CPT code 61760: Depth electrodes, long-term seizure monitoring2026 Medicare rate & RVUs in Puerto Rico

Reports stereotactic placement of intracerebral depth electrodes for prolonged seizure monitoring, typically to localize seizure activity before epilepsy surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality131 Medicare services in 2024

In Puerto Rico, Medicare pays $1,555.22 for 61760 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,555.22Hospital or facility

Check a contract rate as a % of Medicare · 61760 nationwide

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

We’ll open 61760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 61760 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 61760 covers

A neurosurgeon uses stereotactic planning to place depth electrodes into the cerebrum so seizure activity can be recorded from inside the brain over an extended monitoring period. The procedure is commonly performed in a hospital operating room for patients with difficult-to-control focal epilepsy undergoing presurgical evaluation. The electrodes help identify where seizures begin and how they spread, information that can guide later treatment planning.

Report the implantation service, supported by the operative note’s indication and description of the stereotactic placement. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons are permitted, while 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.

How Puerto Rico compares for 61760

Across 109 of 109 payment localities, the facility rate for 61760 runs from $1,319.54 in Wisconsin to $2,045.71 in Miami, FL. Puerto Rico pays $1,555.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

61760 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$1,555.22
  2. Los Angeles, CA · California$1,575.36+$20.14
  3. Washington, DC area · District of Columbia$1,720.37+$165.15
  4. Miami, FL · Florida$2,045.71+$490.49
  5. Chicago, IL · Illinois$1,960.21+$404.99
  6. Manhattan, NY · New York$1,864.89+$309.67
  7. Alaska · Alaska$1,814.22+$259.00

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

61760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,355.96
ArkansasArkansas—$1,332.00
ArizonaArizona—$1,493.81
Bakersfield, CACalifornia—$1,497.39
Chico, CACalifornia—$1,473.47
El Centro, CACalifornia—$1,475.01
Fresno, CACalifornia—$1,473.47
Hanford, CACalifornia—$1,473.47

61760 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.

View every state and territory as a table
61760 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

See 61760 in every payment locality

How the 61760 rate is calculated

Each of 61760’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 · 61760

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.83

21.83 RVUs× 1.000 GPCI

Practice expense15.49

15.49 RVUs× 1.000 GPCI

Malpractice9.21

9.21 RVUs× 1.000 GPCI

Adjusted RVUs

46.5300

Conversion factor

$33.4009

Medicare rate

$1,554.14

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,882

Code
61760
Physician work
21.83
Practice expense
15.49
Malpractice
9.21

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 61760 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work21.83× 1.00021.8300
Practice expense15.49× 1.01115.6604
Malpractice9.21× 0.9859.0719
Total RVUs46.5622
Conversion factor× 33.4009

Facility rate, Puerto Rico$1555.22

Facility: (21.83 × 1 + 15.49 × 1.011 + 9.21 × 0.985) × $33.4009 = $1555.22

Open 61760 in the RVU calculator

Payment rules and modifiers for 61760

61760 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61760

Depth electrodes, long-term seizure monitoring

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)2Permitted.
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 · 61760

Depth electrodes, long-term seizure monitoring

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

61760 without 51 · national facility

$1,554.14

Depth electrodes, long-term seizure monitoring

61760-51 · Second procedure: 50%

$777.07

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

How 61760 has changed in Puerto Rico

61760 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,555.22RVU26D
2026-07-01Not available in this setting$1,555.22RVU26C
2026-04-01Not available in this setting$1,555.22RVU26B
2026-01-01Not available in this setting$1,555.22RVU26A
2025-10-01Not available in this setting$1,571.17RVU25D
2025-07-01Not available in this setting$1,571.17RVU25C
2025-04-01Not available in this setting$1,571.17RVU25B
2025-01-01Not available in this setting$1,571.17RVU25A
2024-10-01Not available in this setting$1,599.46RVU24D
2024-07-01Not available in this setting$1,599.46RVU24C
2024-04-01Not available in this setting$1,599.46RVU24B
2024-03-09Not available in this setting$1,599.46RVU24AR
2024-01-01Not available in this setting$1,573.36RVU24A
2023-10-01Not available in this setting$1,625.47RVU23D
2023-07-01Not available in this setting$1,625.91RVU23C
2023-04-01Not available in this setting$1,625.91RVU23B
2023-01-01Not available in this setting$1,625.91RVU23A
2022-10-01Not available in this setting$1,635.14RVU22D
2022-07-01Not available in this setting$1,635.14RVU22C
2022-04-01Not available in this setting$1,635.14RVU22B
2022-01-01Not available in this setting$1,635.14RVU22A
2021-10-01Not available in this setting$1,630.29RVU21D
2021-07-01Not available in this setting$1,630.29RVU21C
2021-04-01Not available in this setting$1,630.29RVU21B
2021-01-01Not available in this setting$1,630.29RVU21A
2020-10-01Not available in this setting$1,646.82RVU20D
2020-07-01Not available in this setting$1,646.82RVU20C
2020-04-01Not available in this setting$1,646.82RVU20B
2020-01-01Not available in this setting$1,646.82RVU20A
2019-10-01Not available in this setting$1,660.00RVU19D
2019-07-01Not available in this setting$1,660.00RVU19C
2019-04-01Not available in this setting$1,660.00RVU19B
2019-01-01Not available in this setting$1,660.00RVU19A
2018-10-01Not available in this setting$1,664.66RVU18D
2018-07-01Not available in this setting$1,664.66RVU18C
2018-04-01Not available in this setting$1,664.66RVU18B
2018-01-01Not available in this setting$1,664.66RVU18AR1
2017-10-01Not available in this setting$1,470.19RVU17D
2017-07-01Not available in this setting$1,470.19RVU17C
2017-04-01Not available in this setting$1,470.19RVU17B
2017-01-01Not available in this setting$1,470.19RVU17A
2016-10-01Not available in this setting$1,277.66RVU16D
2016-07-01Not available in this setting$1,277.66RVU16C
2016-04-01Not available in this setting$1,277.66RVU16B
2016-01-01Not available in this setting$1,277.66RVU16A
2015-10-01Not available in this setting$1,285.87RVU15D
2015-07-01Not available in this setting$1,285.87RVU15C
2015-04-01Not available in this setting$1,279.48RVU15B
2015-01-01Not available in this setting$1,279.48RVU15A
2014-10-01Not available in this setting$1,250.21RVU14D
2014-07-01Not available in this setting$1,250.21RVU14C
2014-04-01Not available in this setting$1,250.21RVU14B
2014-01-01Not available in this setting$1,250.21RVU14A
2013-10-01Not available in this setting$1,210.19RVU13D
2013-07-01Not available in this setting$1,210.19RVU13C
2013-04-01Not available in this setting$1,210.19RVU13B
2013-01-01Not available in this setting$1,210.19RVU13AR

Price 61760 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

61760 billing questions

When is this code used instead of a stereotactic brain biopsy code?

Use this code when depth electrodes are implanted to record seizure activity for prolonged monitoring. A stereotactic biopsy code is for obtaining brain tissue to evaluate a lesion.

Does this code include the subsequent seizure monitoring?

It reports the stereotactic electrode implantation. The operative and monitoring records should distinguish placement from EEG recording or interpretation services.

Can modifier 50 be used when electrodes are placed on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the 90-day global period affect postoperative billing?

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

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are permitted, but team surgery is not.

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 61760PPRRVU2026_Oct_nonQPP.csv, line 6,882 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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