No office rate
Choose 61215 for an implanted medication-delivery system with catheter placement. 61210 describes burr-hole implantation of a ventricular catheter, reservoir, or specified monitoring device.
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CMS RVU26D · Effective 2026-10-01
61215 Drug delivery implant Medicare reimbursement rates in Texas
Reports implantation of a subcutaneous medication reservoir, pump, or continuous infusion system, including catheter placement, such as for intrathecal baclofen delivery. Compare 61215 office and facility rates across CMS payment localities in Texas.
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 61215 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 61215 pays more and less in Texas
Neurosurgery
About 61215: Implanted medication delivery system
Reports implantation of a subcutaneous medication reservoir, pump, or continuous infusion system, including catheter placement, such as for intrathecal baclofen delivery.
A neurosurgeon implants a medication-delivery device beneath the skin and places its catheter to deliver medication to the intended space. A common clinical use is intrathecal baclofen therapy for severe spasticity; implanted systems may also deliver medication for other conditions. Implantation is generally performed in a hospital or other surgical facility, with the device and catheter selected for the planned delivery route and treatment.
Report 61215 for implantation of the reservoir, pump, or continuous infusion system and its catheter, rather than treating the catheter as a separate service within this code. The operative note should identify the implanted device, catheter placement, and intended medication-delivery route. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61215
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.70 · 34%
- Practice expense (office) RVU8.59 · 51%
- Malpractice RVU2.40 · 14%
60
Medicare services in 2024 · #5243 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.
61215 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
62350 is for implantation, revision, or repositioning of a tunneled intrathecal or epidural catheter without laminectomy; 61215 covers the subcutaneous drug-delivery system and its catheter.
No office rate
62362 describes implantation or replacement of a programmable drug-infusion pump. 61215 describes implantation of a subcutaneous reservoir, pump, or continuous infusion system, including catheter placement.
Compare 61215 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $565.34 |
| Beaumont | Office Unavailable | Facility $525.95 |
| Brazoria | Office Unavailable | Facility $538.77 |
| Dallas | Office Unavailable | Facility $546.64 |
| Fort Worth | Office Unavailable | Facility $544.82 |
| Galveston | Office Unavailable | Facility $543.19 |
| Houston | Office Unavailable | Facility $587.12 |
| Rest Of Texas | Office Unavailable | Facility $535.05 |
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61215 billing questions
Does 61215 include placement of the catheter?
Yes. Catheter placement is included in this implanted reservoir, pump, or continuous infusion system service.
How is 61215 different from 61210?
61215 describes implantation of a medication-delivery system with catheter placement. 61210 concerns burr-hole implantation of a ventricular catheter or specified monitoring device.
Can an assistant surgeon be paid for 61215?
CMS lists a statutory restriction on assistant-at-surgery payment for this code.
When may co-surgeons report this procedure?
Co-surgeon payment is allowed only with supporting documentation. Team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,75161154,,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
6,75461215,,Ins subq rsvr pmp/nfs sys,A,,5.70,8.59,NA,8.59,,2.40,16.69,16.69,0,090,0.11,0.76,0.13,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75561250,,Burr hole/treph sttl expl,A,,11.20,10.51,NA,10.51,,4.73,26.44,26.44,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,75661253,,Burr hole treph ittl uni/bi,A,,13.15,11.20,NA,11.20,,5.54,29.89,29.89,0,090,0.11,0.76,0.13,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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