No office rate
Both codes address extradural or subdural hematomas; 61312 is for the supratentorial region, while 61314 is infratentorial.
On this page
CMS RVU26D · Effective 2026-10-01
61314 Hematoma evacuation Medicare reimbursement rates in Rhode Island
Evacuation of an infratentorial extradural or subdural hematoma through a craniotomy or craniectomy, typically for posterior fossa compression. Compare 61314 office and facility rates across CMS payment localities in Rhode Island.
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 61314 in Rhode Island?
Rhode Island 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
$1786.17
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Cranial surgery
About 61314: Infratentorial extradural or subdural hematoma evacuation
Evacuation of an infratentorial extradural or subdural hematoma through a craniotomy or craniectomy, typically for posterior fossa compression.
This service involves opening the skull to reach and evacuate an extradural or subdural hematoma below the tentorium, commonly in the posterior fossa. A neurosurgeon typically performs it in a hospital operating room when the collection requires operative decompression, such as in a patient with a compressive posterior fossa hematoma.
Select the code when the operative report supports both the infratentorial location and the extradural or subdural compartment. Distinguish it from evacuation of an intracerebellar hematoma. The 90-day global period includes 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. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61314
- 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 RVU25.25 · 47%
- Practice expense (office) RVU17.69 · 33%
- Malpractice RVU10.62 · 20%
116
Medicare services in 2024 · #4766 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.
61314 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
61313 describes evacuation of a supratentorial intracerebral hematoma, rather than an infratentorial extradural or subdural collection.
No office rate
Both codes are for infratentorial hematomas, but 61315 is for an intracerebellar collection; 61314 is for an extradural or subdural collection.
Compare 61314 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$1786.17
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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 61314 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,761
- Code
- 61314
- Physician work
- 25.25
- Practice expense
- 17.69
- Malpractice
- 10.62
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.25 | × 1.019 | 25.7297 |
| Practice expense | 17.69 | × 1.033 | 18.2738 |
| Malpractice | 10.62 | × 0.892 | 9.4730 |
| Total RVUs | 53.4766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1786.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.25 | 1.019 |
| Practice expense | 17.69 | 1.033 |
| Malpractice | 10.62 | 0.892 |
(25.25 × 1.019 + 17.69 × 1.033 + 10.62 × 0.892) × $33.4009 = $1786.17
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.
61314 billing questions
How is this code distinguished from 61315?
Use 61314 for an infratentorial extradural or subdural hematoma. Code 61315 describes evacuation of an intracerebellar hematoma.
What operative documentation supports code selection?
The operative report should identify the hematoma's infratentorial location and extradural or subdural compartment, and describe the surgical evacuation.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction of 50%.
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.
6,75861305,,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
6,76461320,,Crnec/crnot drg icr abs sttl,A,,26.73,17.13,NA,17.13,,11.14,55.00,55.00,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537