No office rate
Both address posterior cranial fossa lesions, but 61608 is for intradural work and 61607 is for extradural work.
On this page
CMS RVU26D · Effective 2026-10-01
61608 Cranial lesion resection Medicare reimbursement rates in Vermont
Reports surgical excision of an intradural lesion in the posterior cranial fossa, such as a neoplastic, vascular, or infectious lesion. Compare 61608 office and facility rates across CMS payment localities in Vermont.
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 61608 in Vermont?
Vermont 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
$2852.17
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Neurosurgery
About 61608: Intradural posterior fossa lesion resection
Reports surgical excision of an intradural lesion in the posterior cranial fossa, such as a neoplastic, vascular, or infectious lesion.
This service covers surgical removal of a lesion located within the dura in the posterior cranial fossa. It may be used for neoplastic, vascular, or infectious lesions. A neurosurgeon typically performs the operation in a hospital operating room; the operative approach and any dural repair are part of the documented surgical service.
Choose this code when the operative report supports both the posterior fossa location and intradural extent. Document the lesion’s site and nature, the surgical work performed, and the relevant operative findings. This major surgery code 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 other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is permitted.
CMS billing rules for 61608
- 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 permitted.
Where the value comes from
- Work RVU44.40 · 47%
- Practice expense (office) RVU32.16 · 34%
- Malpractice RVU18.09 · 19%
345
Medicare services in 2024 · #3875 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.
61608 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Both describe intradural lesion resection; select 61608 for the posterior cranial fossa and 61606 for the middle cranial fossa.
No office rate
Both describe intradural lesion resection, but 61601 is for the anterior cranial fossa rather than the posterior cranial fossa.
Compare 61608 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
Vermont →
Office / nonfacility
Unavailable
Facility
$2852.17
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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 61608 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,840
- Code
- 61608
- Physician work
- 44.40
- Practice expense
- 32.16
- Malpractice
- 18.09
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 44.40 | × 1.000 | 44.4000 |
| Practice expense | 32.16 | × 0.990 | 31.8384 |
| Malpractice | 18.09 | × 0.506 | 9.1535 |
| Total RVUs | 85.3919 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$2852.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 44.4 | 1 |
| Practice expense | 32.16 | 0.99 |
| Malpractice | 18.09 | 0.506 |
(44.4 × 1 + 32.16 × 0.99 + 18.09 × 0.506) × $33.4009 = $2852.17
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.
61608 billing questions
How does this differ from 61607?
61608 is for a posterior fossa lesion approached intradurally. Code 61607 is the extradural counterpart.
Does the service include dural repair?
Dural repair is included in the intradural service. The operative report should establish the lesion’s location and intradural extent.
How does the multiple-procedure reduction work?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is permitted.
What postoperative care is included?
The global period includes the day-before preoperative visit 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.
6,83761605,,Resect/excise cranial lesion,A,,31.76,19.93,NA,19.93,,5.57,57.26,57.26,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,83861606,,Resect/excise cranial lesion,A,,41.00,26.61,NA,26.61,,14.07,81.68,81.68,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,83961607,,Resect/excise cranial lesion,A,,39.91,23.47,NA,23.47,,11.26,74.64,74.64,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84061608,,Resect/excise cranial lesion,A,,44.40,32.16,NA,32.16,,18.09,94.65,94.65,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84161611,,Transect artery sinus,A,,7.22,2.53,NA,2.53,,3.04,12.79,12.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84261613,,Remove aneurysm sinus,A,,43.90,33.63,NA,33.63,,18.54,96.07,96.07,0,090,0.11,0.76,0.13,2,1,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
6,84361615,,Resect/excise lesion skull,A,,34.88,34.76,NA,34.76,,14.74,84.38,84.38,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817