CPT code 61154: Hematoma drainage, extradural or subdural2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,292.25 for 61154 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 61154 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 61154 covers

A neurosurgeon creates one or more burr holes in the skull to reach and evacuate or drain an extradural (epidural) or subdural hematoma. The procedure may be used for acute or chronic blood collections when burr-hole access is the selected operative approach. It is typically performed in a hospital operating room, often for a patient with symptomatic intracranial bleeding or pressure from a hematoma.

Select this code for the hematoma’s extradural or subdural location and the burr-hole approach; a twist-drill procedure, intracerebral aspiration, or open craniotomy represents a different service. The operative report should identify the hematoma location, approach, and evacuation or drainage performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 applies to bilateral performance and is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is 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 New Mexico compares for 61154

Across 109 of 109 payment localities, the facility rate for 61154 runs from $1,103.09 in Nebraska to $1,663.97 in Miami, FL. New Mexico pays $1,292.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

61154 rates by state

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

See 61154 in every payment locality

How the 61154 rate is calculated

Each of 61154’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 61154

61154 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 50

Codes related to 61154

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

How 61154 has changed in New Mexico

Price 61154 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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