CPT code 61864: Brain electrode implant, additional array, no microelectrode recording2026 Medicare rate & RVUs in Oklahoma
Reports placement of each additional subcortical neurostimulator electrode array through a twist drill or burr hole when intraoperative microelectrode recording is not used.
In Oklahoma, Medicare pays $239.98 for 61864 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61864 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 61864 covers
A neurosurgeon places an additional electrode array in a subcortical brain target for neurostimulation, using a twist drill or burr hole. This code is for an array beyond the first during the implantation procedure and describes the pathway without intraoperative microelectrode recording. Such electrode placement is commonly part of deep brain stimulation surgery for movement disorders, including Parkinson disease, essential tremor, or dystonia.
Report 61864 with the first-array code 61863 when the operative documentation supports an additional array placed during the same procedure. The note should identify the number of arrays implanted, the subcortical placement, the surgical approach, and whether intraoperative microelectrode recording was used. CMS classifies 61864 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
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 Oklahoma compares for 61864
Across 109 of 109 payment localities, the facility rate for 61864 runs from $214.50 in Wisconsin to $355.27 in Miami, FL. Oklahoma pays $239.98. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oklahoma · this page$239.98
- Los Angeles, CA · California$253.95+$13.97
- Washington, DC area · District of Columbia$283.19+$43.21
- Miami, FL · Florida$355.27+$115.29
- Chicago, IL · Illinois$340.06+$100.08
- Manhattan, NY · New York$312.90+$72.92
- Alaska · Alaska$308.09+$68.11
Other areas in Oklahoma first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $226.09 |
| ArkansasArkansas | — | $222.13 |
| ArizonaArizona | — | $248.75 |
| Bakersfield, CACalifornia | — | $242.88 |
| Chico, CACalifornia | — | $238.10 |
| El Centro, CACalifornia | — | $238.41 |
| Fresno, CACalifornia | — | $238.10 |
| Hanford, CACalifornia | — | $238.10 |
| Madera, CACalifornia | — | $238.10 |
| Merced, CACalifornia | — | $238.10 |
| Modesto, CACalifornia | — | $238.10 |
| Napa, CACalifornia | — | $254.53 |
| Oxnard, CACalifornia | — | $249.48 |
| Redding, CACalifornia | — | $238.10 |
| Rest of CaliforniaCalifornia | — | $238.10 |
| Riverside, CACalifornia | — | $257.73 |
| Sacramento, CACalifornia | — | $244.33 |
| Salinas, CACalifornia | — | $243.39 |
| San Diego, CACalifornia | — | $245.51 |
| Marin County, CACalifornia | — | $260.93 |
| San Francisco, CACalifornia | — | $258.84 |
| San Benito County, CACalifornia | — | $269.50 |
| Santa Clara County, CACalifornia | — | $260.96 |
| San Luis Obispo, CACalifornia | — | $240.31 |
| Santa Cruz, CACalifornia | — | $244.81 |
| Santa Maria, CACalifornia | — | $243.31 |
| Santa Rosa, CACalifornia | — | $246.79 |
| Stockton, CACalifornia | — | $238.10 |
| Vallejo, CACalifornia | — | $251.52 |
| Visalia, CACalifornia | — | $238.10 |
| Yuba City, CACalifornia | — | $238.10 |
| ColoradoColorado | — | $250.78 |
| ConnecticutConnecticut | — | $278.98 |
| DelawareDelaware | — | $253.10 |
| Fort Lauderdale, FLFlorida | — | $309.52 |
| Rest of FloridaFlorida | — | $287.84 |
| Atlanta, GAGeorgia | — | $272.81 |
| Rest of GeorgiaGeorgia | — | $265.44 |
| Hawaii, Guam, HIHawaii | — | $240.36 |
| IowaIowa | — | $217.76 |
| IdahoIdaho | — | $222.69 |
