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CPT code 61313: Hematoma evacuation2026 Medicare rate & RVUs

Reports craniotomy or craniectomy to evacuate a hematoma within the brain parenchyma above the tentorium, rather than an extra-axial collection.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $1,947.61 for 61313 nationally in a facility.

Medicare rate · 61313

Hematoma evacuation

Office or facility?

Work RVUs
27.39
Total RVUs
58.31
Global days
090

National rate · 2026

$1,947.61

Facility setting, before claim adjustments.

See every locality for 61313 →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 61313 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 61313 covers

A neurosurgeon performs a craniotomy or craniectomy to reach and evacuate a hematoma located within the supratentorial brain parenchyma. This code applies to an intracerebral collection; the operative report should distinguish it from blood outside the brain tissue, such as an extradural or subdural hematoma. These procedures are typically performed in an operating room for a patient requiring surgical management of an intracerebral hemorrhage.

Report the service when the documented site is supratentorial and the hematoma is intracerebral. The operative report should support both the location and the evacuation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; 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.

Where 61313 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

61313 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,699.82
AlaskaUnavailable$2,274.73
ArizonaUnavailable$1,872.19
ArkansasUnavailable$1,669.85
Atlanta, GAUnavailable$2,037.94
Austin, TXUnavailable$1,943.27
Bakersfield, CAUnavailable$1,877.07
Baltimore area, MDUnavailable$2,100.63
Beaumont, TXUnavailable$1,861.96
Brazoria, TXUnavailable$1,864.58

61313 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
61313 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 61313 rate is calculated

Each of 61313’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 · 61313

RVUs × geographic indexes × conversion factor

Office or facility?

Work27.39

27.39 RVUs× 1.000 GPCI

Practice expense19.42

19.42 RVUs× 1.000 GPCI

Malpractice11.50

11.50 RVUs× 1.000 GPCI

Adjusted RVUs

58.3100

Conversion factor

$33.4009

Medicare rate

$1,947.61

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

Payment rules and modifiers for 61313

61313 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61313

Hematoma evacuation

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 · 61313

Hematoma evacuation

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

61313 without 51 · national facility

$1,947.61

Hematoma evacuation

61313-51 · Second procedure: 50%

$973.81

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

61313 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 61313

    Hematoma evacuation27.39 wRVU

    Not priced

  • 61312

    Hematoma evacuation29.42 wRVU

    Not priced

  • 61314

    Hematoma evacuation25.25 wRVU

    Not priced

  • 61315

    Hematoma evacuation28.91 wRVU

    Not priced

  • 61320

    Abscess drainage26.73 wRVU

    Not priced

How to choose

61312Hematoma evacuation
Use 61313 for an intracerebral hematoma above the tentorium; use 61312 for a supratentorial extradural or subdural collection.
61314Hematoma evacuation
Both codes address extradural or subdural hematomas, but 61314 is for an infratentorial collection rather than a supratentorial intracerebral one.
61315Hematoma evacuation
61315 addresses an intracerebellar hematoma below the tentorium; 61313 is for an intracerebral hematoma above it.
61320Abscess drainage
61320 is for drainage of a supratentorial intracranial abscess, not evacuation of an intracerebral hematoma.

Codes related to 61313

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

Codes related to 61313
CodeHow it relatesNational office range
Same family
61312Hematoma evacuationSupratentorial hematoma evacuation for an extradural or subdural collection.No office rate
61314Hematoma evacuationInfratentorial hematoma evacuation for an extradural or subdural collection.No office rate
61315Hematoma evacuationInfratentorial evacuation of an intracerebellar hematoma.No office rate

61313 billing questions

How does this differ from 61312?

61313 is for a hematoma within supratentorial brain tissue. Code 61312 is for a supratentorial extradural or subdural hematoma.

Does the code include the craniotomy or craniectomy?

Yes. The reported service includes the cranial opening and evacuation of the intracerebral hematoma; do not separately report the access as another craniotomy or craniectomy service.

What documentation supports choosing this code?

The operative report should identify the hematoma as intracerebral, establish its supratentorial location, and describe its surgical evacuation.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor and anatomy.

How are assistant and co-surgeon services handled?

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

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 61313PPRRVU2026_Oct_nonQPP.csv, line 6,760 (RVU26D)

Open CMS sourceHow we calculate rates

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