CPT code 61888: Neurostimulator surgery, receiver revision or removal2026 Medicare rate & RVUs in Delaware

Revision or removal of an implanted cranial neurostimulator receiver or pulse generator when the existing cranial component is surgically altered or taken out.

CMS RVU26DEffective Oct 1, 2026One payment locality407 Medicare services in 2024

In Delaware, Medicare pays $395.14 for 61888 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$395.14Hospital or facility

Check a contract rate as a % of Medicare · 61888 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 61888 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 61888 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 61888 covers

A neurosurgeon exposes an implanted cranial neurostimulator receiver or pulse generator to revise or remove that component. The work concerns the cranial generator or receiver, rather than an intracranial electrode array. These procedures are generally performed in an operating room for patients with implanted neurostimulation systems, such as systems used for movement disorders or seizure treatment.

Report this code when the operative service addresses the existing cranial receiver or generator; use the insertion or replacement codes when that is the service performed, and the electrode revision code when the electrode array is the target. The operative note should identify the device component treated and whether it was revised or removed. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are 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 Delaware compares for 61888

Across 109 of 109 payment localities, the facility rate for 61888 runs from $346.88 in Arkansas to $514.08 in Miami, FL. Delaware pays $395.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

61888 in Delaware vs other payment areas
  1. Delaware · this page$395.14
  2. Los Angeles, CA · California$417.37+$22.23
  3. Washington, DC area · District of Columbia$449.36+$54.22
  4. Miami, FL · Florida$514.08+$118.94
  5. Chicago, IL · Illinois$493.40+$98.26
  6. Manhattan, NY · New York$480.66+$85.52
  7. Alaska · Alaska$468.43+$73.29

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

Every other payment area

61888 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$352.99
ArkansasArkansas—$346.88
ArizonaArizona—$388.23
Bakersfield, CACalifornia—$395.55
Chico, CACalifornia—$390.24
El Centro, CACalifornia—$390.58
Fresno, CACalifornia—$390.24
Hanford, CACalifornia—$390.24

61888 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
61888 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 61888 in every payment locality

How the 61888 rate is calculated

Each of 61888’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 · 61888

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.10

5.10 RVUs× 1.000 GPCI

Practice expense4.93

4.93 RVUs× 1.000 GPCI

Malpractice2.04

2.04 RVUs× 1.000 GPCI

Adjusted RVUs

12.0700

Conversion factor

$33.4009

Medicare rate

$403.15

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,903

Code
61888
Physician work
5.10
Practice expense
4.93
Malpractice
2.04

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 61888 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.10× 1.0055.1255
Practice expense4.93× 0.9884.8708
Malpractice2.04× 0.8991.8340
Total RVUs11.8303
Conversion factor× 33.4009

Facility rate, Delaware$395.14

Facility: (5.1 × 1.005 + 4.93 × 0.988 + 2.04 × 0.899) × $33.4009 = $395.14

Open 61888 in the RVU calculator

Payment rules and modifiers for 61888

61888 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61888

Neurostimulator surgery, receiver revision or removal

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61888

Neurostimulator surgery, receiver revision or removal

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

61888 without 50 · national facility

$403.15

Neurostimulator surgery, receiver revision or removal

61888-50 · Bilateral: 150%

$604.73

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 61888 has changed in Delaware

61888 · 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$395.14RVU26D
2026-07-01Not available in this setting$395.14RVU26C
2026-04-01Not available in this setting$395.14RVU26B
2026-01-01Not available in this setting$395.14RVU26A
2025-10-01Not available in this setting$391.82RVU25D
2025-07-01Not available in this setting$391.82RVU25C
2025-04-01Not available in this setting$391.82RVU25B
2025-01-01Not available in this setting$391.82RVU25A
2024-10-01Not available in this setting$401.85RVU24D
2024-07-01Not available in this setting$401.85RVU24C
2024-04-01Not available in this setting$401.85RVU24B
2024-03-09Not available in this setting$401.85RVU24AR
2024-01-01Not available in this setting$395.29RVU24A
2023-10-01Not available in this setting$407.11RVU23D
2023-07-01Not available in this setting$407.11RVU23C
2023-04-01Not available in this setting$407.11RVU23B
2023-01-01Not available in this setting$407.11RVU23A
2022-10-01Not available in this setting$411.42RVU22D
2022-07-01Not available in this setting$411.42RVU22C
2022-04-01Not available in this setting$411.42RVU22B
2022-01-01Not available in this setting$411.42RVU22A
2021-10-01Not available in this setting$409.68RVU21D
2021-07-01Not available in this setting$409.68RVU21C
2021-04-01Not available in this setting$409.68RVU21B
2021-01-01Not available in this setting$409.68RVU21A
2020-10-01Not available in this setting$416.99RVU20D
2020-07-01Not available in this setting$416.99RVU20C
2020-04-01Not available in this setting$416.99RVU20B
2020-01-01Not available in this setting$416.99RVU20A
2019-10-01Not available in this setting$430.06RVU19D
2019-07-01Not available in this setting$430.06RVU19C
2019-04-01Not available in this setting$430.06RVU19B
2019-01-01Not available in this setting$430.06RVU19A
2018-10-01Not available in this setting$429.88RVU18D
2018-07-01Not available in this setting$429.88RVU18C
2018-04-01Not available in this setting$429.88RVU18B
2018-01-01Not available in this setting$429.88RVU18AR1
2017-10-01Not available in this setting$428.73RVU17D
2017-07-01Not available in this setting$428.73RVU17C
2017-04-01Not available in this setting$428.73RVU17B
2017-01-01Not available in this setting$428.73RVU17A
2016-10-01Not available in this setting$428.85RVU16D
2016-07-01Not available in this setting$428.85RVU16C
2016-04-01Not available in this setting$428.85RVU16B
2016-01-01Not available in this setting$428.85RVU16A
2015-10-01Not available in this setting$430.83RVU15D
2015-07-01Not available in this setting$430.83RVU15C
2015-04-01Not available in this setting$428.68RVU15B
2015-01-01Not available in this setting$428.68RVU15A
2014-10-01Not available in this setting$401.45RVU14D
2014-07-01Not available in this setting$401.45RVU14C
2014-04-01Not available in this setting$401.45RVU14B
2014-01-01Not available in this setting$401.45RVU14A
2013-10-01Not available in this setting$388.25RVU13D
2013-07-01Not available in this setting$388.25RVU13C
2013-04-01Not available in this setting$388.25RVU13B
2013-01-01Not available in this setting$388.25RVU13AR

Price 61888 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

61888 billing questions

How do I distinguish this code from 61880?

Use 61888 for revision or removal of the cranial receiver or pulse generator. Code 61880 addresses revision or removal of the neurostimulator electrode array.

When should I use 61885 or 61886 instead?

Those codes describe insertion or replacement of a cranial neurostimulator generator or receiver. Use 61888 when the service is revision or removal of the existing component.

Are postoperative visits separately reported during the global period?

Related postoperative visits within the 10-day global period are included in the procedure.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services are not paid for this code. Co-surgeons and team surgery are not permitted.

What documentation supports reporting this code?

Document the implanted cranial component treated and the work performed to revise or remove it. Identify whether the procedure instead involved insertion or replacement, or treatment of an electrode array.

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 61888PPRRVU2026_Oct_nonQPP.csv, line 6,903 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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