CPT code 61107: Ventricular catheter, twist-drill access2026 Medicare rate & RVUs in Montana
Twist-drill ventricular catheter placement for temporary intracranial drainage, reported when a catheter is implanted through a small cranial opening to drain a ventricle.
In Montana, Medicare pays $287.45 for 61107 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61107 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 61107 covers
This service involves making a small twist-drill opening in the skull and placing a ventricular catheter through it to provide drainage. Neurosurgeons commonly use it for temporary cerebrospinal-fluid diversion or pressure management, such as acute hydrocephalus or ventricular blood obstructing normal CSF flow. It is generally performed in a hospital or other facility setting, with catheter drainage often managed in an intensive care or neurosurgical unit.
Report 61107 when the documented access is twist-drill and the procedure includes placement of a ventricular drainage catheter. Select a subdural drainage or hematoma-evacuation code when that is the procedure instead; a burr-hole approach has different code selection. The operative note should identify the opening technique, ventricular target, catheter placement, and drainage purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Montana compares for 61107
Across 109 of 109 payment localities, the facility rate for 61107 runs from $238.05 in Wisconsin to $394.09 in Miami, FL. Montana pays $287.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$287.45
- Los Angeles, CA · California$281.75−$5.70
- Washington, DC area · District of Columbia$314.17+$26.72
- Miami, FL · Florida$394.09+$106.64
- Chicago, IL · Illinois$377.24+$89.79
- Manhattan, NY · New York$347.12+$59.67
- Alaska · Alaska$342.01+$54.56
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $250.91 |
| ArkansasArkansas | — | $246.53 |
| ArizonaArizona | — | $276.01 |
| Bakersfield, CACalifornia | — | $269.48 |
| Chico, CACalifornia | — | $264.18 |
| El Centro, CACalifornia | — | $264.52 |
| Fresno, CACalifornia | — | $264.18 |
| Hanford, CACalifornia | — | $264.18 |
| Madera, CACalifornia | — | $264.18 |
| Merced, CACalifornia | — | $264.18 |
| Modesto, CACalifornia | — | $264.18 |
| Napa, CACalifornia | — | $282.36 |
| Oxnard, CACalifornia | — | $276.78 |
| Redding, CACalifornia | — | $264.18 |
| Rest of CaliforniaCalifornia | — | $264.18 |
| Riverside, CACalifornia | — | $285.94 |
| Sacramento, CACalifornia | — | $271.08 |
| Salinas, CACalifornia | — | $270.04 |
| San Diego, CACalifornia | — | $272.38 |
| Marin County, CACalifornia | — | $289.45 |
| San Francisco, CACalifornia | — | $287.14 |
| San Benito County, CACalifornia | — | $298.96 |
| Santa Clara County, CACalifornia | — | $289.48 |
| San Luis Obispo, CACalifornia | — | $266.62 |
| Santa Cruz, CACalifornia | — | $271.59 |
| Santa Maria, CACalifornia | — | $269.95 |
| Santa Rosa, CACalifornia | — | $273.79 |
| Stockton, CACalifornia | — | $264.18 |
| Vallejo, CACalifornia | — | $279.02 |
| Visalia, CACalifornia | — | $264.18 |
| Yuba City, CACalifornia | — | $264.18 |
| ColoradoColorado | — | $278.25 |
| ConnecticutConnecticut | — | $309.52 |
| DelawareDelaware | — | $280.83 |
| Fort Lauderdale, FLFlorida | — | $343.38 |
| Rest of FloridaFlorida | — | $319.36 |
| Atlanta, GAGeorgia | — | $302.67 |
| Rest of GeorgiaGeorgia | — | $294.53 |
| Hawaii, Guam, HIHawaii | — | $266.67 |
| IowaIowa | — | $241.67 |
| IdahoIdaho | — | $247.13 |
