Billing code 61313: Hematoma evacuationMedicare rate & RVUs in Texas
Reports craniotomy or craniectomy to evacuate a hematoma within the brain parenchyma above the tentorium, rather than an extra-axial collection.
CMS doesn’t publish an office rate for 61313 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 61313 covers
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.
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.
Where 61313 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,943.27 |
| Beaumont | Unavailable | $1,861.96 |
| Brazoria | Unavailable | $1,864.58 |
| Dallas | Unavailable | $1,898.70 |
| Fort Worth | Unavailable | $1,897.21 |
| Galveston | Unavailable | $1,884.32 |
| Houston | Unavailable | $2,094.81 |
| Rest Of Texas | Unavailable | $1,877.27 |
How the 61313 rate is calculated
Each of 61313’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 61313
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 27.39Practice expense 19.42Malpractice 11.50
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 61313
61313 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61313
Hematoma evacuation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 61313
Hematoma evacuation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
61313 without 51 · national facility
$1,947.61
Hematoma evacuation
61313-51 · Second procedure: 50%
$973.81
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
61313 compared with similar codes
Compare codes
61313 vs 61312 vs 61314 vs 61315 vs 61320: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 61312Hematoma evacuation
- Use 61313 for an intracerebral hematoma above the tentorium; use 61312 for a supratentorial extradural or subdural collection.
- 61314Hematoma evacuation
- Both codes address extradural or subdural hematomas, but 61314 is for an infratentorial collection rather than a supratentorial intracerebral one.
- 61315Hematoma evacuation
- 61315 addresses an intracerebellar hematoma below the tentorium; 61313 is for an intracerebral hematoma above it.
- 61320Abscess drainage
- 61320 is for drainage of a supratentorial intracranial abscess, not evacuation of an intracerebral hematoma.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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