No office rate
Use 61567 for multiple subpial transections performed with electrocorticography. Code 61566 describes the corresponding transection procedure without it.
On this page
CMS RVU26D · Effective 2026-10-01
61567 Subpial transections Medicare reimbursement rates in Virginia
Reports multiple small cortical incisions with intraoperative electrocorticography to limit seizure spread while preserving function in selected epilepsy surgery cases. Compare 61567 office and facility rates across CMS payment localities in Virginia.
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 61567 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2311.20–$2731.49
2 of 2 localities have a supported rate.
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.
Epilepsy surgery
About 61567: Multiple subpial transections with electrocorticography
Reports multiple small cortical incisions with intraoperative electrocorticography to limit seizure spread while preserving function in selected epilepsy surgery cases.
This code describes multiple subpial transections performed during epilepsy surgery with intraoperative electrocorticography. The neurosurgeon makes a series of small incisions in the cerebral cortex to interrupt seizure spread while seeking to preserve important cortical function. A typical setting is surgery for medically refractory focal epilepsy when the seizure-generating region involves eloquent cortex, such as areas responsible for language or movement. The operative report should identify the cortical area treated and document the transections and electrocorticography performed.
Select this code when the documented operation is multiple subpial transections with electrocorticography, rather than removal of an epileptogenic focus or transections without electrocorticography. 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61567
- 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 RVU36.08 · 49%
- Practice expense (office) RVU22.75 · 31%
- Malpractice RVU15.23 · 21%
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.
61567 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
61536 describes excision of a temporal-lobe epileptogenic focus with electrocorticography; 61567 describes multiple cortical transections rather than focus excision.
No office rate
61538 describes excision of an epileptogenic focus outside the temporal lobe with electrocorticography. Choose 61567 when the documented operation is multiple subpial transections.
Compare 61567 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$2731.49
Virginia →
Office / nonfacility
Unavailable
Facility
$2311.20
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61567 billing questions
How does this differ from 61566?
Both codes describe multiple subpial transections; 61567 is the choice when electrocorticography is performed, while 61566 describes the service without it.
Is electrocorticography part of the code selection?
Yes. The distinction between 61567 and its sibling 61566 is whether electrocorticography is performed. The operative documentation should support that distinction.
Should modifier 50 be used for transections on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor or anatomy.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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.
6,81361563,,Excision of skull tumor,A,,27.73,18.31,NA,18.31,,11.72,57.76,57.76,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,81461564,,Excision of skull tumor,A,,33.87,21.68,NA,21.68,,14.30,69.85,69.85,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,81561566,,Removal of brain tissue,A,,31.64,20.04,NA,20.04,,13.37,65.05,65.05,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,81661567,,Incision of brain tissue,A,,36.08,22.75,NA,22.75,,15.23,74.06,74.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,81761570,,Remove foreign body brain,A,,25.85,18.10,NA,18.10,,10.93,54.88,54.88,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,81861571,,Incise skull for brain wound,A,,27.71,18.76,NA,18.76,,11.72,58.19,58.19,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,81961575,,Skull base/brainstem surgery,A,,35.65,21.54,NA,21.54,,15.05,72.24,72.24,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00