How much does Medicare pay for CPT 61645?

Medicare allowed an average of $823.06 per service and paid $655.44 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3541.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 61645?

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance. It was billed 7,883 times to 7,796 Medicare beneficiaries by 474 providers in 2024.

Which specialty bills 61645 most?

Neurosurgery, with 2,738 services from 171 clinicians. Next are Diagnostic Radiology, Neurology, Interventional Radiology.

CPT 61645

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance

$823.06Medicare-allowed amount per service, averaged across 7,883 services

Providers submitted

$3541.47

Asking price, not received

Medicare allowed

$823.06

The fee schedule figure

Medicare paid

$655.44

Balance is patient coinsurance

Providers submitted an average of $3541.47 for this code and Medicare allowed $823.06 — 4.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $655.44 (80%); the rest is the patient’s coinsurance and deductible.

Services: 7,883
Beneficiaries: 7,796
Providers billing it: 474
Total allowed: $6,488,182

What Medicare pays for CPT 61645

Across 7,883 services billed by 474 providers to 7,796 beneficiaries, Medicare allowed an average of $823.06 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 61645

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurosurgery	2,738	2,706	$837.18	171
Diagnostic Radiology	2,144	2,114	$804.13	126
Neurology	2,031	2,017	$817.65	124
Interventional Radiology	864	853	$836.56	47
Neuropsychiatry	60	60	$823.41	3
Critical Care (Intensivists)	19	19	$727.80	1
Psychiatry	16	16	$994.15	1
Internal Medicine	11	11	$851.06	1

61645 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	804	$828.81	$656.06	46
Florida	547	$895.61	$652.43	32
Pennsylvania	477	$820.54	$655.95	30
Illinois	420	$909.60	$640.43	26
Texas	413	$789.98	$627.20	26
Virginia	323	$834.80	$656.22	21
Georgia	292	$842.39	$653.47	17
New York	271	$940.16	$655.02	16
North Carolina	270	$782.64	$652.51	15
Massachusetts	251	$844.86	$653.40	15
Ohio	246	$809.76	$650.23	16
Maryland	235	$864.37	$649.22	13
New Jersey	231	$885.41	$656.18	15
Washington	210	$822.88	$656.08	12
Indiana	188	$760.81	$654.22	10
Arizona	188	$746.95	$605.28	11
Missouri	174	$801.11	$655.14	12
Michigan	148	$872.90	$658.48	9
Iowa	139	$738.59	$655.31	8
Louisiana	136	$799.39	$651.42	10
Tennessee	136	$751.97	$654.39	10
Kansas	131	$741.93	$656.80	8
Connecticut	127	$888.95	$653.53	7
Alabama	120	$729.42	$657.79	6
Wisconsin	120	$743.24	$657.85	8
Kentucky	118	$775.64	$655.22	7
Colorado	113	$842.54	$654.50	7
South Carolina	110	$771.91	$655.65	7
Rhode Island	108	$814.97	$655.65	4
Arkansas	101	$735.11	$655.70	6
Minnesota	89	$732.23	$649.25	6
Idaho	78	$732.80	$647.89	5
Nevada	73	$784.27	$658.89	3
Oklahoma	66	$775.17	$652.55	4
Mississippi	57	$765.29	$655.55	3
Hawaii	56	$788.78	$654.28	3
Delaware	53	$807.78	$655.45	2
Maine	46	$785.58	$661.09	3
South Dakota	41	$692.62	$614.14	3
New Mexico	34	$828.55	$649.36	2
West Virginia	25	$857.20	$653.87	2
Utah	24	$799.84	$653.82	2
Alaska	22	$975.59	$655.89	1
Vermont	19	$756.27	$656.31	1
Montana	14	$803.80	$654.57	1
New Hampshire	14	$856.93	$636.42	1
Nebraska	14	$676.45	$655.34	1
Oregon	11	$832.78	$684.78	1

Related codes

61624Occlusion of central nervous system or spinal cord artery$1065.29

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.