No office rate
Use 61107 when a ventricular drainage catheter is implanted through twist-drill access. 61105 describes a different twist-drill drainage service, such as drainage directed to a subdural collection.
On this page
CMS RVU26D · Effective 2026-10-01
61107 Ventricular catheter Medicare reimbursement rates in New Jersey
Twist-drill ventricular catheter placement for temporary intracranial drainage, reported when a catheter is implanted through a small cranial opening to drain a ventricle. Compare 61107 office and facility rates across CMS payment localities in New Jersey.
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 61107 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$305.92–$311.55
2 of 2 localities have a supported rate.
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 61107: Twist-drill ventricular catheter placement
Twist-drill ventricular catheter placement for temporary intracranial drainage, reported when a catheter is implanted through a small cranial opening to drain a ventricle.
This service involves making a small twist-drill opening in the skull and placing a ventricular catheter through it to provide drainage. Neurosurgeons commonly use it for temporary cerebrospinal-fluid diversion or pressure management, such as acute hydrocephalus or ventricular blood obstructing normal CSF flow. It is generally performed in a hospital or other facility setting, with catheter drainage often managed in an intensive care or neurosurgical unit.
Report 61107 when the documented access is twist-drill and the procedure includes placement of a ventricular drainage catheter. Select a subdural drainage or hematoma-evacuation code when that is the procedure instead; a burr-hole approach has different code selection. The operative note should identify the opening technique, ventricular target, catheter placement, and drainage purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 61107
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU4.87 · 57%
- Practice expense (office) RVU1.70 · 20%
- Malpractice RVU2.04 · 24%
2K
Medicare services in 2024 · #2457 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.
61107 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
61108 is for twist-drill evacuation or drainage of a subdural hematoma. 61107 is selected for implantation of a ventricular catheter for drainage.
No office rate
Both codes involve ventricular catheter implantation, but 61210 uses burr-hole access. Choose based on the documented cranial opening technique.
Compare 61107 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$311.55
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$305.92
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61107 billing questions
How does 61107 differ from 61105?
61107 describes twist-drill access with placement of a ventricular drainage catheter. Use 61105 when the documented procedure is for subdural drainage rather than implantation of a ventricular catheter.
How does 61107 differ from 61108?
61107 is for ventricular catheter placement through twist-drill access. 61108 describes twist-drill access for evacuation or drainage of a subdural hematoma.
Does 61107 include the catheter placement?
Yes. The service includes the twist-drill access and placement of the ventricular drainage catheter; the operative note should support both.
Can modifier 50 be used for bilateral placement?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 61107. Co-surgeons and team surgery are not permitted.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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.
6,74161055,,Injection into brain canal,A,,2.05,0.64,NA,0.64,,0.26,2.95,2.95,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,74261070,,Brain canal shunt procedure,A,,0.87,0.52,NA,0.52,,0.15,1.54,1.54,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,74361105,,Tdh sdrl/ventr pnxr,A,,5.31,7.38,NA,7.38,,2.23,14.92,14.92,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,74461107,,Tdh pnxr implt ventr cath,A,,4.87,1.70,NA,1.70,,2.04,8.61,8.61,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,74561108,,Tdh pnxr evac&/drg sdrl hmta,A,,11.35,11.88,NA,11.88,,4.58,27.81,27.81,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,7466110F,,Counsel prov driving risks,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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