No office rate
Use 61680 for the simple intracranial aneurysm surgery category; use 61682 for a documented operation meeting the complex category.
On this page
CMS RVU26D · Effective 2026-10-01
61682 Aneurysm surgery Medicare reimbursement rates in Wyoming
Reports complex open intracranial surgery to treat an aneurysm, when the operative service meets the CPT complexity category rather than the simple level. Compare 61682 office and facility rates across CMS payment localities in Wyoming.
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 61682 in Wyoming?
Wyoming 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
$3661.06
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 61682: Complex intracranial aneurysm surgery
Reports complex open intracranial surgery to treat an aneurysm, when the operative service meets the CPT complexity category rather than the simple level.
This code represents open surgery through an intracranial approach to treat a complex aneurysm of a cerebral vessel. A neurosurgeon typically performs the operation in a hospital operating room. Surgical treatment may include aneurysm clipping; the operative report should identify the aneurysm, its location, the approach, and the work that supports the complex category. Aneurysm size alone should not be used to infer complexity.
Choose this code rather than 61680 when the documented operation meets the complex category; use the territory-specific complex aneurysm codes when those descriptions fit. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61682
- 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 RVU61.82 · 53%
- Practice expense (office) RVU28.89 · 25%
- Malpractice RVU25.54 · 22%
97
Medicare services in 2024 · #4912 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.
61682 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This code identifies complex aneurysm surgery in the anterior circulation. Use it when that territory-specific description applies instead of the general complex category.
No office rate
This code identifies complex aneurysm surgery in the posterior circulation. Use it when that territory-specific description applies instead of the general complex category.
No office rate
61690 is for supratentorial arteriovenous malformation surgery, not aneurysm surgery.
Compare 61682 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$3661.06
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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 61682 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,859
- Code
- 61682
- Physician work
- 61.82
- Practice expense
- 28.89
- Malpractice
- 25.54
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 61.82 | × 1.000 | 61.8200 |
| Practice expense | 28.89 | × 1.000 | 28.8900 |
| Malpractice | 25.54 | × 0.740 | 18.8996 |
| Total RVUs | 109.6096 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$3661.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 61.82 | 1 |
| Practice expense | 28.89 | 1 |
| Malpractice | 25.54 | 0.74 |
(61.82 × 1 + 28.89 × 1 + 25.54 × 0.74) × $33.4009 = $3661.06
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.
61682 billing questions
How does this differ from 61680?
61680 is the simple intracranial aneurysm surgery level. Report 61682 when the operative service meets the complex category, as supported by the operative documentation.
What documentation supports the complex category?
The operative report should identify the aneurysm and its location, describe the intracranial approach and surgical work, and explain the features supporting the complex classification.
Can modifier 50 be used for aneurysms on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support modifier 50.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the other procedures in that session.
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.
6,85661650,,Evasc prlng admn rx agnt 1st,A,,9.75,2.73,NA,2.73,,3.19,15.67,15.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85761651,,Evasc prlng admn rx agnt add,A,,4.14,1.19,NA,1.19,,1.37,6.70,6.70,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85861680,,Intracranial vessel surgery,A,,31.74,20.93,NA,20.93,,13.42,66.09,66.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,85961682,,Intracranial vessel surgery,A,,61.82,28.89,NA,28.89,,25.54,116.25,116.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86061684,,Intracranial vessel surgery,A,,40.60,24.04,NA,24.04,,17.13,81.77,81.77,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86161686,,Intracranial vessel surgery,A,,65.81,33.61,NA,33.61,,27.78,127.20,127.20,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,86261690,,Intracranial vessel surgery,A,,30.56,20.12,NA,20.12,,12.90,63.58,63.58,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,