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.
In Montana, Medicare pays $619.40 for 61880 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Montana · this page$619.40
- Los Angeles, CA · California$651.58+$32.18
- Washington, DC area · District of Columbia$695.63+$76.23
- Miami, FL · Florida$776.85+$157.45
- Chicago, IL · Illinois$745.51+$126.11
- Manhattan, NY · New York$737.99+$118.59
- Alaska · Alaska$709.61+$90.21
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $608.06 |
| Merced, CACalifornia | — | $608.06 |
| Modesto, CACalifornia | — | $608.06 |
| Napa, CACalifornia | — | $682.03 |
| Oxnard, CACalifornia | — | $644.45 |
| Redding, CACalifornia | — | $608.06 |
| Rest of CaliforniaCalifornia | — | $608.06 |
| Riverside, CACalifornia | — | $638.35 |
| Sacramento, CACalifornia | — | $632.34 |
| Salinas, CACalifornia | — | $630.02 |
| San Diego, CACalifornia | — | $641.40 |
| Marin County, CACalifornia | — | $712.07 |
| San Francisco, CACalifornia | — | $708.85 |
| San Benito County, CACalifornia | — | $732.32 |
| Santa Clara County, CACalifornia | — | $719.13 |
| San Luis Obispo, CACalifornia | — | $620.88 |
| Santa Cruz, CACalifornia | — | $644.46 |
| Santa Maria, CACalifornia | — | $631.43 |
| Santa Rosa, CACalifornia | — | $650.37 |
| Stockton, CACalifornia | — | $608.06 |
| Vallejo, CACalifornia | — | $677.38 |
| Visalia, CACalifornia | — | $608.06 |
| Yuba City, CACalifornia | — | $608.06 |
| ColoradoColorado | — | $620.62 |
| ConnecticutConnecticut | — | $667.00 |
| DelawareDelaware | — | $607.56 |
| Fort Lauderdale, FLFlorida | — | $700.11 |
| Rest of FloridaFlorida | — | $654.18 |
| Atlanta, GAGeorgia | — | $644.10 |
| Rest of GeorgiaGeorgia | — | $605.59 |
| Hawaii, Guam, HIHawaii | — | $620.51 |
| IowaIowa | — | $537.03 |
| IdahoIdaho | — | $545.73 |
| East St. Louis, ILIllinois | — | $691.91 |
| Rest of IllinoisIllinois | — | $647.04 |
| Suburban Chicago, ILIllinois | — | $702.46 |
| IndianaIndiana | — | $549.06 |
| KansasKansas | — | $543.90 |
| KentuckyKentucky | — | $578.42 |
| New Orleans, LALouisiana | — | $614.89 |
| Rest of LouisianaLouisiana | — | $581.30 |
| Metropolitan Boston, MAMassachusetts | — | $676.30 |
| Rest of MassachusettsMassachusetts | — | $619.76 |
| Baltimore area, MDMaryland | — | $667.47 |
| Rest of MarylandMaryland | — | $617.65 |
| Rest of MaineMaine | — | $559.87 |
| Southern Maine, MEMaine | — | $581.90 |
| Detroit, MIMichigan | — | $674.22 |
| Rest of MichiganMichigan | — | $605.87 |
| MinnesotaMinnesota | — | $561.46 |
| Metropolitan Kansas City, MOMissouri | — | $599.21 |
| Metropolitan St. Louis, MOMissouri | — | $605.46 |
| Rest of MissouriMissouri | — | $575.96 |
| MississippiMississippi | — | $553.37 |
| North CarolinaNorth Carolina | — | $565.36 |
| North DakotaNorth Dakota | — | $563.24 |
| NebraskaNebraska | — | $537.62 |
| New HampshireNew Hampshire | — | $619.96 |
| Northern New JerseyNew Jersey | — | $688.03 |
| Rest of New JerseyNew Jersey | — | $665.29 |
| New MexicoNew Mexico | — | $613.90 |
| NevadaNevada | — | $604.04 |
| NYC suburbs and Long Island, NYNew York | — | $771.75 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $678.03 |
| Queens, NYNew York | — | $730.29 |
| Rest of New YorkNew York | — | $576.50 |
| OhioOhio | — | $594.40 |
| OklahomaOklahoma | — | $566.52 |
| Portland, OROregon | — | $632.03 |
| Rest of OregonOregon | — | $590.22 |
| Metropolitan Philadelphia, PAPennsylvania | — | $654.20 |
| Rest of PennsylvaniaPennsylvania | — | $589.91 |
| Puerto RicoPuerto Rico | — | $621.44 |
| Rhode IslandRhode Island | — | $623.49 |
| South CarolinaSouth Carolina | — | $582.69 |
| South DakotaSouth Dakota | — | $556.60 |
| TennesseeTennessee | — | $548.52 |
| Austin, TXTexas | — | $626.53 |
| Beaumont, TXTexas | — | $586.01 |
| Brazoria, TXTexas | — | $597.85 |
| Dallas, TXTexas | — | $606.96 |
| Fort Worth, TXTexas | — | $605.21 |
| Galveston, TXTexas | — | $602.99 |
| Houston, TXTexas | — | $654.98 |
| Rest of TexasTexas | — | $595.17 |
| UtahUtah | — | $592.01 |
| VirginiaVirginia | — | $586.63 |
| Virgin Islands, VIUnited States Virgin Islands | — | $621.44 |
| VermontVermont | — | $569.74 |
| Rest of WashingtonWashington | — | $615.67 |
| King County, WAWashington | — | $681.26 |
| WisconsinWisconsin | — | $541.42 |
| West VirginiaWest Virginia | — | $621.40 |
| WyomingWyoming | — | $594.92 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.78 | × 1.000 | 6.7800 |
| Practice expense | 8.93 | × 1.000 | 8.9300 |
| Malpractice | 2.84 | × 0.998 | 2.8343 |
| Total RVUs | 18.5443 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$619.40
Facility: (6.78 × 1 + 8.93 × 1 + 2.84 × 0.998) × $33.4009 = $619.40
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
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| 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 · 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.