| East St. Louis, ILIllinois | — | $352.13 |
| Rest of IllinoisIllinois | — | $321.00 |
| Suburban Chicago, ILIllinois | — | $342.86 |
| IndianaIndiana | — | $248.41 |
| KansasKansas | — | $248.33 |
| KentuckyKentucky | — | $275.49 |
| New Orleans, LALouisiana | — | $293.50 |
| Rest of LouisianaLouisiana | — | $278.19 |
| Metropolitan Boston, MAMassachusetts | — | $297.77 |
| Rest of MassachusettsMassachusetts | — | $279.36 |
| Baltimore area, MDMaryland | — | $310.48 |
| Rest of MarylandMaryland | — | $284.30 |
| Rest of MaineMaine | — | $257.28 |
| Southern Maine, MEMaine | — | $261.93 |
| Detroit, MIMichigan | — | $332.34 |
| Rest of MichiganMichigan | — | $291.43 |
| MinnesotaMinnesota | — | $241.26 |
| Metropolitan Kansas City, MOMissouri | — | $282.55 |
| Metropolitan St. Louis, MOMissouri | — | $284.99 |
| Rest of MissouriMissouri | — | $277.97 |
| MississippiMississippi | — | $261.91 |
| North CarolinaNorth Carolina | — | $259.18 |
| North DakotaNorth Dakota | — | $247.11 |
| NebraskaNebraska | — | $240.83 |
| New HampshireNew Hampshire | — | $281.39 |
| Northern New JerseyNew Jersey | — | $311.55 |
| Rest of New JerseyNew Jersey | — | $305.92 |
| New MexicoNew Mexico | — | $296.56 |
| NevadaNevada | — | $276.26 |
| NYC suburbs and Long Island, NYNew York | — | $367.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $314.60 |
| Queens, NYNew York | — | $338.44 |
| Rest of New YorkNew York | — | $264.51 |
| OhioOhio | — | $283.19 |
| OklahomaOklahoma | — | $266.31 |
| Portland, OROregon | — | $279.04 |
| Rest of OregonOregon | — | $267.12 |
| Metropolitan Philadelphia, PAPennsylvania | — | $305.99 |
| Rest of PennsylvaniaPennsylvania | — | $279.18 |
| Puerto RicoPuerto Rico | — | $287.18 |
| Rhode IslandRhode Island | — | $285.19 |
| South CarolinaSouth Carolina | — | $273.05 |
| South DakotaSouth Dakota | — | $242.34 |
| TennesseeTennessee | — | $250.87 |
| Austin, TXTexas | — | $283.43 |
| Beaumont, TXTexas | — | $277.63 |
| Brazoria, TXTexas | — | $273.38 |
| Dallas, TXTexas | — | $279.14 |
| Fort Worth, TXTexas | — | $279.46 |
| Galveston, TXTexas | — | $276.77 |
| Houston, TXTexas | — | $314.11 |
| Rest of TexasTexas | — | $278.08 |
| UtahUtah | — | $277.22 |
| VirginiaVirginia | — | $266.58 |
| Virgin Islands, VIUnited States Virgin Islands | — | $287.18 |
| VermontVermont | — | $253.35 |
| Rest of WashingtonWashington | — | $276.42 |
| King County, WAWashington | — | $296.14 |
| WisconsinWisconsin | — | $238.05 |
| West VirginiaWest Virginia | — | $309.51 |
| WyomingWyoming | — | $269.87 |
61107 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 61107 rate is calculated
Each of 61107’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 · 61107
RVUs × geographic indexes × conversion factor
Work4.87
4.87 RVUs× 1.000 GPCI
Practice expense1.70
1.70 RVUs× 1.000 GPCI
Malpractice2.04
2.04 RVUs× 1.000 GPCI
Adjusted RVUs
8.6100
Conversion factor
$33.4009
Medicare rate
$287.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,744
- Code
- 61107
- Physician work
- 4.87
- Practice expense
- 1.70
- Malpractice
- 2.04
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.87 | × 1.000 | 4.8700 |
| Practice expense | 1.70 | × 1.000 | 1.7000 |
| Malpractice | 2.04 | × 0.998 | 2.0359 |
| Total RVUs | 8.6059 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$287.45
Facility: (4.87 × 1 + 1.7 × 1 + 2.04 × 0.998) × $33.4009 = $287.45
Payment rules and modifiers for 61107
The CMS indicators that decide how 61107 is paid alongside other services.
