No office rate
61105 uses a twist-drill hole for subdural or ventricular puncture. 61151 is selected for a subdural tap through a burr hole or trephine.
On this page
CMS RVU26D · Effective 2026-10-01
61151 Subdural tap Medicare reimbursement rates in Nevada
Reports a neurosurgical burr-hole or trephine approach to tap a subdural collection, rather than evacuating or draining a hematoma. Compare 61151 office and facility rates across CMS payment localities in Nevada.
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 61151 in Nevada?
Nevada 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
$967.83
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 61151: Burr-hole subdural tap
Reports a neurosurgical burr-hole or trephine approach to tap a subdural collection, rather than evacuating or draining a hematoma.
A neurosurgeon creates a burr hole or uses a trephine to access the subdural space and perform a tap, typically to obtain or remove subdural fluid. The code distinguishes this limited tapping procedure from an operation that evacuates or establishes drainage for a subdural hematoma. It is generally performed in an operating-room setting.
Report 61151 when the operative record supports a subdural tap through a burr hole or trephine; document the target space, approach, and action performed. The 90-day global period includes 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 are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 61151
- 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
- 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 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.
61151 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
61108 describes twist-drill evacuation and/or drainage of a subdural hematoma. 61151 describes a tap through a burr hole or trephine.
No office rate
Use 61154 when the surgeon evacuates and/or drains a subdural hematoma through a burr hole or trephine; 61151 is for tapping the subdural space.
No office rate
61156 involves aspiration of an intracerebral hematoma or cyst. 61151 targets the subdural space.
Compare 61151 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$967.83
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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 61151 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
6,750
- Code
- 61151
- Physician work
- 13.15
- Practice expense
- 11.20
- Malpractice
- 5.54
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.15 | × 1.000 | 13.1500 |
| Practice expense | 11.20 | × 1.001 | 11.2112 |
| Malpractice | 5.54 | × 0.833 | 4.6148 |
| Total RVUs | 28.9760 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$967.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.15 | 1 |
| Practice expense | 11.2 | 1.001 |
| Malpractice | 5.54 | 0.833 |
(13.15 × 1 + 11.2 × 1.001 + 5.54 × 0.833) × $33.4009 = $967.83
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.
61151 billing questions
How is 61151 different from 61154?
61151 represents a subdural tap. Choose 61154 when the surgeon evacuates and/or drains a subdural hematoma.
When would 61105 be considered instead?
61105 describes a twist-drill approach for subdural or ventricular puncture. 61151 is for a tap performed through a burr hole or trephine.
Can the burr-hole access be billed separately?
The burr hole or trephine is part of the service described by 61151; do not report a separate access procedure for the same approach.
Should modifier 50 be used for bilateral taps?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports 61151?
The operative report should identify the subdural target, burr-hole or trephine approach, and that a tap was performed rather than hematoma evacuation or drainage.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
6,74761120,,Burr hole for ventr puncture,A,,9.36,9.87,NA,9.87,,3.93,23.16,23.16,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,74861140,,Burr hole/treph bx brain/les,A,,16.80,14.14,NA,14.14,,7.02,37.96,37.96,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,74961150,,Bur hol/trph drg brn abs/cst,A,,18.43,13.82,NA,13.82,,7.76,40.01,40.01,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75061151,,Burr hole/treph sbsq tapping,A,,13.15,11.20,NA,11.20,,5.54,29.89,29.89,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75161154,,Burr hole w/evac&/drg hmtma,A,,16.64,14.89,NA,14.89,,6.99,38.52,38.52,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75261156,,Burr hol aspir hmtm/cst icer,A,,17.01,12.52,NA,12.52,,7.12,36.65,36.65,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75361210,,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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097