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).
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.
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 | $619.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $619.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $619.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $619.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $585.71 | RVU25D |
| 2025-07-01 | Not available in this setting | $585.71 | RVU25C |
| 2025-04-01 | Not available in this setting | $585.71 | RVU25B |
| 2025-01-01 | Not available in this setting | $585.71 | RVU25A |
| 2024-10-01 | Not available in this setting | $598.41 | RVU24D |
| 2024-07-01 | Not available in this setting | $598.41 | RVU24C |
| 2024-04-01 | Not available in this setting | $598.41 | RVU24B |
| 2024-03-09 | Not available in this setting | $598.41 | RVU24AR |
| 2024-01-01 | Not available in this setting | $588.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $602.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $602.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $602.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $602.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $603.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $603.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $603.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $603.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $597.08 | RVU21D |
| 2021-07-01 | Not available in this setting | $597.08 | RVU21C |
| 2021-04-01 | Not available in this setting | $597.08 | RVU21B |
| 2021-01-01 | Not available in this setting | $597.08 | RVU21A |
| 2020-10-01 | Not available in this setting | $627.79 | RVU20D |
| 2020-07-01 | Not available in this setting | $627.79 | RVU20C |
| 2020-04-01 | Not available in this setting | $627.79 | RVU20B |
| 2020-01-01 | Not available in this setting | $627.79 | RVU20A |
| 2019-10-01 | Not available in this setting | $664.35 | RVU19D |
| 2019-07-01 | Not available in this setting | $664.35 | RVU19C |
| 2019-04-01 | Not available in this setting | $664.35 | RVU19B |
| 2019-01-01 | Not available in this setting | $664.35 | RVU19A |
| 2018-10-01 | Not available in this setting | $657.13 | RVU18D |
| 2018-07-01 | Not available in this setting | $657.13 | RVU18C |
| 2018-04-01 | Not available in this setting | $657.13 | RVU18B |
| 2018-01-01 | Not available in this setting | $657.13 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $637.27 | RVU17D |
| 2017-07-01 | Not available in this setting | $637.27 | RVU17C |
| 2017-04-01 | Not available in this setting | $637.27 | RVU17B |
| 2017-01-01 | Not available in this setting | $637.27 | RVU17A |
| 2016-10-01 | Not available in this setting | $621.06 | RVU16D |
| 2016-07-01 | Not available in this setting | $621.06 | RVU16C |
| 2016-04-01 | Not available in this setting | $621.06 | RVU16B |
| 2016-01-01 | Not available in this setting | $621.06 | RVU16A |
| 2015-10-01 | Not available in this setting | $624.43 | RVU15D |
| 2015-07-01 | Not available in this setting | $624.43 | RVU15C |
| 2015-04-01 | Not available in this setting | $621.32 | RVU15B |
| 2015-01-01 | Not available in this setting | $621.32 | RVU15A |
| 2014-10-01 | Not available in this setting | $598.88 | RVU14D |
| 2014-07-01 | Not available in this setting | $598.88 | RVU14C |
| 2014-04-01 | Not available in this setting | $598.88 | RVU14B |
| 2014-01-01 | Not available in this setting | $598.88 | RVU14A |
| 2013-10-01 | Not available in this setting | $592.46 | RVU13D |
| 2013-07-01 | Not available in this setting | $592.46 | RVU13C |
| 2013-04-01 | Not available in this setting | $592.46 | RVU13B |
| 2013-01-01 | Not available in this setting | $592.46 | RVU13AR |
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
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
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