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CMS RVU26D · Effective 2026-10-01

61210 Ventricular access Medicare reimbursement rates in Kentucky

Reports burr-hole access for implanting a ventricular catheter, reservoir, or electrode, typically for neurosurgical access, drainage, or monitoring. Compare 61210 office and facility rates across CMS payment localities in Kentucky.

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 61210 in Kentucky?

Kentucky 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

$321.54

1 of 1 localities have a supported rate.

Payment area: Kentucky

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.

Find 61210 in your payment locality →

Neurosurgery

About 61210: Ventricular catheter implantation through burr hole

Reports burr-hole access for implanting a ventricular catheter, reservoir, or electrode, typically for neurosurgical access, drainage, or monitoring.

A neurosurgeon creates a burr hole to place an implanted device into a cerebral ventricle, such as a ventricular catheter, reservoir, or electrode. The service is generally performed in an operating room or other facility setting for patients who need implanted ventricular access for treatment or monitoring. The operative report should identify the device implanted, its ventricular location, and the purpose of the access.

Select 61210 for implanted ventricular access, not for a burr hole used to explore or evacuate a hematoma. The code has a 0-day global period, so same-day preoperative and postoperative care is included. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 61210

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.68 · 57%
  • Practice expense (office) RVU1.99 · 20%
  • Malpractice RVU2.38 · 24%

1.2K

Medicare services in 2024 · #2820 by national volume

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.

61210 compared with similar codes

Office rates for Kentucky, from the same CMS release.

61107

Ventricular catheter

Twist-drill access

No office rate

Use 61210 for implanted ventricular access through a burr hole. 61107 describes twist-drill puncture for drainage or pressure monitoring.

61215

Drug delivery implant

Reservoir, pump, or infusion system

No office rate

61210 covers the burr-hole ventricular implantation work; 61215 identifies placement of a subcutaneous reservoir, pump, or infusion system connected to a ventricular catheter.

61250

Brain exploration

Stereotactic burr-hole approach

No office rate

61250 is for burr-hole or trephine exploration or evacuation of an extradural or subdural hematoma, not implantation of ventricular access.

61253

Burr-hole procedure

Unilateral or bilateral hematoma

No office rate

61253 concerns burr-hole or trephine exploration or evacuation of an intracerebral hematoma; 61210 is selected for implanted ventricular access.

Compare 61210 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

Office and facility base rates · shared scale starting at $0

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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 61210 in Kentucky.

PPRRVU2026_Oct_nonQPP.csv

6,753

Code
61210
Physician work
5.68
Practice expense
1.99
Malpractice
2.38

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Facility calculation for 61210 in Kentucky
ComponentRVULocality factorAdjusted
Physician work5.68× 1.0005.6800
Practice expense1.99× 0.8891.7691
Malpractice2.38× 0.9152.1777
Total RVUs9.6268
Conversion factor× 33.4009

Facility rate, Kentucky$321.54

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.681
Practice expense1.990.889
Malpractice2.380.915

(5.68 × 1 + 1.99 × 0.889 + 2.38 × 0.915) × $33.4009 = $321.54

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.

61210 billing questions

How is 61210 different from 61107?

61210 is for burr-hole implantation of a ventricular catheter, reservoir, or electrode. 61107 describes twist-drill access for ventricular or subdural drainage or pressure monitoring.

When is 61215 relevant?

61215 describes insertion of a subcutaneous reservoir, pump, or continuous-infusion system connected to a ventricular catheter. Report the work actually performed and document the implanted components.

Can 61210 be reported for hematoma evacuation?

No. 61210 identifies implanted ventricular access; 61250 and 61253 concern burr-hole or trephine procedures for hematoma exploration or evacuation.

Does 61210 have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can modifier 50 be used for bilateral placement?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% multiple-procedure 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.

RVUs for 61210PPRRVU2026_Oct_nonQPP.csv, line 6,753 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)