CPT code 61321: Abscess drainage, infratentorial approach2026 Medicare rate & RVUs in Tennessee

Reports open surgical drainage of an intracranial abscess below the tentorium, such as a cerebellar abscess, through a craniotomy or craniectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality20 Medicare services in 2024

In Tennessee, Medicare pays $1,815.07 for 61321 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,815.07Hospital or facility

Check a contract rate as a % of Medicare · 61321 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 61321 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 61321 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 61321 covers

A neurosurgeon uses a craniotomy or craniectomy to reach and drain an abscess in the infratentorial compartment, which includes the posterior fossa and cerebellum. The operation is typically performed in a hospital operating room for a patient with an intracranial infection requiring open surgical drainage. This code distinguishes infratentorial abscess drainage from drainage of a supratentorial abscess.

Select the code based on the abscess location and the procedure performed, not merely on the incision site or the presence of infection. The operative report should identify the infratentorial target and document surgical drainage. The service 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 others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 Tennessee compares for 61321

Across 109 of 109 payment localities, the facility rate for 61321 runs from $1,750.92 in Wisconsin to $2,738.49 in Miami, FL. Tennessee pays $1,815.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

61321 in Tennessee vs other payment areas
  1. Tennessee · this page$1,815.07
  2. Los Angeles, CA · California$2,088.57+$273.50
  3. Washington, DC area · District of Columbia$2,286.89+$471.82
  4. Miami, FL · Florida$2,738.49+$923.42
  5. Chicago, IL · Illinois$2,623.56+$808.49
  6. Manhattan, NY · New York$2,485.11+$670.04
  7. Alaska · Alaska$2,420.25+$605.18

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

Every other payment area

61321 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,804.99
ArkansasArkansas—$1,773.09
ArizonaArizona—$1,988.38
Bakersfield, CACalifornia—$1,986.63
Chico, CACalifornia—$1,953.97
El Centro, CACalifornia—$1,956.07
Fresno, CACalifornia—$1,953.97
Hanford, CACalifornia—$1,953.97

61321 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
61321 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 61321 in every payment locality

How the 61321 rate is calculated

Each of 61321’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 · 61321

RVUs × geographic indexes × conversion factor

Office or facility?

Work29.77

29.77 RVUs× 1.000 GPCI

Practice expense19.60

19.60 RVUs× 1.000 GPCI

Malpractice12.58

12.58 RVUs× 1.000 GPCI

Adjusted RVUs

61.9500

Conversion factor

$33.4009

Medicare rate

$2,069.19

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

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,765

Code
61321
Physician work
29.77
Practice expense
19.60
Malpractice
12.58

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 61321 in Tennessee
ComponentRVULocality factorAdjusted
Physician work29.77× 1.00029.7700
Practice expense19.60× 0.90917.8164
Malpractice12.58× 0.5376.7555
Total RVUs54.3419
Conversion factor× 33.4009

Facility rate, Tennessee$1815.07

Facility: (29.77 × 1 + 19.6 × 0.909 + 12.58 × 0.537) × $33.4009 = $1815.07

Open 61321 in the RVU calculator

Payment rules and modifiers for 61321

61321 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61321

Abscess drainage, infratentorial approach

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)2Paid.
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 · 61321

Abscess drainage, infratentorial approach

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

61321 without 51 · national facility

$2,069.19

Abscess drainage, infratentorial approach

61321-51 · Second procedure: 50%

$1,034.60

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 61321 has changed in Tennessee

61321 · 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$1,815.07RVU26D
2026-07-01Not available in this setting$1,815.07RVU26C
2026-04-01Not available in this setting$1,815.07RVU26B
2026-01-01Not available in this setting$1,815.07RVU26A
2025-10-01Not available in this setting$1,842.11RVU25D
2025-07-01Not available in this setting$1,842.11RVU25C
2025-04-01Not available in this setting$1,842.11RVU25B
2025-01-01Not available in this setting$1,842.11RVU25A
2024-10-01Not available in this setting$1,885.77RVU24D
2024-07-01Not available in this setting$1,885.77RVU24C
2024-04-01Not available in this setting$1,885.77RVU24B
2024-03-09Not available in this setting$1,885.77RVU24AR
2024-01-01Not available in this setting$1,854.99RVU24A
2023-10-01Not available in this setting$1,895.01RVU23D
2023-07-01Not available in this setting$1,895.01RVU23C
2023-04-01Not available in this setting$1,895.01RVU23B
2023-01-01Not available in this setting$1,895.01RVU23A
2022-10-01Not available in this setting$1,901.06RVU22D
2022-07-01Not available in this setting$1,901.06RVU22C
2022-04-01Not available in this setting$1,901.06RVU22B
2022-01-01Not available in this setting$1,901.06RVU22A
2021-10-01Not available in this setting$1,907.01RVU21D
2021-07-01Not available in this setting$1,907.01RVU21C
2021-04-01Not available in this setting$1,907.01RVU21B
2021-01-01Not available in this setting$1,907.01RVU21A
2020-10-01Not available in this setting$1,944.07RVU20D
2020-07-01Not available in this setting$1,944.07RVU20C
2020-04-01Not available in this setting$1,944.07RVU20B
2020-01-01Not available in this setting$1,944.07RVU20A
2019-10-01Not available in this setting$1,972.70RVU19D
2019-07-01Not available in this setting$1,972.70RVU19C
2019-04-01Not available in this setting$1,953.74RVU19B
2019-01-01Not available in this setting$1,953.74RVU19A
2018-10-01Not available in this setting$1,967.18RVU18D
2018-07-01Not available in this setting$1,967.18RVU18C
2018-04-01Not available in this setting$1,967.18RVU18B
2018-01-01Not available in this settingRate data unavailableRVU18AR1
2017-10-01Not available in this settingRate data unavailableRVU17D
2017-07-01Not available in this settingRate data unavailableRVU17C
2017-04-01Not available in this settingRate data unavailableRVU17B
2017-01-01Not available in this settingRate data unavailableRVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 61321 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

61321 billing questions

How does this code differ from 61320?

Use 61321 for an abscess below the tentorium, such as in the posterior fossa. Code 61320 is the corresponding service for a supratentorial abscess.

What documentation supports 61321?

The operative report should establish the infratentorial location and describe the open surgical drainage. A diagnosis of intracranial abscess alone does not establish the site distinction.

Can 61321 be reported with modifier 50?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How are assistant and co-surgeon services handled?

Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What is included in the global period?

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 61321PPRRVU2026_Oct_nonQPP.csv, line 6,765 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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