61107 Tdh puncture implant ventr catheter
Also known as: burr hole with ventricular catheter, external ventricular drain placement, ICP monitor placement, VP shunt placement
Burr hole creation with insertion of ventricular catheter for cerebrospinal fluid drainage or monitoring, typically for hydrocephalus or elevated intracranial pressure.
In Plain Language
brain hole for fluid drainage tube; temporary brain fluid catheter
Clinical Context
Used for acute hydrocephalus, post-traumatic intracranial hypertension, or monitoring intracranial pressure. Allows CSF drainage and pressure monitoring while definitive treatment or resolution occurs.
RVU Breakdown
| Work RVU | 4.87 |
| Total RVU | 4.87 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.87, this code ranks in the 33rd percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61107?
CPT 61107 (Tdh puncture implant ventr catheter) is a Surgery code. Burr hole creation with insertion of ventricular catheter for cerebrospinal fluid drainage or monitoring, typically for hydrocephalus or elevated intracranial pressure.
What is the wRVU value for CPT 61107?
The work RVU for CPT 61107 is 4.87. This code is primarily used by neurosurgery, critical care medicine.
When is CPT 61107 used?
Used for acute hydrocephalus, post-traumatic intracranial hypertension, or monitoring intracranial pressure. Allows CSF drainage and pressure monitoring while definitive treatment or resolution occurs.
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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.