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.

CMS RVU26DEffective Oct 1, 2026One payment locality2K Medicare services in 2024

In Montana, Medicare pays $287.45 for 61107 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$287.45Hospital or facility

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.

We’ll open 61107 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 61107 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

61107 in Montana vs other payment areas
  1. Montana · this page$287.45
  2. Los Angeles, CA · California$281.75−$5.70
  3. Washington, DC area · District of Columbia$314.17+$26.72
  4. Miami, FL · Florida$394.09+$106.64
  5. Chicago, IL · Illinois$377.24+$89.79
  6. Manhattan, NY · New York$347.12+$59.67
  7. Alaska · Alaska$342.01+$54.56

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

61107 in every other Medicare payment locality
Payment localityOfficeFacility
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

61107 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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61107 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 61107 in every payment locality

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

Office or facility?

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
Facility calculation for 61107 in Montana
ComponentRVULocality factorAdjusted
Physician work4.87× 1.0004.8700
Practice expense1.70× 1.0001.7000
Malpractice2.04× 0.9982.0359
Total RVUs8.6059
Conversion factor× 33.4009

Facility rate, Montana$287.45

Facility: (4.87 × 1 + 1.7 × 1 + 2.04 × 0.998) × $33.4009 = $287.45

Open 61107 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$287.45RVU26D
2026-07-01Not available in this setting$287.45RVU26C
2026-04-01Not available in this setting$287.45RVU26B
2026-01-01Not available in this setting$287.45RVU26A
2025-10-01Not available in this setting$303.91RVU25D
2025-07-01Not available in this setting$303.91RVU25C
2025-04-01Not available in this setting$303.91RVU25B
2025-01-01Not available in this setting$303.91RVU25A
2024-10-01Not available in this setting$311.74RVU24D
2024-07-01Not available in this setting$311.74RVU24C
2024-04-01Not available in this setting$311.74RVU24B
2024-03-09Not available in this setting$311.74RVU24AR
2024-01-01Not available in this setting$306.65RVU24A
2023-10-01Not available in this setting$315.38RVU23D
2023-07-01Not available in this setting$315.38RVU23C
2023-04-01Not available in this setting$315.38RVU23B
2023-01-01Not available in this setting$315.38RVU23A
2022-10-01Not available in this setting$317.59RVU22D
2022-07-01Not available in this setting$317.59RVU22C
2022-04-01Not available in this setting$317.59RVU22B
2022-01-01Not available in this setting$317.59RVU22A
2021-10-01Not available in this setting$319.21RVU21D
2021-07-01Not available in this setting$319.21RVU21C
2021-04-01Not available in this setting$319.21RVU21B
2021-01-01Not available in this setting$319.21RVU21A
2020-10-01Not available in this setting$347.44RVU20D
2020-07-01Not available in this setting$347.44RVU20C
2020-04-01Not available in this setting$347.44RVU20B
2020-01-01Not available in this setting$347.44RVU20A
2019-10-01Not available in this setting$375.68RVU19D
2019-07-01Not available in this setting$375.68RVU19C
2019-04-01Not available in this setting$375.68RVU19B
2019-01-01Not available in this setting$375.68RVU19A
2018-10-01Not available in this setting$375.40RVU18D
2018-07-01Not available in this setting$375.40RVU18C
2018-04-01Not available in this setting$375.40RVU18B
2018-01-01Not available in this setting$375.40RVU18AR1
2017-10-01Not available in this setting$363.02RVU17D
2017-07-01Not available in this setting$363.02RVU17C
2017-04-01Not available in this setting$363.02RVU17B
2017-01-01Not available in this setting$363.02RVU17A
2016-10-01Not available in this setting$349.88RVU16D
2016-07-01Not available in this setting$349.88RVU16C
2016-04-01Not available in this setting$349.88RVU16B
2016-01-01Not available in this setting$349.88RVU16A
2015-10-01Not available in this setting$352.46RVU15D
2015-07-01Not available in this setting$352.46RVU15C
2015-04-01Not available in this setting$350.71RVU15B
2015-01-01Not available in this setting$350.71RVU15A
2014-10-01Not available in this setting$333.89RVU14D
2014-07-01Not available in this setting$333.89RVU14C
2014-04-01Not available in this setting$333.89RVU14B
2014-01-01Not available in this setting$333.89RVU14A
2013-10-01Not available in this setting$322.31RVU13D
2013-07-01Not available in this setting$322.31RVU13C
2013-04-01Not available in this setting$322.31RVU13B
2013-01-01Not available in this setting$322.31RVU13AR

Price 61107 for an earlier date of service

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

Browse all communities in Montana

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
RVUs for 61107PPRRVU2026_Oct_nonQPP.csv, line 6,744 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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