| East St. Louis, ILIllinois | — | $317.39 |
| Rest of IllinoisIllinois | — | $289.32 |
| Suburban Chicago, ILIllinois | — | $309.05 |
| IndianaIndiana | — | $223.85 |
| KansasKansas | — | $223.77 |
| KentuckyKentucky | — | $248.26 |
| New Orleans, LALouisiana | — | $264.51 |
| Rest of LouisianaLouisiana | — | $250.69 |
| Metropolitan Boston, MAMassachusetts | — | $268.41 |
| Rest of MassachusettsMassachusetts | — | $251.78 |
| Baltimore area, MDMaryland | — | $279.85 |
| Rest of MarylandMaryland | — | $256.23 |
| Rest of MaineMaine | — | $231.84 |
| Southern Maine, MEMaine | — | $236.05 |
| Detroit, MIMichigan | — | $299.55 |
| Rest of MichiganMichigan | — | $262.64 |
| MinnesotaMinnesota | — | $217.42 |
| Metropolitan Kansas City, MOMissouri | — | $254.64 |
| Metropolitan St. Louis, MOMissouri | — | $256.84 |
| Rest of MissouriMissouri | — | $250.49 |
| MississippiMississippi | — | $236.00 |
| MontanaMontana | — | $259.07 |
| North CarolinaNorth Carolina | — | $233.56 |
| North DakotaNorth Dakota | — | $222.69 |
| NebraskaNebraska | — | $217.00 |
| New HampshireNew Hampshire | — | $253.62 |
| Northern New JerseyNew Jersey | — | $280.82 |
| Rest of New JerseyNew Jersey | — | $275.74 |
| New MexicoNew Mexico | — | $267.27 |
| NevadaNevada | — | $248.98 |
| NYC suburbs and Long Island, NYNew York | — | $330.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $283.57 |
| Queens, NYNew York | — | $305.08 |
| Rest of New YorkNew York | — | $238.37 |
| OhioOhio | — | $255.21 |
| Portland, OROregon | — | $251.51 |
| Rest of OregonOregon | — | $240.73 |
| Metropolitan Philadelphia, PAPennsylvania | — | $275.79 |
| Rest of PennsylvaniaPennsylvania | — | $251.59 |
| Puerto RicoPuerto Rico | — | $258.83 |
| Rhode IslandRhode Island | — | $257.03 |
| South CarolinaSouth Carolina | — | $246.06 |
| South DakotaSouth Dakota | — | $218.38 |
| TennesseeTennessee | — | $226.06 |
| Austin, TXTexas | — | $255.46 |
| Beaumont, TXTexas | — | $250.20 |
| Brazoria, TXTexas | — | $246.38 |
| Dallas, TXTexas | — | $251.57 |
| Fort Worth, TXTexas | — | $251.86 |
| Galveston, TXTexas | — | $249.43 |
| Houston, TXTexas | — | $283.11 |
| Rest of TexasTexas | — | $250.61 |
| UtahUtah | — | $249.84 |
| VirginiaVirginia | — | $240.25 |
| Virgin Islands, VIUnited States Virgin Islands | — | $258.83 |
| VermontVermont | — | $228.32 |
| Rest of WashingtonWashington | — | $249.13 |
| King County, WAWashington | — | $266.94 |
| WisconsinWisconsin | — | $214.50 |
| West VirginiaWest Virginia | — | $278.94 |
| WyomingWyoming | — | $243.21 |
61864 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 61864 rate is calculated
Each of 61864’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 · 61864
RVUs × geographic indexes × conversion factor
Work4.38
4.38 RVUs× 1.000 GPCI
Practice expense1.54
1.54 RVUs× 1.000 GPCI
Malpractice1.84
1.84 RVUs× 1.000 GPCI
Adjusted RVUs
7.7600
Conversion factor
$33.4009
Medicare rate
$259.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Oklahoma inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,897
- Code
- 61864
- Physician work
- 4.38
- Practice expense
- 1.54
- Malpractice
- 1.84
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.38 | × 1.000 | 4.3800 |
| Practice expense | 1.54 | × 0.893 | 1.3752 |
| Malpractice | 1.84 | × 0.777 | 1.4297 |
| Total RVUs | 7.1849 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$239.98
Facility: (4.38 × 1 + 1.54 × 0.893 + 1.84 × 0.777) × $33.4009 = $239.98
Payment rules and modifiers for 61864
The CMS indicators that decide how 61864 is paid alongside other services.
