Billing code 61314: Hematoma evacuationMedicare rate & RVUs in Connecticut
Evacuation of an infratentorial extradural or subdural hematoma through a craniotomy or craniectomy, typically for posterior fossa compression.
CMS doesn’t publish an office rate for 61314 in Connecticut.
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 9 sections
What 61314 covers
This service involves opening the skull to reach and evacuate an extradural or subdural hematoma below the tentorium, commonly in the posterior fossa. A neurosurgeon typically performs it in a hospital operating room when the collection requires operative decompression, such as in a patient with a compressive posterior fossa hematoma.
Select the code when the operative report supports both the infratentorial location and the extradural or subdural compartment. Distinguish it from evacuation of an intracerebellar hematoma. The 90-day global period includes 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. Assistant-at-surgery services 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.
61314 in Connecticut
| Payment locality | Office | Facility |
|---|---|---|
| Connecticut | Unavailable | $1,925.81 |
How the 61314 rate is calculated
Each of 61314’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 · 61314
RVUs × geographic indexes × conversion factor
Work25.25
25.25 RVUs× 1.000 GPCI
Practice expense17.69
17.69 RVUs× 1.000 GPCI
Malpractice10.62
10.62 RVUs× 1.000 GPCI
Adjusted RVUs
53.5600
Conversion factor
$33.4009
Medicare rate
$1,788.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 61314
61314 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61314
Hematoma evacuation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 61314
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
61314 without 51 · national facility
$1,788.95
Hematoma evacuation
61314-51 · Second procedure: 50%
$894.48
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%).
61314 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 61312Hematoma evacuation
- Both codes address extradural or subdural hematomas; 61312 is for the supratentorial region, while 61314 is infratentorial.
- 61313Hematoma evacuation
- 61313 describes evacuation of a supratentorial intracerebral hematoma, rather than an infratentorial extradural or subdural collection.
- 61315Hematoma evacuation
- Both codes are for infratentorial hematomas, but 61315 is for an intracerebellar collection; 61314 is for an extradural or subdural collection.
61314 billing questions
How is this code distinguished from 61315?
Use 61314 for an infratentorial extradural or subdural hematoma. Code 61315 describes evacuation of an intracerebellar hematoma.
What operative documentation supports code selection?
The operative report should identify the hematoma's infratentorial location and extradural or subdural compartment, and describe the surgical evacuation.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction of 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
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