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

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, 2026One payment locality60 Medicare services in 2024

In Montana, Medicare pays $557.30 for 61215 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$557.30Hospital or facility

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.

We’ll open 61215 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 61215 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 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 Montana 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. Montana pays $557.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

61215 in Montana vs other payment areas
  1. Montana · this page$557.30
  2. Los Angeles, CA · California$590.84+$33.54
  3. Washington, DC area · District of Columbia$627.87+$70.57
  4. Miami, FL · Florida$691.79+$134.49
  5. Chicago, IL · Illinois$664.04+$106.74
  6. Manhattan, NY · New York$663.10+$105.80
  7. Alaska · Alaska$635.31+$78.01

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

Every other payment area

61215 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$486.81
ArkansasArkansas—$478.13
ArizonaArizona—$537.02
Bakersfield, CACalifornia—$557.28
Chico, CACalifornia—$551.05
El Centro, CACalifornia—$551.45
Fresno, CACalifornia—$551.05
Hanford, CACalifornia—$551.05

61215 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
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

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.

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,754

Code
61215
Physician work
5.70
Practice expense
8.59
Malpractice
2.40

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 61215 in Montana
ComponentRVULocality factorAdjusted
Physician work5.70× 1.0005.7000
Practice expense8.59× 1.0008.5900
Malpractice2.40× 0.9982.3952
Total RVUs16.6852
Conversion factor× 33.4009

Facility rate, Montana$557.30

Facility: (5.7 × 1 + 8.59 × 1 + 2.4 × 0.998) × $33.4009 = $557.30

Open 61215 in the RVU calculator

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

How 61215 has changed in Montana

61215 · 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$557.30RVU26D
2026-07-01Not available in this setting$557.30RVU26C
2026-04-01Not available in this setting$557.30RVU26B
2026-01-01Not available in this setting$557.30RVU26A
2025-10-01Not available in this setting$516.81RVU25D
2025-07-01Not available in this setting$516.81RVU25C
2025-04-01Not available in this setting$516.81RVU25B
2025-01-01Not available in this setting$516.81RVU25A
2024-10-01Not available in this setting$527.50RVU24D
2024-07-01Not available in this setting$527.50RVU24C
2024-04-01Not available in this setting$527.50RVU24B
2024-03-09Not available in this setting$527.50RVU24AR
2024-01-01Not available in this setting$518.89RVU24A
2023-10-01Not available in this setting$529.93RVU23D
2023-07-01Not available in this setting$529.93RVU23C
2023-04-01Not available in this setting$529.93RVU23B
2023-01-01Not available in this setting$529.93RVU23A
2022-10-01Not available in this setting$529.08RVU22D
2022-07-01Not available in this setting$529.08RVU22C
2022-04-01Not available in this setting$529.08RVU22B
2022-01-01Not available in this setting$529.08RVU22A
2021-10-01Not available in this setting$523.77RVU21D
2021-07-01Not available in this setting$523.77RVU21C
2021-04-01Not available in this setting$523.77RVU21B
2021-01-01Not available in this setting$523.77RVU21A
2020-10-01Not available in this setting$549.56RVU20D
2020-07-01Not available in this setting$549.56RVU20C
2020-04-01Not available in this setting$549.56RVU20B
2020-01-01Not available in this setting$549.56RVU20A
2019-10-01Not available in this setting$591.52RVU19D
2019-07-01Not available in this setting$591.52RVU19C
2019-04-01Not available in this setting$591.52RVU19B
2019-01-01Not available in this setting$591.52RVU19A
2018-10-01Not available in this setting$586.50RVU18D
2018-07-01Not available in this setting$586.50RVU18C
2018-04-01Not available in this setting$586.50RVU18B
2018-01-01Not available in this setting$586.50RVU18AR1
2017-10-01Not available in this setting$570.41RVU17D
2017-07-01Not available in this setting$570.41RVU17C
2017-04-01Not available in this setting$570.41RVU17B
2017-01-01Not available in this setting$570.41RVU17A
2016-10-01Not available in this setting$550.40RVU16D
2016-07-01Not available in this setting$550.40RVU16C
2016-04-01Not available in this setting$550.40RVU16B
2016-01-01Not available in this setting$550.40RVU16A
2015-10-01Not available in this setting$553.23RVU15D
2015-07-01Not available in this setting$553.23RVU15C
2015-04-01Not available in this setting$550.48RVU15B
2015-01-01Not available in this setting$550.48RVU15A
2014-10-01Not available in this setting$527.19RVU14D
2014-07-01Not available in this setting$527.19RVU14C
2014-04-01Not available in this setting$527.19RVU14B
2014-01-01Not available in this setting$527.19RVU14A
2013-10-01Not available in this setting$524.74RVU13D
2013-07-01Not available in this setting$524.74RVU13C
2013-04-01Not available in this setting$524.74RVU13B
2013-01-01Not available in this setting$524.74RVU13AR

Price 61215 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

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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