61108 Tdh puncture evac and/or drainage sdrl hmta
Also known as: burr hole for subdural hematoma drainage, hematoma evacuation via burr hole
Burr hole creation with evacuation and drainage of subdural hematoma, and/or evacuation of other intracranial fluid collections (hygroma, abscess).
In Plain Language
small skull hole to drain blood collection; emergency brain bleeding surgery
Clinical Context
Emergency or semi-emergency procedure for symptomatic acute or subacute subdural hematoma. Provides rapid decompression and can be lifesaving. May be definitive treatment or bridging procedure prior to formal craniotomy.
RVU Breakdown
| Work RVU | 11.35 |
| Total RVU | 11.35 |
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 11.35, this code ranks in the 63rd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61108?
CPT 61108 (Tdh puncture evac and/or drainage sdrl hmta) is a Surgery code. Burr hole creation with evacuation and drainage of subdural hematoma, and/or evacuation of other intracranial fluid collections (hygroma, abscess).
What is the wRVU value for CPT 61108?
The work RVU for CPT 61108 is 11.35. This code is primarily used by neurosurgery, trauma surgery, critical care. It has a 90-day global period.
When is CPT 61108 used?
Emergency or semi-emergency procedure for symptomatic acute or subacute subdural hematoma. Provides rapid decompression and can be lifesaving. May be definitive treatment or bridging procedure prior to formal craniotomy.
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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.