CPT code 61868: DBS electrode, additional array with microelectrode recording2026 Medicare rate & RVUs in Arkansas

Reports each additional subcortical neurostimulator electrode array implanted during a procedure that uses intraoperative microelectrode recording.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Arkansas, Medicare pays $390.72 for 61868 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$390.72Hospital or facility

Check a contract rate as a % of Medicare · 61868 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 61868 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 61868 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 61868 covers

A neurosurgeon reports 61868 for each additional subcortical neurostimulator electrode array implanted during the same operation as the primary electrode-placement service. The procedure uses intraoperative microelectrode recording and imaging guidance to support electrode placement. It is commonly part of deep brain stimulation surgery for conditions such as Parkinson disease, essential tremor, or dystonia, typically in a hospital operating room.

Report 61868 with the corresponding primary code, 61867, when the operative record supports placement of additional arrays beyond the primary service. The record should identify the arrays implanted and document use of intraoperative microelectrode recording. This is an add-on code: it is billed only with a primary procedure and is paid within that procedure’s global period. A separately implanted cranial pulse generator may be reported when performed and supported by its own documentation.

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 Arkansas compares for 61868

Across 109 of 109 payment localities, the facility rate for 61868 runs from $377.25 in Wisconsin to $625.09 in Miami, FL. Arkansas pays $390.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

61868 in Arkansas vs other payment areas
  1. Arkansas · this page$390.72
  2. Los Angeles, CA · California$446.62+$55.90
  3. Washington, DC area · District of Columbia$498.11+$107.39
  4. Miami, FL · Florida$625.09+$234.37
  5. Chicago, IL · Illinois$598.32+$207.60
  6. Manhattan, NY · New York$550.43+$159.71
  7. Alaska · Alaska$541.95+$151.23

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

Every other payment area

61868 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$397.68
ArizonaArizona—$437.54
Bakersfield, CACalifornia—$427.16
Chico, CACalifornia—$418.74
El Centro, CACalifornia—$419.29
Fresno, CACalifornia—$418.74
Hanford, CACalifornia—$418.74
Madera, CACalifornia—$418.74

61868 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.

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61868 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 61868 in every payment locality

How the 61868 rate is calculated

Each of 61868’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 · 61868

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.71

7.71 RVUs× 1.000 GPCI

Practice expense2.70

2.70 RVUs× 1.000 GPCI

Malpractice3.24

3.24 RVUs× 1.000 GPCI

Adjusted RVUs

13.6500

Conversion factor

$33.4009

Medicare rate

$455.92

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,899

Code
61868
Physician work
7.71
Practice expense
2.70
Malpractice
3.24

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 61868 in Arkansas
ComponentRVULocality factorAdjusted
Physician work7.71× 1.0007.7100
Practice expense2.70× 0.8592.3193
Malpractice3.24× 0.5151.6686
Total RVUs11.6979
Conversion factor× 33.4009

Facility rate, Arkansas$390.72

Facility: (7.71 × 1 + 2.7 × 0.859 + 3.24 × 0.515) × $33.4009 = $390.72

Open 61868 in the RVU calculator

Payment rules and modifiers for 61868

The CMS indicators that decide how 61868 is paid alongside other services.

CMS payment indicators · 61868

DBS electrode, additional array with microelectrode recording

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

61868 without 80 · national facility

$455.92

DBS electrode, additional array with microelectrode recording

61868-80 · Assistant: 16%

$72.95

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 61868 has changed in Arkansas

61868 · 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$390.72RVU26D
2026-07-01Not available in this setting$390.72RVU26C
2026-04-01Not available in this setting$390.72RVU26B
2026-01-01Not available in this setting$390.72RVU26A
2025-10-01Not available in this setting$418.08RVU25D
2025-07-01Not available in this setting$418.08RVU25C
2025-04-01Not available in this setting$418.08RVU25B
2025-01-01Not available in this setting$418.08RVU25A
2024-10-01Not available in this setting$428.82RVU24D
2024-07-01Not available in this setting$428.82RVU24C
2024-04-01Not available in this setting$428.82RVU24B
2024-03-09Not available in this setting$428.82RVU24AR
2024-01-01Not available in this setting$421.82RVU24A
2023-10-01Not available in this setting$431.36RVU23D
2023-07-01Not available in this setting$431.36RVU23C
2023-04-01Not available in this setting$431.36RVU23B
2023-01-01Not available in this setting$431.36RVU23A
2022-10-01Not available in this setting$433.13RVU22D
2022-07-01Not available in this setting$433.13RVU22C
2022-04-01Not available in this setting$433.13RVU22B
2022-01-01Not available in this setting$433.13RVU22A
2021-10-01Not available in this setting$435.53RVU21D
2021-07-01Not available in this setting$435.53RVU21C
2021-04-01Not available in this setting$435.53RVU21B
2021-01-01Not available in this setting$435.53RVU21A
2020-10-01Not available in this setting$452.72RVU20D
2020-07-01Not available in this setting$452.72RVU20C
2020-04-01Not available in this setting$452.72RVU20B
2020-01-01Not available in this setting$452.72RVU20A
2019-10-01Not available in this setting$465.15RVU19D
2019-07-01Not available in this setting$465.15RVU19C
2019-04-01Not available in this setting$465.15RVU19B
2019-01-01Not available in this setting$465.15RVU19A
2018-10-01Not available in this setting$464.96RVU18D
2018-07-01Not available in this setting$464.96RVU18C
2018-04-01Not available in this setting$464.96RVU18B
2018-01-01Not available in this setting$464.96RVU18AR1
2017-10-01Not available in this setting$462.12RVU17D
2017-07-01Not available in this setting$462.12RVU17C
2017-04-01Not available in this setting$462.12RVU17B
2017-01-01Not available in this setting$462.12RVU17A
2016-10-01Not available in this setting$458.44RVU16D
2016-07-01Not available in this setting$458.44RVU16C
2016-04-01Not available in this setting$458.44RVU16B
2016-01-01Not available in this setting$458.44RVU16A
2015-10-01Not available in this setting$462.08RVU15D
2015-07-01Not available in this setting$462.08RVU15C
2015-04-01Not available in this setting$459.79RVU15B
2015-01-01Not available in this setting$459.79RVU15A
2014-10-01Not available in this setting$446.70RVU14D
2014-07-01Not available in this setting$446.70RVU14C
2014-04-01Not available in this setting$446.70RVU14B
2014-01-01Not available in this setting$446.70RVU14A
2013-10-01Not available in this setting$430.32RVU13D
2013-07-01Not available in this setting$430.32RVU13C
2013-04-01Not available in this setting$430.32RVU13B
2013-01-01Not available in this setting$430.32RVU13AR

Price 61868 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

61868 billing questions

Which primary code must accompany 61868?

Report 61868 with 61867, the primary electrode-placement service involving intraoperative microelectrode recording. It is not reported by itself.

How does 61868 differ from 61864?

Both describe an additional electrode array, but 61868 belongs to the pathway using intraoperative microelectrode recording; 61864 is the corresponding add-on when that recording is not used.

What documentation supports reporting an additional array?

The operative report should identify the additional array or arrays implanted and document the use of intraoperative microelectrode recording during electrode placement.

Can the pulse generator be reported with 61868?

A cranial neurostimulator pulse generator may be reported when it is implanted during the same encounter and the operative record supports that separate service. Code 61886 describes a generator service for two or more arrays.

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 61868PPRRVU2026_Oct_nonQPP.csv, line 6,899 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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