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Billing code 61315: Hematoma evacuationMedicare rate & RVUs

Reports operative evacuation of a hematoma within cerebellar tissue through a posterior fossa approach, distinguishing it from extra- or subdural clot evacuation.

CMS RVU26DEffective Oct 1, 2026109 payment localities251 Medicare services in 2024

Medicare pays $2,017.08 for 61315 nationally in a facility.

Medicare rate · 61315

Hematoma evacuation

Work RVUs
28.91
Total RVUs
60.39
Global days
090

National rate · 2026

$2,017.08

Facility setting, before claim adjustments.

See every locality for 61315 →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.

On this page 10 sections
  1. Medicare rate
  2. What 61315 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 61315 covers

This operation reaches a hematoma within cerebellar tissue through a posterior fossa craniotomy or craniectomy and evacuates the clot. A neurosurgeon typically performs it in an operating room when surgical removal or decompression is required. The operative report should establish that the hematoma is intracerebellar, rather than extra- or subdural.

Report the code when the operative target is an intracerebellar hematoma; distinguish it from codes for other hematoma locations or compartments. Documentation should identify the site and the evacuation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; 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 61315 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

61315 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,759.53
Alaska*Unavailable$2,358.44
ArizonaUnavailable$1,938.36
ArkansasUnavailable$1,728.42
AtlantaUnavailable$2,112.31
AustinUnavailable$2,009.79
BakersfieldUnavailable$1,937.59
Baltimore/Surr. CntysUnavailable$2,176.22
BeaumontUnavailable$1,930.20
BrazoriaUnavailable$1,929.22

61315 rates by state

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

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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
61315 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 61315 rate is calculated

Each of 61315’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 · 61315

RVUs × geographic indexes × conversion factor

Work28.91

28.91 RVUs× 1.000 GPCI

Practice expense19.26

19.26 RVUs× 1.000 GPCI

Malpractice12.22

12.22 RVUs× 1.000 GPCI

Adjusted RVUs

60.3900

Conversion factor

$33.4009

Medicare rate

$2,017.08

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

Payment rules and modifiers for 61315

61315 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61315

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 · 61315

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

61315 without 51 · national facility

$2,017.08

Hematoma evacuation

61315-51 · Second procedure: 50%

$1,008.54

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

61315 compared with similar codes

Compare codes · National

4 codes, side by side

  • 61315

    Hematoma evacuation28.91 wRVU

    Not priced

  • 61314

    Hematoma evacuation25.25 wRVU

    Not priced

  • 61313

    Hematoma evacuation27.39 wRVU

    Not priced

  • 61321

    Abscess drainage29.77 wRVU

    Not priced

How to choose

61314Hematoma evacuation
Use 61314 for an infratentorial hematoma in an extradural or subdural compartment; use 61315 when the hematoma is within cerebellar tissue.
61313Hematoma evacuation
Code 61313 addresses an intracerebral hematoma in a supratentorial location. Code 61315 is for an intracerebellar hematoma in the infratentorial region.
61321Abscess drainage
Code 61321 describes drainage of an infratentorial intracranial abscess. Code 61315 is for evacuation of a hematoma within cerebellar tissue.

Codes related to 61315

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

Codes related to 61315
CodeHow it relatesNational office range
Same family
61312Hematoma evacuationEvacuation of an extradural or subdural hematoma in a supratentorial location.No office rate
61313Hematoma evacuationEvacuation of an intracerebral hematoma in a supratentorial location.No office rate
61314Hematoma evacuationEvacuation of an extradural or subdural hematoma in an infratentorial location.No office rate

61315 billing questions

How is this code distinguished from 61314?

This code is for a hematoma within cerebellar tissue. Code 61314 describes an infratentorial hematoma in an extradural or subdural compartment.

Is modifier 50 appropriate?

No. The code represents evacuation at an intracerebellar site, and a bilateral adjustment is inappropriate.

What operative documentation supports this code?

Document the posterior fossa site, that the hematoma is within cerebellar tissue, and that it was evacuated.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires 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.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction to 50%.

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 61315PPRRVU2026_Oct_nonQPP.csv, line 6,762 (RVU26D)

Open CMS sourceHow we calculate rates

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