CPT code 61868: DBS electrode, additional array with microelectrode recording2026 Medicare rate & RVUs in Utah
Reports each additional subcortical neurostimulator electrode array implanted during a procedure that uses intraoperative microelectrode recording.
In Utah, Medicare pays $439.47 for 61868 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Utah 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. Utah pays $439.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$439.47
- Los Angeles, CA · California$446.62+$7.15
- Washington, DC area · District of Columbia$498.11+$58.64
- Miami, FL · Florida$625.09+$185.62
- Chicago, IL · Illinois$598.32+$158.85
- Manhattan, NY · New York$550.43+$110.96
- Alaska · Alaska$541.95+$102.48
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $397.68 |
| ArkansasArkansas | — | $390.72 |
| 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 |
| Merced, CACalifornia | — | $418.74 |
| Modesto, CACalifornia | — | $418.74 |
| Napa, CACalifornia | — | $447.58 |
| Oxnard, CACalifornia | — | $438.75 |
| Redding, CACalifornia | — | $418.74 |
| Rest of CaliforniaCalifornia | — | $418.74 |
| Riverside, CACalifornia | — | $453.31 |
| Sacramento, CACalifornia | — | $429.68 |
| Salinas, CACalifornia | — | $428.03 |
| San Diego, CACalifornia | — | $431.76 |
| Marin County, CACalifornia | — | $458.82 |
| San Francisco, CACalifornia | — | $455.14 |
| San Benito County, CACalifornia | — | $473.90 |
| Santa Clara County, CACalifornia | — | $458.85 |
| San Luis Obispo, CACalifornia | — | $422.62 |
| Santa Cruz, CACalifornia | — | $430.51 |
| Santa Maria, CACalifornia | — | $427.89 |
| Santa Rosa, CACalifornia | — | $434.00 |
| Stockton, CACalifornia | — | $418.74 |
| Vallejo, CACalifornia | — | $442.28 |
| Visalia, CACalifornia | — | $418.74 |
| Yuba City, CACalifornia | — | $418.74 |
| ColoradoColorado | — | $441.08 |
| ConnecticutConnecticut | — | $490.74 |
| DelawareDelaware | — | $445.20 |
| Fort Lauderdale, FLFlorida | — | $544.54 |
| Rest of FloridaFlorida | — | $506.39 |
| Atlanta, GAGeorgia | — | $479.89 |
| Rest of GeorgiaGeorgia | — | $466.96 |
| Hawaii, Guam, HIHawaii | — | $422.72 |
| IowaIowa | — | $383.00 |
| IdahoIdaho | — | $391.68 |
| East St. Louis, ILIllinois | — | $558.44 |
| Rest of IllinoisIllinois | — | $509.00 |
| Suburban Chicago, ILIllinois | — | $543.70 |
| IndianaIndiana | — | $393.71 |
| KansasKansas | — | $393.59 |
| KentuckyKentucky | — | $436.71 |
| New Orleans, LALouisiana | — | $465.32 |
| Rest of LouisianaLouisiana | — | $441.01 |
| Metropolitan Boston, MAMassachusetts | — | $472.07 |
| Rest of MassachusettsMassachusetts | — | $442.85 |
| Baltimore area, MDMaryland | — | $492.27 |
| Rest of MarylandMaryland | — | $450.71 |
| Rest of MaineMaine | — | $407.80 |
| Southern Maine, MEMaine | — | $415.18 |
| Detroit, MIMichigan | — | $527.00 |
| Rest of MichiganMichigan | — | $462.04 |
| MinnesotaMinnesota | — | $382.35 |
| Metropolitan Kansas City, MOMissouri | — | $447.93 |
| Metropolitan St. Louis, MOMissouri | — | $451.81 |
| Rest of MissouriMissouri | — | $440.66 |
| MississippiMississippi | — | $415.14 |
| MontanaMontana | — | $455.71 |
| North CarolinaNorth Carolina | — | $410.81 |
| North DakotaNorth Dakota | — | $391.64 |
| NebraskaNebraska | — | $381.67 |
| New HampshireNew Hampshire | — | $446.09 |
| Northern New JerseyNew Jersey | — | $493.93 |
| Rest of New JerseyNew Jersey | — | $485.02 |
| New MexicoNew Mexico | — | $470.19 |
| NevadaNevada | — | $437.94 |
| NYC suburbs and Long Island, NYNew York | — | $582.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $498.80 |
| Queens, NYNew York | — | $536.65 |
| Rest of New YorkNew York | — | $419.27 |
| OhioOhio | — | $448.94 |
| OklahomaOklahoma | — | $422.14 |
| Portland, OROregon | — | $442.35 |
| Rest of OregonOregon | — | $423.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $485.14 |
| Rest of PennsylvaniaPennsylvania | — | $442.58 |
| Puerto RicoPuerto Rico | — | $455.29 |
| Rhode IslandRhode Island | — | $452.10 |
| South CarolinaSouth Carolina | — | $432.84 |
| South DakotaSouth Dakota | — | $384.06 |
| TennesseeTennessee | — | $397.61 |
| Austin, TXTexas | — | $449.33 |
| Beaumont, TXTexas | — | $440.12 |
| Brazoria, TXTexas | — | $433.36 |
| Dallas, TXTexas | — | $442.51 |
| Fort Worth, TXTexas | — | $443.02 |
| Galveston, TXTexas | — | $438.74 |
| Houston, TXTexas | — | $498.04 |
| Rest of TexasTexas | — | $440.83 |
| VirginiaVirginia | — | $422.57 |
| Virgin Islands, VIUnited States Virgin Islands | — | $455.29 |
| VermontVermont | — | $401.56 |
| Rest of WashingtonWashington | — | $438.19 |
| King County, WAWashington | — | $469.47 |
| WisconsinWisconsin | — | $377.25 |
| West VirginiaWest Virginia | — | $490.75 |
| WyomingWyoming | — | $427.79 |
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.
