61105 Tdh sdrl/ventr puncture
Also known as: burr hole with dural puncture, ventricular puncture via burr hole, subdural tap
Burr hole creation with puncture of the dura mater and penetration into the subdural space or lateral ventricle for diagnostic or therapeutic purposes.
In Plain Language
small hole in skull with fluid drainage; burr hole brain access
Clinical Context
Performed for diagnosis or treatment of subdural hematoma, ventriculitis, or acute hydrocephalus. Provides access for fluid evacuation, CSF sampling, or intracranial pressure monitoring in emergency situations.
RVU Breakdown
| Work RVU | 5.31 |
| Total RVU | 5.31 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.31, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61105?
CPT 61105 (Tdh sdrl/ventr puncture) is a Surgery code. Burr hole creation with puncture of the dura mater and penetration into the subdural space or lateral ventricle for diagnostic or therapeutic purposes.
What is the wRVU value for CPT 61105?
The work RVU for CPT 61105 is 5.31. This code is primarily used by neurosurgery, critical care medicine. It has a 90-day global period.
When is CPT 61105 used?
Performed for diagnosis or treatment of subdural hematoma, ventriculitis, or acute hydrocephalus. Provides access for fluid evacuation, CSF sampling, or intracranial pressure monitoring in emergency situations.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.