CPT code 61880: Neuroelectrode surgery, intracranial lead revision or removal2026 Medicare rate & RVUs in Montana

Neurosurgeons report this service when an implanted intracranial stimulation lead is surgically repositioned or removed, rather than when a new lead is implanted.

CMS RVU26DEffective Oct 1, 2026One payment locality398 Medicare services in 2024

In Montana, Medicare pays $619.40 for 61880 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$619.40Hospital or facility

Check a contract rate as a % of Medicare · 61880 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 61880 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 61880 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 61880 covers

A neurosurgeon uses this service for operative work on an existing intracranial stimulation electrode, such as a deep brain stimulation lead used to treat a movement disorder. The procedure may revise the lead’s position or remove it, for example when an implanted lead has migrated or needs to be explanted. It is generally performed in a hospital operating room, with the operative report identifying the electrode and the work performed.

Report the service for revision or removal of the intracranial electrode, not for implantation of a new lead or work limited to a pulse generator or receiver. The record should establish which lead was treated and whether it was repositioned or removed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is 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 Montana compares for 61880

Across 109 of 109 payment localities, the facility rate for 61880 runs from $531.52 in Arkansas to $776.85 in Miami, FL. Montana pays $619.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

61880 in Montana vs other payment areas
  1. Montana · this page$619.40
  2. Los Angeles, CA · California$651.58+$32.18
  3. Washington, DC area · District of Columbia$695.63+$76.23
  4. Miami, FL · Florida$776.85+$157.45
  5. Chicago, IL · Illinois$745.51+$126.11
  6. Manhattan, NY · New York$737.99+$118.59
  7. Alaska · Alaska$709.61+$90.21

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

Every other payment area

61880 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$541.13
ArkansasArkansas—$531.52
ArizonaArizona—$596.68
Bakersfield, CACalifornia—$615.43
Chico, CACalifornia—$608.06
El Centro, CACalifornia—$608.53
Fresno, CACalifornia—$608.06
Hanford, CACalifornia—$608.06

61880 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
61880 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 61880 in every payment locality

How the 61880 rate is calculated

Each of 61880’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 · 61880

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.78

6.78 RVUs× 1.000 GPCI

Practice expense8.93

8.93 RVUs× 1.000 GPCI

Malpractice2.84

2.84 RVUs× 1.000 GPCI

Adjusted RVUs

18.5500

Conversion factor

$33.4009

Medicare rate

$619.59

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,900

Code
61880
Physician work
6.78
Practice expense
8.93
Malpractice
2.84

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 61880 in Montana
ComponentRVULocality factorAdjusted
Physician work6.78× 1.0006.7800
Practice expense8.93× 1.0008.9300
Malpractice2.84× 0.9982.8343
Total RVUs18.5443
Conversion factor× 33.4009

Facility rate, Montana$619.40

Facility: (6.78 × 1 + 8.93 × 1 + 2.84 × 0.998) × $33.4009 = $619.40

Open 61880 in the RVU calculator

Payment rules and modifiers for 61880

61880 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61880

Neuroelectrode surgery, intracranial lead revision or removal

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.
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 · 61880

Neuroelectrode surgery, intracranial lead revision or removal

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 50 · payment effect

With and without the modifier

61880 without 50 · national facility

$619.59

Neuroelectrode surgery, intracranial lead revision or removal

61880-50 · Bilateral: 150%

$929.39

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 61880 has changed in Montana

61880 · 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$619.40RVU26D
2026-07-01Not available in this setting$619.40RVU26C
2026-04-01Not available in this setting$619.40RVU26B
2026-01-01Not available in this setting$619.40RVU26A
2025-10-01Not available in this setting$585.71RVU25D
2025-07-01Not available in this setting$585.71RVU25C
2025-04-01Not available in this setting$585.71RVU25B
2025-01-01Not available in this setting$585.71RVU25A
2024-10-01Not available in this setting$598.41RVU24D
2024-07-01Not available in this setting$598.41RVU24C
2024-04-01Not available in this setting$598.41RVU24B
2024-03-09Not available in this setting$598.41RVU24AR
2024-01-01Not available in this setting$588.65RVU24A
2023-10-01Not available in this setting$602.11RVU23D
2023-07-01Not available in this setting$602.11RVU23C
2023-04-01Not available in this setting$602.11RVU23B
2023-01-01Not available in this setting$602.11RVU23A
2022-10-01Not available in this setting$603.49RVU22D
2022-07-01Not available in this setting$603.49RVU22C
2022-04-01Not available in this setting$603.49RVU22B
2022-01-01Not available in this setting$603.49RVU22A
2021-10-01Not available in this setting$597.08RVU21D
2021-07-01Not available in this setting$597.08RVU21C
2021-04-01Not available in this setting$597.08RVU21B
2021-01-01Not available in this setting$597.08RVU21A
2020-10-01Not available in this setting$627.79RVU20D
2020-07-01Not available in this setting$627.79RVU20C
2020-04-01Not available in this setting$627.79RVU20B
2020-01-01Not available in this setting$627.79RVU20A
2019-10-01Not available in this setting$664.35RVU19D
2019-07-01Not available in this setting$664.35RVU19C
2019-04-01Not available in this setting$664.35RVU19B
2019-01-01Not available in this setting$664.35RVU19A
2018-10-01Not available in this setting$657.13RVU18D
2018-07-01Not available in this setting$657.13RVU18C
2018-04-01Not available in this setting$657.13RVU18B
2018-01-01Not available in this setting$657.13RVU18AR1
2017-10-01Not available in this setting$637.27RVU17D
2017-07-01Not available in this setting$637.27RVU17C
2017-04-01Not available in this setting$637.27RVU17B
2017-01-01Not available in this setting$637.27RVU17A
2016-10-01Not available in this setting$621.06RVU16D
2016-07-01Not available in this setting$621.06RVU16C
2016-04-01Not available in this setting$621.06RVU16B
2016-01-01Not available in this setting$621.06RVU16A
2015-10-01Not available in this setting$624.43RVU15D
2015-07-01Not available in this setting$624.43RVU15C
2015-04-01Not available in this setting$621.32RVU15B
2015-01-01Not available in this setting$621.32RVU15A
2014-10-01Not available in this setting$598.88RVU14D
2014-07-01Not available in this setting$598.88RVU14C
2014-04-01Not available in this setting$598.88RVU14B
2014-01-01Not available in this setting$598.88RVU14A
2013-10-01Not available in this setting$592.46RVU13D
2013-07-01Not available in this setting$592.46RVU13C
2013-04-01Not available in this setting$592.46RVU13B
2013-01-01Not available in this setting$592.46RVU13AR

Price 61880 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

61880 billing questions

How is this different from implanting a new intracranial lead?

Use this code for operative revision or removal of an existing intracranial stimulation electrode. Codes such as 61863 or 61867 describe new electrode implantation in their respective circumstances.

Does this code cover work on the pulse generator or receiver?

No. This service concerns the intracranial electrode; code 61888 describes revision or removal of a neurostimulator pulse generator or receiver.

What documentation supports reporting this service?

The operative report should identify the intracranial electrode and describe whether the surgeon revised its position or removed it. Documenting only generator or receiver work does not support this electrode service.

How does Medicare treat multiple procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. The code also has a 90-day global period that includes related postoperative care.

Can modifier 50 or an assistant-at-surgery claim be used?

For a bilateral procedure, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation.

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 61880PPRRVU2026_Oct_nonQPP.csv, line 6,900 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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