituitary surgery

Transcranial approach

No office rate

This code concerns removal of a brain tumor. Code 61546 is for removal of the pituitary gland, so base selection on the structure operated on.

61548

Pituitary surgery

Transnasal or transseptal approach

No office rate

Use this code for excision of a brain tumor; 61548 describes pituitary gland removal.

61563

Skull tumor excision

Without reconstruction

No office rate

This code is for a tumor in brain tissue, while 61563 is for a tumor arising from the skull.

61564

Skull tumor excision

Cranial bone lesion

No office rate

Choose this code for brain-tumor excision, not excision of a skull tumor as described by 61564.

Compare 61545 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

Office and facility base rates · shared scale starting at $0

  • Utah →

    Office / nonfacility

    Unavailable

    Facility

    $2948.36

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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 61545 in Utah.

PPRRVU2026_Oct_nonQPP.csv

6,804

Code
61545
Physician work
45.27
Practice expense
27.50
Malpractice
19.10

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 61545 in Utah
ComponentRVULocality factorAdjusted
Physician work45.27× 1.00045.2700
Practice expense27.50× 0.94025.8500
Malpractice19.10× 0.89817.1518
Total RVUs88.2718
Conversion factor× 33.4009

Facility rate, Utah$2948.36

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work45.271
Practice expense27.50.94
Malpractice19.10.898

(45.27 × 1 + 27.5 × 0.94 + 19.1 × 0.898) × $33.4009 = $2948.36

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.

61545 billing questions

How do I distinguish this from pituitary tumor surgery?

Use this code when the operative target is a tumor in brain tissue. When the procedure removes the pituitary gland, consider the pituitary excision codes instead.

What documentation supports reporting this code?

The operative report should identify the brain tumor as the target and describe its surgical removal and the cranial approach used.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What care is included in the global period?

The 90-day global period includes the preoperative visit on the day before surgery and 90 days of related postoperative care.

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.

RVUs for 61545PPRRVU2026_Oct_nonQPP.csv, line 6,804 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet