No office rate
Use 61314 for an infratentorial hematoma in an extradural or subdural compartment; use 61315 when the hematoma is within cerebellar tissue.
On this page
CMS RVU26D · Effective 2026-10-01
61315 Hematoma evacuation Medicare reimbursement rates in Washington
Reports operative evacuation of a hematoma within cerebellar tissue through a posterior fossa approach, distinguishing it from extra- or subdural clot evacuation. Compare 61315 office and facility rates across CMS payment localities in Washington.
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 61315 in Washington?
Washington 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
$1966.18–$2136.70
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 61315: Infratentorial intracerebellar hematoma evacuation
Reports operative evacuation of a hematoma within cerebellar tissue through a posterior fossa approach, distinguishing it from extra- or subdural clot evacuation.
This operation reaches a hematoma within cerebellar tissue through a posterior fossa craniotomy or craniectomy and evacuates the clot. A neurosurgeon typically performs it in an operating room when surgical removal or decompression is required. The operative report should establish that the hematoma is intracerebellar, rather than extra- or subdural.
Report the code when the operative target is an intracerebellar hematoma; distinguish it from codes for other hematoma locations or compartments. Documentation should identify the site and the evacuation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61315
- 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 RVU28.91 · 48%
- Practice expense (office) RVU19.26 · 32%
- Malpractice RVU12.22 · 20%
251
Medicare services in 2024 · #4138 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.
61315 compared with similar codes
Office rates for Washington, from the same CMS release.
No office rate
Code 61313 addresses an intracerebral hematoma in a supratentorial location. Code 61315 is for an intracerebellar hematoma in the infratentorial region.
No office rate
Code 61321 describes drainage of an infratentorial intracranial abscess. Code 61315 is for evacuation of a hematoma within cerebellar tissue.
Compare 61315 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
Rest Of Washington →
Office / nonfacility
Unavailable
Facility
$1966.18
Seattle (King Cnty) →
Office / nonfacility
Unavailable
Facility
$2136.70
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61315 billing questions
How is this code distinguished from 61314?
This code is for a hematoma within cerebellar tissue. Code 61314 describes an infratentorial hematoma in an extradural or subdural compartment.
Is modifier 50 appropriate?
No. The code represents evacuation at an intracerebellar site, and a bilateral adjustment is inappropriate.
What operative documentation supports this code?
Document the posterior fossa site, that the hematoma is within cerebellar tissue, and that it was evacuated.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires 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.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction to 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.
6,75961312,,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
6,76561321,,Crnec/crnot drg icr abs ittl,A,,29.77,19.60,NA,19.60,,12.58,61.95,61.95,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00