No office rate
Use 61313 for an intracerebral hematoma above the tentorium; use 61312 for a supratentorial extradural or subdural collection.
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CMS RVU26D · Effective 2026-10-01
61313 Hematoma evacuation Medicare reimbursement rates in New Jersey
Reports craniotomy or craniectomy to evacuate a hematoma within the brain parenchyma above the tentorium, rather than an extra-axial collection. Compare 61313 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 61313 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
$2081.13–$2135.14
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 61313: Supratentorial intracerebral hematoma evacuation
Reports craniotomy or craniectomy to evacuate a hematoma within the brain parenchyma above the tentorium, rather than an extra-axial collection.
A neurosurgeon performs a craniotomy or craniectomy to reach and evacuate a hematoma located within the supratentorial brain parenchyma. This code applies to an intracerebral collection; the operative report should distinguish it from blood outside the brain tissue, such as an extradural or subdural hematoma. These procedures are typically performed in an operating room for a patient requiring surgical management of an intracerebral hemorrhage.
Report the service when the documented site is supratentorial and the hematoma is intracerebral. The operative report should support both the location and the evacuation performed. 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 50% reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 61313
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU27.39 · 47%
- Practice expense (office) RVU19.42 · 33%
- Malpractice RVU11.50 · 20%
1.2K
Medicare services in 2024 · #2829 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.
61313 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Both codes address extradural or subdural hematomas, but 61314 is for an infratentorial collection rather than a supratentorial intracerebral one.
No office rate
61315 addresses an intracerebellar hematoma below the tentorium; 61313 is for an intracerebral hematoma above it.
No office rate
61320 is for drainage of a supratentorial intracranial abscess, not evacuation of an intracerebral hematoma.
Compare 61313 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
$2135.14
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$2081.13
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61313 billing questions
How does this differ from 61312?
61313 is for a hematoma within supratentorial brain tissue. Code 61312 is for a supratentorial extradural or subdural hematoma.
Does the code include the craniotomy or craniectomy?
Yes. The reported service includes the cranial opening and evacuation of the intracerebral hematoma; do not separately report the access as another craniotomy or craniectomy service.
What documentation supports choosing this code?
The operative report should identify the hematoma as intracerebral, establish its supratentorial location, and describe its surgical evacuation.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor and anatomy.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
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.
6,75761304,,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
6,76061313,,Crnec/crnot sttl icere,A,,27.39,19.42,NA,19.42,,11.50,58.31,58.31,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76161314,,Crnec/crnot ittl xdrl/sdrl,A,,25.25,17.69,NA,17.69,,10.62,53.56,53.56,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76261315,,Crnec/crnot ittl ntracereblr,A,,28.91,19.26,NA,19.26,,12.22,60.39,60.39,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76361316,,Inc&subq plmt crnl bone grf,A,,1.36,0.47,NA,0.47,,0.56,2.39,2.39,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00