CPT code 61105: Twist-drill puncture, hematoma drainage2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $488.75 for 61105 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 61105 nationwide

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

What 61105 covers

A neurosurgeon makes a small opening through the skull with a twist drill to puncture the subdural or ventricular space and drain a hematoma. The service is typically performed in a hospital or other facility when hematoma drainage is needed through this limited access approach. The operative note should identify the puncture site, the hematoma being drained, and the work performed; the access and purpose help distinguish this service from catheter implantation or burr-hole procedures.

Select the code when the documented procedure is a twist-drill puncture for hematoma drainage, not simply because a twist drill was used. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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.

How Delaware compares for 61105

Across 109 of 109 payment localities, the facility rate for 61105 runs from $427.46 in Arkansas to $622.33 in Miami, FL. Delaware pays $488.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

61105 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 61105 in every payment locality

How the 61105 rate is calculated

Each of 61105’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.

Payment rules and modifiers for 61105

61105 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 61105

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 61105 has changed in Delaware

Price 61105 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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

Open CMS sourceHow we calculate rates