CPT code 61892: Neurostimulator removal, skull-mounted generator or receiver2026 Medicare rate & RVUs in Montana
Report 61892 for surgical removal of an implanted skull-mounted cranial neurostimulator pulse generator or receiver.
In Montana, Medicare pays $1,095.81 for 61892 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 61892 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 61892 covers
This service removes the pulse generator or receiver of a cranial neurostimulation system that is mounted to the skull. A neurosurgeon typically performs the operation in a hospital or other surgical facility, exposing the implanted device and removing it from its cranial attachment. The code identifies removal of the generator or receiver, rather than removal of an intracranial electrode alone.
Select 61892 when the operative report supports removal of the skull-mounted device; revision or replacement is a different service. Documentation should identify the device and describe its removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Montana compares for 61892
Across 109 of 109 payment localities, the facility rate for 61892 runs from $936.96 in Wisconsin to $1,427.28 in Miami, FL. Montana pays $1,095.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,095.81
- Los Angeles, CA · California$1,120.65+$24.84
- Washington, DC area · District of Columbia$1,217.38+$121.57
- Miami, FL · Florida$1,427.28+$331.47
- Chicago, IL · Illinois$1,368.09+$272.28
- Manhattan, NY · New York$1,313.15+$217.34
- Alaska · Alaska$1,274.28+$178.47
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $956.70 |
| ArkansasArkansas | — | $939.77 |
| ArizonaArizona | — | $1,054.13 |
| Bakersfield, CACalifornia | — | $1,063.63 |
| Chico, CACalifornia | — | $1,047.63 |
| El Centro, CACalifornia | — | $1,048.66 |
| Fresno, CACalifornia | — | $1,047.63 |
| Hanford, CACalifornia | — | $1,047.63 |
| Madera, CACalifornia | — | $1,047.63 |
| Merced, CACalifornia | — | $1,047.63 |
| Modesto, CACalifornia | — | $1,047.63 |
| Napa, CACalifornia | — | $1,153.55 |
| Oxnard, CACalifornia | — | $1,105.46 |
| Redding, CACalifornia | — | $1,047.63 |
| Rest of CaliforniaCalifornia | — | $1,047.63 |
| Riverside, CACalifornia | — | $1,113.34 |
| Sacramento, CACalifornia | — | $1,083.84 |
| Salinas, CACalifornia | — | $1,079.79 |
| San Diego, CACalifornia | — | $1,095.40 |
| Marin County, CACalifornia | — | $1,196.07 |
| San Francisco, CACalifornia | — | $1,189.08 |
| San Benito County, CACalifornia | — | $1,232.10 |
| Santa Clara County, CACalifornia | — | $1,203.50 |
| San Luis Obispo, CACalifornia | — | $1,064.91 |
| Santa Cruz, CACalifornia | — | $1,097.40 |
| Santa Maria, CACalifornia | — | $1,081.13 |
| Santa Rosa, CACalifornia | — | $1,107.02 |
| Stockton, CACalifornia | — | $1,047.63 |
| Vallejo, CACalifornia | — | $1,143.47 |
| Visalia, CACalifornia | — | $1,047.63 |
| Yuba City, CACalifornia | — | $1,047.63 |
| ColoradoColorado | — | $1,082.74 |
| ConnecticutConnecticut | — | $1,180.14 |
| DelawareDelaware | — | $1,073.06 |
| Fort Lauderdale, FLFlorida | — | $1,267.69 |
| Rest of FloridaFlorida | — | $1,182.03 |
| Atlanta, GAGeorgia | — | $1,145.47 |
| Rest of GeorgiaGeorgia | — | $1,092.33 |
| Hawaii, Guam, HIHawaii | — | $1,064.65 |
| IowaIowa | — | $938.00 |
| IdahoIdaho | — | $955.64 |
| East St. Louis, ILIllinois | — | $1,272.70 |
| Rest of IllinoisIllinois | — | $1,177.10 |
| Suburban Chicago, ILIllinois | — | $1,269.33 |
| IndianaIndiana | — | $961.13 |
| KansasKansas | — | $955.59 |
| KentuckyKentucky | — | $1,034.13 |
| New Orleans, LALouisiana | — | $1,100.49 |
| Rest of LouisianaLouisiana | — | $1,041.37 |
| Metropolitan Boston, MAMassachusetts | — | $1,171.57 |
| Rest of MassachusettsMassachusetts | — | $1,083.56 |
| Baltimore area, MDMaryland | — | $1,182.13 |
| Rest of MarylandMaryland | — | $1,089.05 |
| Rest of MaineMaine | — | $986.30 |
| Southern Maine, MEMaine | — | $1,016.68 |
| Detroit, MIMichigan | — | $1,223.30 |
| Rest of MichiganMichigan | — | $1,087.80 |
| MinnesotaMinnesota | — | $963.02 |
| Metropolitan Kansas City, MOMissouri | — | $1,066.97 |
| Metropolitan St. Louis, MOMissouri | — | $1,077.34 |
| Rest of MissouriMissouri | — | $1,035.42 |
| MississippiMississippi | — | $986.66 |
| North CarolinaNorth Carolina | — | $995.02 |
| North DakotaNorth Dakota | — | $974.00 |
| NebraskaNebraska | — | $937.30 |
| New HampshireNew Hampshire | — | $1,086.97 |
| Northern New JerseyNew Jersey | — | $1,205.28 |
| Rest of New JerseyNew Jersey | — | $1,172.69 |
| New MexicoNew Mexico | — | $1,104.22 |
| NevadaNevada | — | $1,062.26 |
| NYC suburbs and Long Island, NYNew York | — | $1,379.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,199.59 |
