No office rate
This code describes burr-hole or trephine treatment of an extradural or subdural hematoma. Code 61312 is for open evacuation of a supratentorial hematoma.
On this page
CMS RVU26D · Effective 2026-10-01
61253 Burr-hole procedure Medicare reimbursement rates in Kansas
Reports burr-hole or trephine evacuation or drainage of an extradural or subdural hematoma, whether the procedure is unilateral or bilateral. Compare 61253 office and facility rates across CMS payment localities in Kansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 61253 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$870.66
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurosurgery
About 61253: Burr-hole hematoma evacuation
Reports burr-hole or trephine evacuation or drainage of an extradural or subdural hematoma, whether the procedure is unilateral or bilateral.
A neurosurgeon uses a burr hole or trephine opening to reach and evacuate or drain an extradural or subdural hematoma. A familiar clinical setting is surgical drainage of a chronic subdural hematoma. The code identifies this limited cranial approach, rather than an open craniotomy for hematoma evacuation. It may describe treatment on one or both sides.
Report the service when the operative documentation supports evacuation or drainage of an extradural or subdural hematoma through the specified burr-hole or trephine approach. Record the hematoma compartment, operative approach, and treated side or sides. 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 multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 61253
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.15 · 44%
- Practice expense (office) RVU11.20 · 37%
- Malpractice RVU5.54 · 19%
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.
61253 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
This code applies to extradural or subdural hematoma treatment through a burr hole or trephine; 61156 concerns evacuation or drainage of an intracerebral hematoma.
No office rate
Choose 61250 for burr-hole or trephine exploration or drainage of an intracranial abscess or cyst, not for extradural or subdural hematoma.
Compare 61253 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$870.66
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 61253 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,756
- Code
- 61253
- Physician work
- 13.15
- Practice expense
- 11.20
- Malpractice
- 5.54
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.15 | × 1.000 | 13.1500 |
| Practice expense | 11.20 | × 0.904 | 10.1248 |
| Malpractice | 5.54 | × 0.504 | 2.7922 |
| Total RVUs | 26.0670 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$870.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.15 | 1 |
| Practice expense | 11.2 | 0.904 |
| Malpractice | 5.54 | 0.504 |
(13.15 × 1 + 11.2 × 0.904 + 5.54 × 0.504) × $33.4009 = $870.66
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
61253 billing questions
When is this code preferable to an open craniotomy code?
Use this code when the documented hematoma evacuation or drainage is performed through a burr hole or trephine. An open craniotomy for hematoma evacuation is a different operative approach.
Should modifier 50 be appended for bilateral treatment?
The code is already priced as bilateral, and modifier 50 does not increase payment. Document the side or sides treated in the operative report.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for this procedure?
CMS permits assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
How are other procedures performed in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,75361210,,Burr hole implt ventr cath,A,,5.68,1.99,NA,1.99,,2.38,10.05,10.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75461215,,Ins subq rsvr pmp/nfs sys,A,,5.70,8.59,NA,8.59,,2.40,16.69,16.69,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75561250,,Burr hole/treph sttl expl,A,,11.20,10.51,NA,10.51,,4.73,26.44,26.44,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75661253,,Burr hole treph ittl uni/bi,A,,13.15,11.20,NA,11.20,,5.54,29.89,29.89,0,090,0.11,0.76,0.13,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75761304,,Crnec/crnot expl supratntorl,A,,22.82,15.82,NA,15.82,,9.53,48.17,48.17,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75861305,,Crnec/crnot expl infratntorl,A,,27.92,18.95,NA,18.95,,11.81,58.68,58.68,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75961312,,Crnec/crnot sttl xdrl/sdrl,A,,29.42,18.25,NA,18.25,,12.36,60.03,60.03,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958