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

In Washington, DC area, Medicare pays $627.87 for 61215 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 61215 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 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.

How Washington, DC area compares for 61215

Across 109 of 109 payment localities, the facility rate for 61215 runs from $478.13 in Arkansas to $692.57 in NYC suburbs and Long Island, NY. Washington, DC area pays $627.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

61215 rates by state

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

See 61215 in every payment locality

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.

Payment rules and modifiers for 61215

61215 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 61215

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

How 61215 has changed in Washington, DC area

Price 61215 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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