| Queens, NYNew York | — | $1,291.56 |
| Rest of New YorkNew York | — | $1,015.02 |
| OhioOhio | — | $1,062.91 |
| OklahomaOklahoma | — | $1,007.34 |
| Portland, OROregon | — | $1,095.97 |
| Rest of OregonOregon | — | $1,033.50 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,161.20 |
| Rest of PennsylvaniaPennsylvania | — | $1,051.95 |
| Puerto RicoPuerto Rico | — | $1,097.55 |
| Rhode IslandRhode Island | — | $1,096.54 |
| South CarolinaSouth Carolina | — | $1,034.82 |
| South DakotaSouth Dakota | — | $959.60 |
| TennesseeTennessee | — | $964.39 |
| Austin, TXTexas | — | $1,097.04 |
| Beaumont, TXTexas | — | $1,045.45 |
| Brazoria, TXTexas | — | $1,051.25 |
| Dallas, TXTexas | — | $1,069.79 |
| Fort Worth, TXTexas | — | $1,068.45 |
| Galveston, TXTexas | — | $1,061.93 |
| Houston, TXTexas | — | $1,174.68 |
| Rest of TexasTexas | — | $1,055.77 |
| UtahUtah | — | $1,051.12 |
| VirginiaVirginia | — | $1,028.90 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,097.55 |
| VermontVermont | — | $990.56 |
| Rest of WashingtonWashington | — | $1,074.69 |
| King County, WAWashington | — | $1,174.21 |
| WisconsinWisconsin | — | $936.96 |
| West VirginiaWest Virginia | — | $1,132.26 |
| WyomingWyoming | — | $1,042.72 |
61892 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 61892 rate is calculated
Each of 61892’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 · 61892
RVUs × geographic indexes × conversion factor
Work14.63
14.63 RVUs× 1.000 GPCI
Practice expense12.03
12.03 RVUs× 1.000 GPCI
Malpractice6.16
6.16 RVUs× 1.000 GPCI
Adjusted RVUs
32.8200
Conversion factor
$33.4009
Medicare rate
$1,096.22
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
6,906
- Code
- 61892
- Physician work
- 14.63
- Practice expense
- 12.03
- Malpractice
- 6.16
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.000 | 14.6300 |
| Practice expense | 12.03 | × 1.000 | 12.0300 |
| Malpractice | 6.16 | × 0.998 | 6.1477 |
| Total RVUs | 32.8077 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1095.81
Facility: (14.63 × 1 + 12.03 × 1 + 6.16 × 0.998) × $33.4009 = $1095.81
Payment rules and modifiers for 61892
61892 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61892
Neurostimulator removal, skull-mounted generator or receiver
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 61892
Neurostimulator removal, skull-mounted generator or receiver
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
61892 without 50 · national facility
$1,096.22
Neurostimulator removal, skull-mounted generator or receiver
61892-50 · Bilateral: 150%
$1,644.33
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 61892 has changed in Montana
61892 · 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
January 1, 2024
RVU24A
No ratechanged toNo rate
Held through RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,095.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,095.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,095.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,095.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $804.34 | RVU25D |
| 2025-07-01 | Not available in this setting | $804.34 | RVU25C |
| 2025-04-01 | Not available in this setting | $804.34 | RVU25B |
| 2025-01-01 | Not available in this setting | $804.34 | RVU25A |
| 2024-10-01 | Not available in this setting | $825.07 | RVU24D |
| 2024-07-01 | Not available in this setting | $825.07 | RVU24C |
| 2024-04-01 | Not available in this setting | $825.07 | RVU24B |
| 2024-03-09 | Not available in this setting | $825.07 | RVU24AR |
| 2024-01-01 | Not available in this setting | $811.60 | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | 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
61892 billing questions
How does 61892 differ from 61888?
61892 is for removal of a skull-mounted cranial neurostimulator generator or receiver. 61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration.
Should 61892 be used for removal of an electrode?
No. The code identifies removal of the skull-mounted generator or receiver, not an intracranial neuroelectrode. Select the applicable electrode procedure code when the work is electrode removal or revision.
What documentation supports reporting 61892?
The operative report should identify the skull-mounted cranial neurostimulator generator or receiver and document its removal. Documentation of electrode work alone does not support this code.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and multiple procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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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