CPT 61711
Global 090 ActiveFusion of skull arteries
CPT 61711 Billing & Documentation Guide
CPT code 61711 (Fusion of skull arteries) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 37.27, a non-facility practice expense RVU of 21.94, and a malpractice RVU of 15.48, a total non-facility RVU of 74.69 and facility RVU of 74.69. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2477.63, though rates vary from $2106.14 to $3315.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 61711, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 61711 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 61711 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 61711
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 37.27 | 37.27 |
| Practice Expense RVU | 21.94 | 21.94 |
| Malpractice RVU | 15.48 | 15.48 |
| Total RVU | 74.69 | 74.69 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 61711
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $2436.99 | $2436.99 | $2346.32 - $2715.64 | 29 |
| Florida | $2986.62 | $2986.62 | $2722.54 - $3315.32 | 3 |
| Georgia | $2564.47 | $2564.47 | $2514.84 - $2614.1 | 2 |
| Illinois | $2945.37 | $2945.37 | $2722.06 - $3176.67 | 4 |
| Michigan | $2660.71 | $2660.71 | $2497.66 - $2823.76 | 2 |
| North Carolina | $2258.96 | $2258.96 | $2258.96 - $2258.96 | 1 |
| New York | $2824.36 | $2824.36 | $2304.51 - $3155.99 | 5 |
| Ohio | $2435.09 | $2435.09 | $2435.09 - $2435.09 | 1 |
| Pennsylvania | $2526.57 | $2526.57 | $2406.18 - $2646.96 | 2 |
| Texas | $2453.43 | $2453.43 | $2384.33 - $2693.95 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 61711
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 61711 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0333T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0464T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 61711
What does CPT code 61711 mean? +
CPT code 61711 represents: Fusion of skull arteries. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 61711? +
The 2026 Medicare national average non-facility payment for CPT 61711 is $2477.63. Rates range from $2106.14 to $3315.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 61711? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 61711? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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