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 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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.71 | × 1.000 | 7.7100 |
| Practice expense | 2.70 | × 0.940 | 2.5380 |
| Malpractice | 3.24 | × 0.898 | 2.9095 |
| Total RVUs | 13.1575 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$439.47
Facility: (7.71 × 1 + 2.7 × 0.94 + 3.24 × 0.898) × $33.4009 = $439.47
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
| 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
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.
How 61868 has changed in Utah
61868 · 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 | $439.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $439.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $439.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $439.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $470.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $470.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $470.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $470.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $483.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $483.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $483.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $483.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $475.29 | RVU24A |
| 2023-10-01 | Not available in this setting | $481.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $481.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $481.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $481.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $477.45 | RVU22D |
| 2022-07-01 | Not available in this setting | $477.45 | RVU22C |
| 2022-04-01 | Not available in this setting | $477.45 | RVU22B |
| 2022-01-01 | Not available in this setting | $477.45 | RVU22A |
| 2021-10-01 | Not available in this setting | $478.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $478.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $478.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $478.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $509.52 | RVU20D |
| 2020-07-01 | Not available in this setting | $509.52 | RVU20C |
| 2020-04-01 | Not available in this setting | $509.52 | RVU20B |
| 2020-01-01 | Not available in this setting | $509.52 | RVU20A |
| 2019-10-01 | Not available in this setting | $540.45 | RVU19D |
| 2019-07-01 | Not available in this setting | $540.45 | RVU19C |
| 2019-04-01 | Not available in this setting | $540.45 | RVU19B |
| 2019-01-01 | Not available in this setting | $540.45 | RVU19A |
| 2018-10-01 | Not available in this setting | $539.60 | RVU18D |
| 2018-07-01 | Not available in this setting | $539.60 | RVU18C |
| 2018-04-01 | Not available in this setting | $539.60 | RVU18B |
| 2018-01-01 | Not available in this setting | $539.60 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $539.23 | RVU17D |
| 2017-07-01 | Not available in this setting | $539.23 | RVU17C |
| 2017-04-01 | Not available in this setting | $539.23 | RVU17B |
| 2017-01-01 | Not available in this setting | $539.23 | RVU17A |
| 2016-10-01 | Not available in this setting | $538.21 | RVU16D |
| 2016-07-01 | Not available in this setting | $538.21 | RVU16C |
| 2016-04-01 | Not available in this setting | $538.21 | RVU16B |
| 2016-01-01 | Not available in this setting | $538.21 | RVU16A |
| 2015-10-01 | Not available in this setting | $544.86 | RVU15D |
| 2015-07-01 | Not available in this setting | $544.86 | RVU15C |
| 2015-04-01 | Not available in this setting | $542.15 | RVU15B |
| 2015-01-01 | Not available in this setting | $542.15 | RVU15A |
| 2014-10-01 | Not available in this setting | $516.51 | RVU14D |
| 2014-07-01 | Not available in this setting | $516.51 | RVU14C |
| 2014-04-01 | Not available in this setting | $516.51 | RVU14B |
| 2014-01-01 | Not available in this setting | $516.51 | RVU14A |
| 2013-10-01 | Not available in this setting | $500.26 | RVU13D |
| 2013-07-01 | Not available in this setting | $500.26 | RVU13C |
| 2013-04-01 | Not available in this setting | $500.26 | RVU13B |
| 2013-01-01 | Not available in this setting | $500.26 | 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
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
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