CMS payment indicators · 61864
Brain electrode implant, additional array, no microelectrode recording
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
61864 without 80 · national facility
$259.19
Brain electrode implant, additional array, no microelectrode recording
61864-80 · Assistant: 16%
$41.47
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 61864 has changed in Oklahoma
61864 · 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 | $239.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $239.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $239.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $239.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $257.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $257.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $257.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $257.03 | RVU25A |
| 2024-10-01 | Not available in this setting | $263.29 | RVU24D |
| 2024-07-01 | Not available in this setting | $263.29 | RVU24C |
| 2024-04-01 | Not available in this setting | $263.29 | RVU24B |
| 2024-03-09 | Not available in this setting | $263.29 | RVU24AR |
| 2024-01-01 | Not available in this setting | $259.00 | RVU24A |
| 2023-10-01 | Not available in this setting | $265.68 | RVU23D |
| 2023-07-01 | Not available in this setting | $265.68 | RVU23C |
| 2023-04-01 | Not available in this setting | $265.68 | RVU23B |
| 2023-01-01 | Not available in this setting | $265.68 | RVU23A |
| 2022-10-01 | Not available in this setting | $266.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $266.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $266.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $266.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $268.09 | RVU21D |
| 2021-07-01 | Not available in this setting | $268.09 | RVU21C |
| 2021-04-01 | Not available in this setting | $268.09 | RVU21B |
| 2021-01-01 | Not available in this setting | $268.09 | RVU21A |
| 2020-10-01 | Not available in this setting | $279.60 | RVU20D |
| 2020-07-01 | Not available in this setting | $279.60 | RVU20C |
| 2020-04-01 | Not available in this setting | $279.60 | RVU20B |
| 2020-01-01 | Not available in this setting | $279.60 | RVU20A |
| 2019-10-01 | Not available in this setting | $290.22 | RVU19D |
| 2019-07-01 | Not available in this setting | $290.22 | RVU19C |
| 2019-04-01 | Not available in this setting | $290.22 | RVU19B |
| 2019-01-01 | Not available in this setting | $290.22 | RVU19A |
| 2018-10-01 | Not available in this setting | $290.20 | RVU18D |
| 2018-07-01 | Not available in this setting | $290.20 | RVU18C |
| 2018-04-01 | Not available in this setting | $290.20 | RVU18B |
| 2018-01-01 | Not available in this setting | $290.20 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $286.41 | RVU17D |
| 2017-07-01 | Not available in this setting | $286.41 | RVU17C |
| 2017-04-01 | Not available in this setting | $286.41 | RVU17B |
| 2017-01-01 | Not available in this setting | $286.41 | RVU17A |
| 2016-10-01 | Not available in this setting | $281.99 | RVU16D |
| 2016-07-01 | Not available in this setting | $281.99 | RVU16C |
| 2016-04-01 | Not available in this setting | $281.99 | RVU16B |
| 2016-01-01 | Not available in this setting | $281.99 | RVU16A |
| 2015-10-01 | Not available in this setting | $285.75 | RVU15D |
| 2015-07-01 | Not available in this setting | $285.75 | RVU15C |
| 2015-04-01 | Not available in this setting | $284.33 | RVU15B |
| 2015-01-01 | Not available in this setting | $284.33 | RVU15A |
| 2014-10-01 | Not available in this setting | $270.04 | RVU14D |
| 2014-07-01 | Not available in this setting | $270.04 | RVU14C |
| 2014-04-01 | Not available in this setting | $270.04 | RVU14B |
| 2014-01-01 | Not available in this setting | $270.04 | RVU14A |
| 2013-10-01 | Not available in this setting | $259.37 | RVU13D |
| 2013-07-01 | Not available in this setting | $259.37 | RVU13C |
| 2013-04-01 | Not available in this setting | $259.37 | RVU13B |
| 2013-01-01 | Not available in this setting | $259.37 | RVU13AR |
Where the Oklahoma rate applies
Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.
- Lahoma
- Achille
- Ada
- Adair
- Adams
- Adamson
- Addington
- Afton
61864 billing questions
When is 61864 reported with 61863?
Report 61864 for an additional subcortical electrode array placed during the procedure, with 61863 for the first array when intraoperative microelectrode recording is not used.
Does 61864 count electrode contacts or arrays?
It represents an additional electrode array, not each contact on an array. The operative report should document the number of arrays implanted.
How does 61864 differ from 61868?
Both describe an additional array. 61864 is for the procedure without intraoperative microelectrode recording; 61868 is the corresponding additional-array code when that recording is used.
Can 61864 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure, typically 61863 for the first array in this no-recording pathway.
What documentation supports reporting 61864?
Document the additional array’s placement, the subcortical target and approach, and whether intraoperative microelectrode recording was used.
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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