CPT code 61850: Cortical electrode implant, burr-hole approach, no stereotaxy2026 Medicare rate & RVUs in Utah

Reports placement of a cortical neurostimulator electrode array through twist-drill or burr-hole access without stereotactic guidance, commonly for epilepsy treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Utah, Medicare pays $948.99 for 61850 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$948.99Hospital or facility

Check a contract rate as a % of Medicare · 61850 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 61850 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 61850 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 61850 covers

Code 61850 describes cranial access through one or more small twist-drill or burr holes to place an electrode array on the cerebral cortex. A neurosurgeon may perform this for cortical neurostimulation in a patient with focal epilepsy. The code includes securing the array when fixation is performed; it does not describe a craniotomy-based cortical approach or implantation of a subcortical array.

Choose this code when the operative report supports cortical electrode placement through burr-hole or twist-drill access without stereotactic guidance. Document the target, approach, electrode placement, and any fixation performed. CMS classifies the service as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeons and team surgery are 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 Utah compares for 61850

Across 109 of 109 payment localities, the facility rate for 61850 runs from $847.48 in Nebraska to $1,285.14 in Miami, FL. Utah pays $948.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

61850 in Utah vs other payment areas
  1. Utah · this page$948.99
  2. Los Angeles, CA · California$1,014.47+$65.48
  3. Washington, DC area · District of Columbia$1,100.44+$151.45
  4. Miami, FL · Florida$1,285.14+$336.15
  5. Chicago, IL · Illinois$1,231.94+$282.95
  6. Manhattan, NY · New York$1,185.41+$236.42
  7. Alaska · Alaska$1,149.30+$200.31

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

Every other payment area

61850 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$864.01
ArkansasArkansas—$848.72
ArizonaArizona—$952.10
Bakersfield, CACalifornia—$962.44
Chico, CACalifornia—$948.21
El Centro, CACalifornia—$949.13
Fresno, CACalifornia—$948.21
Hanford, CACalifornia—$948.21

61850 rates by state

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

Explore a state

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
61850 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 61850 in every payment locality

How the 61850 rate is calculated

Each of 61850’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 · 61850

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.01

13.01 RVUs× 1.000 GPCI

Practice expense11.15

11.15 RVUs× 1.000 GPCI

Malpractice5.48

5.48 RVUs× 1.000 GPCI

Adjusted RVUs

29.6400

Conversion factor

$33.4009

Medicare rate

$990.00

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,894

Code
61850
Physician work
13.01
Practice expense
11.15
Malpractice
5.48

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 61850 in Utah
ComponentRVULocality factorAdjusted
Physician work13.01× 1.00013.0100
Practice expense11.15× 0.94010.4810
Malpractice5.48× 0.8984.9210
Total RVUs28.4120
Conversion factor× 33.4009

Facility rate, Utah$948.99

Facility: (13.01 × 1 + 11.15 × 0.94 + 5.48 × 0.898) × $33.4009 = $948.99

Open 61850 in the RVU calculator

Payment rules and modifiers for 61850

61850 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61850

Cortical electrode implant, burr-hole approach, no stereotaxy

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)2Paid.
Co-surgeons (62)0Not permitted.
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 · 61850

Cortical electrode implant, burr-hole approach, no stereotaxy

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

61850 without 51 · national facility

$990.00

Cortical electrode implant, burr-hole approach, no stereotaxy

61850-51 · Second procedure: 50%

$495.00

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 61850 has changed in Utah

61850 · 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$948.99RVU26D
2026-07-01Not available in this setting$948.99RVU26C
2026-04-01Not available in this setting$948.99RVU26B
2026-01-01Not available in this setting$948.99RVU26A
2025-10-01Not available in this setting$944.92RVU25D
2025-07-01Not available in this setting$944.92RVU25C
2025-04-01Not available in this setting$944.92RVU25B
2025-01-01Not available in this setting$944.92RVU25A
2024-10-01Not available in this setting$967.44RVU24D
2024-07-01Not available in this setting$967.44RVU24C
2024-04-01Not available in this setting$967.44RVU24B
2024-03-09Not available in this setting$967.44RVU24AR
2024-01-01Not available in this setting$951.65RVU24A
2023-10-01Not available in this setting$960.56RVU23D
2023-07-01Not available in this setting$960.56RVU23C
2023-04-01Not available in this setting$960.56RVU23B
2023-01-01Not available in this setting$960.56RVU23A
2022-10-01Not available in this setting$951.54RVU22D
2022-07-01Not available in this setting$951.54RVU22C
2022-04-01Not available in this setting$951.54RVU22B
2022-01-01Not available in this setting$951.54RVU22A
2021-10-01Not available in this setting$951.12RVU21D
2021-07-01Not available in this setting$951.12RVU21C
2021-04-01Not available in this setting$951.12RVU21B
2021-01-01Not available in this setting$951.12RVU21A
2020-10-01Not available in this setting$992.57RVU20D
2020-07-01Not available in this setting$992.57RVU20C
2020-04-01Not available in this setting$992.57RVU20B
2020-01-01Not available in this setting$992.57RVU20A
2019-10-01Not available in this setting$1,046.69RVU19D
2019-07-01Not available in this setting$1,046.69RVU19C
2019-04-01Not available in this setting$1,018.14RVU19B
2019-01-01Not available in this setting$1,018.14RVU19A
2018-10-01Not available in this setting$1,042.78RVU18D
2018-07-01Not available in this setting$1,042.78RVU18C
2018-04-01Not available in this setting$1,042.78RVU18B
2018-01-01Not available in this setting$1,042.78RVU18AR1
2017-10-01Not available in this setting$1,042.82RVU17D
2017-07-01Not available in this setting$1,042.82RVU17C
2017-04-01Not available in this setting$1,042.82RVU17B
2017-01-01Not available in this setting$1,042.82RVU17A
2016-10-01Not available in this setting$1,042.02RVU16D
2016-07-01Not available in this setting$1,042.02RVU16C
2016-04-01Not available in this setting$1,042.02RVU16B
2016-01-01Not available in this setting$1,042.02RVU16A
2015-10-01Not available in this setting$1,053.59RVU15D
2015-07-01Not available in this setting$1,053.59RVU15C
2015-04-01Not available in this setting$1,048.34RVU15B
2015-01-01Not available in this setting$1,048.34RVU15A
2014-10-01Not available in this setting$997.50RVU14D
2014-07-01Not available in this setting$997.50RVU14C
2014-04-01Not available in this setting$997.50RVU14B
2014-01-01Not available in this setting$997.50RVU14A
2013-10-01Not available in this setting$980.39RVU13D
2013-07-01Not available in this setting$980.39RVU13C
2013-04-01Not available in this setting$980.39RVU13B
2013-01-01Not available in this setting$980.39RVU13AR

Price 61850 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

61850 billing questions

When should 61850 be chosen instead of 61860?

Use 61850 for cortical electrode placement through twist-drill or burr-hole access. Code 61860 describes a craniotomy or craniectomy approach for cortical electrode placement.

Does 61850 include the neurostimulator generator?

No. This code represents cortical electrode placement, not implantation of a pulse generator or receiver. A separately performed generator service may be reported using the code that matches the device and configuration.

Is array fixation separately reported?

Fixation performed as part of placing the array is included in 61850. The operative note should support the electrode placement and the approach used.

Can modifier 50 be used for bilateral placement?

No. Modifier 50 is inappropriate for 61850. Report the service according to its descriptor and documented procedure.

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

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

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 61850PPRRVU2026_Oct_nonQPP.csv, line 6,894 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 61850 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 61850 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet