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.
In Utah, Medicare pays $948.99 for 61850 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Utah · this page$948.99
- Los Angeles, CA · California$1,014.47+$65.48
- Washington, DC area · District of Columbia$1,100.44+$151.45
- Miami, FL · Florida$1,285.14+$336.15
- Chicago, IL · Illinois$1,231.94+$282.95
- Manhattan, NY · New York$1,185.41+$236.42
- Alaska · Alaska$1,149.30+$200.31
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $948.21 |
| Merced, CACalifornia | — | $948.21 |
| Modesto, CACalifornia | — | $948.21 |
| Napa, CACalifornia | — | $1,045.75 |
| Oxnard, CACalifornia | — | $1,000.95 |
| Redding, CACalifornia | — | $948.21 |
| Rest of CaliforniaCalifornia | — | $948.21 |
| Riverside, CACalifornia | — | $1,006.67 |
| Sacramento, CACalifornia | — | $981.42 |
| Salinas, CACalifornia | — | $977.76 |
| San Diego, CACalifornia | — | $992.20 |
| Marin County, CACalifornia | — | $1,084.95 |
| San Francisco, CACalifornia | — | $1,078.73 |
| San Benito County, CACalifornia | — | $1,117.48 |
| Santa Clara County, CACalifornia | — | $1,092.04 |
| San Luis Obispo, CACalifornia | — | $964.23 |
| Santa Cruz, CACalifornia | — | $994.27 |
| Santa Maria, CACalifornia | — | $979.06 |
| Santa Rosa, CACalifornia | — | $1,003.02 |
| Stockton, CACalifornia | — | $948.21 |
| Vallejo, CACalifornia | — | $1,036.79 |
| Visalia, CACalifornia | — | $948.21 |
| Yuba City, CACalifornia | — | $948.21 |
| ColoradoColorado | — | $978.97 |
| ConnecticutConnecticut | — | $1,065.81 |
| DelawareDelaware | — | $969.22 |
| Fort Lauderdale, FLFlorida | — | $1,142.74 |
| Rest of FloridaFlorida | — | $1,065.68 |
| Atlanta, GAGeorgia | — | $1,034.06 |
| Rest of GeorgiaGeorgia | — | $984.92 |
| Hawaii, Guam, HIHawaii | — | $963.97 |
| IowaIowa | — | $847.98 |
| IdahoIdaho | — | $863.75 |
| East St. Louis, ILIllinois | — | $1,145.81 |
| Rest of IllinoisIllinois | — | $1,060.65 |
| Suburban Chicago, ILIllinois | — | $1,144.40 |
| IndianaIndiana | — | $868.74 |
| KansasKansas | — | $863.46 |
| KentuckyKentucky | — | $933.11 |
| New Orleans, LALouisiana | — | $992.92 |
| Rest of LouisianaLouisiana | — | $939.49 |
| Metropolitan Boston, MAMassachusetts | — | $1,059.93 |
| Rest of MassachusettsMassachusetts | — | $979.54 |
| Baltimore area, MDMaryland | — | $1,067.52 |
| Rest of MarylandMaryland | — | $983.81 |
| Rest of MaineMaine | — | $891.02 |
| Southern Maine, MEMaine | — | $919.11 |
| Detroit, MIMichigan | — | $1,102.53 |
| Rest of MichiganMichigan | — | $981.21 |
| MinnesotaMinnesota | — | $871.94 |
| Metropolitan Kansas City, MOMissouri | — | $963.08 |
| Metropolitan St. Louis, MOMissouri | — | $972.49 |
| Rest of MissouriMissouri | — | $933.85 |
| MississippiMississippi | — | $890.46 |
| MontanaMontana | — | $989.64 |
| North CarolinaNorth Carolina | — | $898.97 |
| North DakotaNorth Dakota | — | $881.28 |
| NebraskaNebraska | — | $847.48 |
| New HampshireNew Hampshire | — | $982.39 |
| Northern New JerseyNew Jersey | — | $1,089.41 |
| Rest of New JerseyNew Jersey | — | $1,059.40 |
| New MexicoNew Mexico | — | $995.88 |
| NevadaNevada | — | $959.81 |
| NYC suburbs and Long Island, NYNew York | — | $1,245.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,083.37 |
| Queens, NYNew York | — | $1,166.50 |
| Rest of New YorkNew York | — | $917.02 |
| OhioOhio | — | $959.07 |
| OklahomaOklahoma | — | $909.34 |
| Portland, OROregon | — | $991.44 |
| Rest of OregonOregon | — | $934.15 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,048.42 |
| Rest of PennsylvaniaPennsylvania | — | $949.40 |
| Puerto RicoPuerto Rico | — | $991.35 |
| Rhode IslandRhode Island | — | $990.78 |
| South CarolinaSouth Carolina | — | $934.24 |
| South DakotaSouth Dakota | — | $868.47 |
| TennesseeTennessee | — | $871.37 |
| Austin, TXTexas | — | $991.61 |
| Beaumont, TXTexas | — | $943.49 |
| Brazoria, TXTexas | — | $949.86 |
| Dallas, TXTexas | — | $966.43 |
| Fort Worth, TXTexas | — | $965.09 |
| Galveston, TXTexas | — | $959.39 |
| Houston, TXTexas | — | $1,059.69 |
| Rest of TexasTexas | — | $953.25 |
| VirginiaVirginia | — | $929.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $991.35 |
| VermontVermont | — | $895.86 |
| Rest of WashingtonWashington | — | $971.64 |
| King County, WAWashington | — | $1,062.77 |
| WisconsinWisconsin | — | $847.70 |
| West VirginiaWest Virginia | — | $1,020.10 |
| WyomingWyoming | — | $942.41 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.01 | × 1.000 | 13.0100 |
| Practice expense | 11.15 | × 0.940 | 10.4810 |
| Malpractice | 5.48 | × 0.898 | 4.9210 |
| Total RVUs | 28.4120 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share 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.
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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $948.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $948.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $948.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $948.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $944.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $944.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $944.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $944.92 | RVU25A |
| 2024-10-01 | Not available in this setting | $967.44 | RVU24D |
| 2024-07-01 | Not available in this setting | $967.44 | RVU24C |
| 2024-04-01 | Not available in this setting | $967.44 | RVU24B |
| 2024-03-09 | Not available in this setting | $967.44 | RVU24AR |
| 2024-01-01 | Not available in this setting | $951.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $960.56 | RVU23D |
| 2023-07-01 | Not available in this setting | $960.56 | RVU23C |
| 2023-04-01 | Not available in this setting | $960.56 | RVU23B |
| 2023-01-01 | Not available in this setting | $960.56 | RVU23A |
| 2022-10-01 | Not available in this setting | $951.54 | RVU22D |
| 2022-07-01 | Not available in this setting | $951.54 | RVU22C |
| 2022-04-01 | Not available in this setting | $951.54 | RVU22B |
| 2022-01-01 | Not available in this setting | $951.54 | RVU22A |
| 2021-10-01 | Not available in this setting | $951.12 | RVU21D |
| 2021-07-01 | Not available in this setting | $951.12 | RVU21C |
| 2021-04-01 | Not available in this setting | $951.12 | RVU21B |
| 2021-01-01 | Not available in this setting | $951.12 | RVU21A |
| 2020-10-01 | Not available in this setting | $992.57 | RVU20D |
| 2020-07-01 | Not available in this setting | $992.57 | RVU20C |
| 2020-04-01 | Not available in this setting | $992.57 | RVU20B |
| 2020-01-01 | Not available in this setting | $992.57 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,046.69 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,046.69 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,018.14 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,018.14 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,042.78 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,042.78 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,042.78 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,042.78 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,042.82 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,042.82 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,042.82 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,042.82 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,042.02 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,042.02 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,042.02 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,042.02 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,053.59 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,053.59 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,048.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,048.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $997.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $997.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $997.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $997.50 | RVU14A |
| 2013-10-01 | Not available in this setting | $980.39 | RVU13D |
| 2013-07-01 | Not available in this setting | $980.39 | RVU13C |
| 2013-04-01 | Not available in this setting | $980.39 | RVU13B |
| 2013-01-01 | Not available in this setting | $980.39 | RVU13AR |
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
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
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