CPT code 61783: Spinal navigation2026 Medicare rate & RVUs in Virginia
Reports computer-assisted navigation used to guide spinal surgery, such as instrument placement during a fusion or other image-guided spinal operation.
CMS doesn’t publish an office rate for 61783 in Virginia.
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 61783 covers
This add-on captures computer-assisted navigation used during an operation on the spine. The surgeon uses imaging and a navigation system to orient instruments to spinal anatomy during procedures such as fusion, deformity correction, or surgery involving a spinal lesion. Orthopedic spine surgeons and neurosurgeons typically perform these operations in a hospital operating room. The navigation service supports the primary operation; it is not the spinal operation itself.
Report 61783 only with an eligible primary procedure, not by itself. The operative record should establish that computer-assisted navigation was used and describe its role in guiding the spinal procedure. It is paid within the primary procedure's global period, so it is not separately reported as a later postoperative service. For example, navigation used during a lumbar fusion may support reporting this add-on with the fusion procedure when coding requirements are met.
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 61783 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $226.34 |
| Virginia | Unavailable | $193.85 |
How the 61783 rate is calculated
Each of 61783’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 · 61783
RVUs × geographic indexes × conversion factor
Work3.66
3.66 RVUs× 1.000 GPCI
Practice expense1.24
1.24 RVUs× 1.000 GPCI
Malpractice1.31
1.31 RVUs× 1.000 GPCI
Adjusted RVUs
6.2100
Conversion factor
$33.4009
Medicare rate
$207.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 61783
The CMS indicators that decide how 61783 is paid alongside other services.
CMS payment indicators · 61783
Spinal navigation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
61783 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 61781Cranial navigation
- Use 61781 for computer-assisted navigation in the specified cranial surgical context; use 61783 when navigation guides a spinal operation.
- 61782Cranial navigation
- 61782 applies to cranial navigation in its specified extracranial context. 61783 is the spinal navigation add-on.
- 22612Spinal fusion
- 22612 reports a lumbar fusion operation, not navigation. Report 61783 as an add-on when computer-assisted navigation is used during an eligible primary procedure.
61783 billing questions
Can 61783 be reported by itself?
No. It is an add-on for computer-assisted navigation during a primary spinal procedure and must be reported with that procedure.
How is 61783 different from 61781 and 61782?
61783 is for navigation during spinal surgery. Codes 61781 and 61782 describe navigation for cranial procedures, with the distinction based on the cranial surgical context.
What documentation supports 61783?
The operative report should show that computer-assisted navigation was used during the spinal operation and explain how it guided the procedure.
Is 61783 separately reportable after the operation?
No. CMS treats it as an add-on paid within the primary procedure's global period; it is not a separate postoperative service.
Is 61783 the code for the spinal fusion itself?
No. The fusion or other spinal operation is reported with its own primary procedure code; 61783 represents the navigation service used during that operation.
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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