CPT code 61735: Brain lesioning, movement disorder, unilateral2026 Medicare rate & RVUs

Reports unilateral stereotactic radiofrequency lesioning of intracranial neural tissue to treat a movement disorder, such as tremor or Parkinson disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities16 Medicare services in 2024

Medicare pays $1,571.18 for 61735 nationally in a facility.

Medicare rate · 61735

Brain lesioning, movement disorder, unilateral

Office or facility?

Work RVUs
21.79
Total RVUs
47.04
Global days
090

National rate · 2026

$1,571.18

Facility setting, before claim adjustments.

See every locality for 61735 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 61735 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 61735 covers

This service is stereotactic radiofrequency lesioning of a deep intracranial target to manage a movement disorder. A functional neurosurgeon typically performs it in an operating room, using stereotactic equipment to guide treatment. Clinical contexts may include selected patients with tremor, Parkinson disease, or dystonia when an ablative approach is chosen. The code represents a unilateral procedure; document the treated side and target, the movement disorder being addressed, and the operative technique.

Report this code when the surgeon performs the described intracranial lesioning, rather than implanting stimulation electrodes or using focused ultrasound. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

Where 61735 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

61735 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,370.91
AlaskaUnavailable$1,832.13
ArizonaUnavailable$1,510.35
ArkansasUnavailable$1,346.67
Atlanta, GAUnavailable$1,643.64
Austin, TXUnavailable$1,568.75
Bakersfield, CAUnavailable$1,516.48
Baltimore area, MDUnavailable$1,694.73
Beaumont, TXUnavailable$1,501.11
Brazoria, TXUnavailable$1,504.64

61735 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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61735 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 61735 rate is calculated

Each of 61735’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 61735

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.79

21.79 RVUs× 1.000 GPCI

Practice expense16.06

16.06 RVUs× 1.000 GPCI

Malpractice9.19

9.19 RVUs× 1.000 GPCI

Adjusted RVUs

47.0400

Conversion factor

$33.4009

Medicare rate

$1,571.18

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 61735

61735 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61735

Brain lesioning, movement disorder, unilateral

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61735

Brain lesioning, movement disorder, unilateral

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

61735 without 51 · national facility

$1,571.18

Brain lesioning, movement disorder, unilateral

61735-51 · Second procedure: 50%

$785.59

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

61735 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 61735

    Brain lesioning, movement disorder, unilateral21.79 wRVU

    Not priced

  • 61715

    Focused ultrasound, intracranial stereotactic ablation0 wRVU

    Not priced

  • 61863

    Brain electrode placement, subcortical, without microelectrode recording20.19 wRVU

    Not priced

  • 61867

    Neuroelectrode placement, subcortical, with microelectrode recording32.2 wRVU

    Not priced

How to choose

61715Focused ultrasoundIntracranial stereotactic ablation
Choose 61735 for stereotactic radiofrequency lesioning. Choose 61715 when the intracranial target is ablated using MR-guided focused ultrasound.
61863Brain electrode placementSubcortical, without microelectrode recording
61735 creates a lesion in neural tissue; 61863 is for implanting a neurostimulator electrode array.
61867Neuroelectrode placementSubcortical, with microelectrode recording
61735 is an ablative procedure. 61867 describes electrode-array implantation with intraoperative recording, not lesioning.

61735 billing questions

How does this differ from MR-guided focused ultrasound?

This code is for stereotactic intracranial radiofrequency lesioning. Use 61715 for the distinct MR-guided focused ultrasound ablation approach.

Is this a deep brain stimulation electrode implantation code?

No. This code describes lesioning neural tissue; 61863 and 61867 describe implantation of neurostimulator electrodes.

Can modifier 50 be used for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

What documentation supports reporting the service?

Document the movement disorder, intracranial target, treated side, stereotactic approach, and radiofrequency lesioning performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is barred. Co-surgeon payment is available only with supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 61735PPRRVU2026_Oct_nonQPP.csv, line 6,877 (RVU26D)

Open CMS sourceHow we calculate rates

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