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CPT code 61215: Drug delivery implant, reservoir, pump, or infusion system2026 Medicare rate & RVUs

Reports implantation of a subcutaneous medication reservoir, pump, or continuous infusion system, including catheter placement, such as for intrathecal baclofen delivery.

CMS RVU26DEffective Oct 1, 2026109 payment localities60 Medicare services in 2024

Medicare pays $557.46 for 61215 nationally in a facility.

Medicare rate · 61215

Drug delivery implant, reservoir, pump, or infusion system

Office or facility?

Work RVUs
5.7
Total RVUs
16.69
Global days
090

National rate · 2026

$557.46

Facility setting, before claim adjustments.

See every locality for 61215 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 61215 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 61215 covers

A neurosurgeon implants a medication-delivery device beneath the skin and places its catheter to deliver medication to the intended space. A common clinical use is intrathecal baclofen therapy for severe spasticity; implanted systems may also deliver medication for other conditions. Implantation is generally performed in a hospital or other surgical facility, with the device and catheter selected for the planned delivery route and treatment.

Report 61215 for implantation of the reservoir, pump, or continuous infusion system and its catheter, rather than treating the catheter as a separate service within this code. The operative note should identify the implanted device, catheter placement, and intended medication-delivery route. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; co-surgeon payment requires 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.

Where 61215 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

61215 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$486.81
AlaskaUnavailable$635.31
ArizonaUnavailable$537.02
ArkansasUnavailable$478.13
Atlanta, GAUnavailable$578.74
Austin, TXUnavailable$565.34
Bakersfield, CAUnavailable$557.28
Baltimore area, MDUnavailable$600.45
Beaumont, TXUnavailable$525.95
Brazoria, TXUnavailable$538.77

61215 rates by state

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

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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
61215 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

How the 61215 rate is calculated

Each of 61215’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 · 61215

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.70

5.70 RVUs× 1.000 GPCI

Practice expense8.59

8.59 RVUs× 1.000 GPCI

Malpractice2.40

2.40 RVUs× 1.000 GPCI

Adjusted RVUs

16.6900

Conversion factor

$33.4009

Medicare rate

$557.46

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 61215

61215 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61215

Drug delivery implant, reservoir, pump, or infusion system

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61215

Drug delivery implant, reservoir, pump, or infusion system

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

61215 without 51 · national facility

$557.46

Drug delivery implant, reservoir, pump, or infusion system

61215-51 · Second procedure: 50%

$278.73

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

61215 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 61215

    Drug delivery implant, reservoir, pump, or infusion system5.7 wRVU

    Not priced

  • 61210

    Ventricular access, implanted catheter, reservoir, or electrode5.68 wRVU

    Not priced

  • 62350

    Spinal catheter, without laminectomy5.9 wRVU

    Not priced

  • 62362

    Infusion pump implant, programmable pump5.46 wRVU

    Not priced

How to choose

61210Ventricular accessImplanted catheter, reservoir, or electrode
Choose 61215 for an implanted medication-delivery system with catheter placement. 61210 describes burr-hole implantation of a ventricular catheter, reservoir, or specified monitoring device.
62350Spinal catheterWithout laminectomy
62350 is for implantation, revision, or repositioning of a tunneled intrathecal or epidural catheter without laminectomy; 61215 covers the subcutaneous drug-delivery system and its catheter.
62362Infusion pump implantProgrammable pump
62362 describes implantation or replacement of a programmable drug-infusion pump. 61215 describes implantation of a subcutaneous reservoir, pump, or continuous infusion system, including catheter placement.

Codes related to 61215

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

Codes related to 61215
CodeHow it relatesNational office range
Used instead
61210Ventricular access, implanted catheter, reservoir, or electrodeBurr-hole placement of a ventricular catheter or reservoir is a distinct intracranial access service.No office rate
62350Spinal catheter, without laminectomyCovers implantation or repositioning of a tunneled intrathecal or epidural catheter without laminectomy.No office rate
62362Infusion pump implant, programmable pumpCovers implantation or replacement of a programmable intrathecal or epidural drug-infusion pump.No office rate

61215 billing questions

Does 61215 include placement of the catheter?

Yes. Catheter placement is included in this implanted reservoir, pump, or continuous infusion system service.

How is 61215 different from 61210?

61215 describes implantation of a medication-delivery system with catheter placement. 61210 concerns burr-hole implantation of a ventricular catheter or specified monitoring device.

Can an assistant surgeon be paid for 61215?

CMS lists a statutory restriction on assistant-at-surgery payment for this code.

When may co-surgeons report this procedure?

Co-surgeon payment is allowed only with supporting documentation. Team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 61215PPRRVU2026_Oct_nonQPP.csv, line 6,754 (RVU26D)

Open CMS sourceHow we calculate rates

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