CMS payment indicators · 61107
Ventricular catheter, twist-drill access
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 61107 has changed in Montana
61107 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $287.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $287.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $287.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $287.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $303.91 | RVU25D |
| 2025-07-01 | Not available in this setting | $303.91 | RVU25C |
| 2025-04-01 | Not available in this setting | $303.91 | RVU25B |
| 2025-01-01 | Not available in this setting | $303.91 | RVU25A |
| 2024-10-01 | Not available in this setting | $311.74 | RVU24D |
| 2024-07-01 | Not available in this setting | $311.74 | RVU24C |
| 2024-04-01 | Not available in this setting | $311.74 | RVU24B |
| 2024-03-09 | Not available in this setting | $311.74 | RVU24AR |
| 2024-01-01 | Not available in this setting | $306.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $315.38 | RVU23D |
| 2023-07-01 | Not available in this setting | $315.38 | RVU23C |
| 2023-04-01 | Not available in this setting | $315.38 | RVU23B |
| 2023-01-01 | Not available in this setting | $315.38 | RVU23A |
| 2022-10-01 | Not available in this setting | $317.59 | RVU22D |
| 2022-07-01 | Not available in this setting | $317.59 | RVU22C |
| 2022-04-01 | Not available in this setting | $317.59 | RVU22B |
| 2022-01-01 | Not available in this setting | $317.59 | RVU22A |
| 2021-10-01 | Not available in this setting | $319.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $319.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $319.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $319.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $347.44 | RVU20D |
| 2020-07-01 | Not available in this setting | $347.44 | RVU20C |
| 2020-04-01 | Not available in this setting | $347.44 | RVU20B |
| 2020-01-01 | Not available in this setting | $347.44 | RVU20A |
| 2019-10-01 | Not available in this setting | $375.68 | RVU19D |
| 2019-07-01 | Not available in this setting | $375.68 | RVU19C |
| 2019-04-01 | Not available in this setting | $375.68 | RVU19B |
| 2019-01-01 | Not available in this setting | $375.68 | RVU19A |
| 2018-10-01 | Not available in this setting | $375.40 | RVU18D |
| 2018-07-01 | Not available in this setting | $375.40 | RVU18C |
| 2018-04-01 | Not available in this setting | $375.40 | RVU18B |
| 2018-01-01 | Not available in this setting | $375.40 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $363.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $363.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $363.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $363.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $349.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $349.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $349.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $349.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $352.46 | RVU15D |
| 2015-07-01 | Not available in this setting | $352.46 | RVU15C |
| 2015-04-01 | Not available in this setting | $350.71 | RVU15B |
| 2015-01-01 | Not available in this setting | $350.71 | RVU15A |
| 2014-10-01 | Not available in this setting | $333.89 | RVU14D |
| 2014-07-01 | Not available in this setting | $333.89 | RVU14C |
| 2014-04-01 | Not available in this setting | $333.89 | RVU14B |
| 2014-01-01 | Not available in this setting | $333.89 | RVU14A |
| 2013-10-01 | Not available in this setting | $322.31 | RVU13D |
| 2013-07-01 | Not available in this setting | $322.31 | RVU13C |
| 2013-04-01 | Not available in this setting | $322.31 | RVU13B |
| 2013-01-01 | Not available in this setting | $322.31 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
61107 billing questions
How does 61107 differ from 61105?
61107 describes twist-drill access with placement of a ventricular drainage catheter. Use 61105 when the documented procedure is for subdural drainage rather than implantation of a ventricular catheter.
How does 61107 differ from 61108?
61107 is for ventricular catheter placement through twist-drill access. 61108 describes twist-drill access for evacuation or drainage of a subdural hematoma.
Does 61107 include the catheter placement?
Yes. The service includes the twist-drill access and placement of the ventricular drainage catheter; the operative note should support both.
Can modifier 50 be used for bilateral placement?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 61107. Co-surgeons and team surgery are not permitted.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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
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