CPT code 616352026 Medicare rate & RVUs in Washington

CPT 61635 pays $1,325.67–$1,424.68 in a facility across 2 Medicare payment localities in Washington under the 2026 Medicare fee schedule. Compare each area, the RVU math and payer benchmarks.

CMS RVU26DEffective Oct 1, 20262 payment localities618 Medicare services in 2024

CMS doesn’t publish an office rate for 61635 in Washington.

—Office (non-facility)
$1,325.67–$1,424.68Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 61635 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Washington
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

Where 61635 pays more and less in Washington

61635 office and facility rates by payment locality
Payment localityOfficeFacility
Rest Of WashingtonUnavailable$1,325.67
Seattle (King Cnty)Unavailable$1,424.68

How the 61635 rate is calculated

Each of 61635’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 · 61635

RVUs × geographic indexes × conversion factor

Work23.67

23.67 RVUs× 1.000 GPCI

Practice expense9.66

9.66 RVUs× 1.000 GPCI

Malpractice7.28

7.28 RVUs× 1.000 GPCI

Adjusted RVUs

40.6100

Conversion factor

$33.4009

Medicare rate

$1,356.41

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 61635

The CMS indicators that decide how 61635 is paid alongside other services.

CMS payment indicators · 61635

Code 61635

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

61635 without 51 · national facility

$1,356.41

61635-51 · Second procedure: 50%

$678.21

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%).

When to use modifier 51

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
RVUs for 61635PPRRVU2026_Oct_nonQPP.csv, line 6,851 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 61635 pays in Washington?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 61635 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →