61154 Burr hole with evac and/or drainage hmtma
Also known as: burr hole subdural hematoma evacuation, subdural hematoma drainage, burr hole aspiration
Burr hole and/or trephination with evacuation, drainage, and/or removal of acute or chronic subdural hematoma, potentially with irrigation and hemostasis.
In Plain Language
small skull opening to remove blood collection; subdural hematoma drainage
Clinical Context
Definitive procedure for symptomatic subdural hematoma. Burr hole approach adequate for most acute/subacute subdural hematomas; chronic ones may need additional drainage. Irrigation and hemostasis reduce reaccumulation.
RVU Breakdown
| Work RVU | 16.64 |
| Total RVU | 16.64 |
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 16.64, this code ranks in the 76th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61154?
CPT 61154 (Burr hole with evac and/or drainage hmtma) is a Surgery code. Burr hole and/or trephination with evacuation, drainage, and/or removal of acute or chronic subdural hematoma, potentially with irrigation and hemostasis.
What is the wRVU value for CPT 61154?
The work RVU for CPT 61154 is 16.64. This code is primarily used by neurosurgery, trauma surgery. It has a 90-day global period.
When is CPT 61154 used?
Definitive procedure for symptomatic subdural hematoma. Burr hole approach adequate for most acute/subacute subdural hematomas; chronic ones may need additional drainage. Irrigation and hemostasis reduce reaccumulation.
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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.