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CPT code 63661: Lead removal, percutaneous electrode array2026 Medicare rate & RVUs in Hawaii, Guam, HI

Removal of a percutaneous spinal cord stimulation electrode array, reported when the implanted epidural leads are extracted rather than revised or left in place.

CMS RVU26DEffective Oct 1, 2026One payment locality6.5K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $804.45 for 63661 in the office and $310.37 when it’s performed in a hospital or facility.

$804.45Office (non-facility)
$310.37Hospital or facility
+8.2%vs the national office rate ($743.50)

Check a contract rate as a % of Medicare · 63661 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 63661 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 63661 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 63661 covers

This procedure removes percutaneously placed epidural leads from a spinal cord stimulation system. Neurosurgeons and pain specialists commonly perform it when leads have migrated, fractured, become infected, or are no longer needed. The code concerns the electrode array, not removal or replacement of the pulse generator in its pocket. Fluoroscopy, when performed, is included in the service.

Report 63661 when the percutaneous array is extracted; use a revision code when the lead is repositioned or otherwise revised instead. The operative note should identify the percutaneous approach and document which leads were removed and why. Related postoperative visits are included in the 10-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 Hawaii, Guam, HI compares for 63661

Across 109 of 109 payment localities, the office rate for 63661 runs from $650.72 in Arkansas to $987.59 in San Benito County, CA. Hawaii, Guam, HI pays $804.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

63661 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$804.45
  2. Los Angeles, CA · California$839.10+$34.65
  3. Washington, DC area · District of Columbia$853.22+$48.77
  4. Miami, FL · Florida$815.92+$11.47
  5. Chicago, IL · Illinois$789.78−$14.67
  6. Manhattan, NY · New York$861.63+$57.18
  7. Alaska · Alaska$846.93+$42.48

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

Every other payment area

63661 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$661.12$280.89
ArkansasArkansas$650.72$277.45
ArizonaArizona$721.88$300.81
Bakersfield, CACalifornia$786.21$309.95
Chico, CACalifornia$783.49$307.23
El Centro, CACalifornia$783.65$307.39
Fresno, CACalifornia$783.49$307.23
Hanford, CACalifornia$783.49$307.23

63661 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$650.72

$885.54

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
63661 office rate range by state
State / territoryOffice rate rangeLocalities
AK$846.931
AL$661.121
AR$650.721
AZ$721.881
CA$783.49–$987.5929
CO$773.231
CT$795.681
DC$853.221
DE$734.481
FL$735.97–$815.923
GA$690.88–$759.312
GU$804.451
HI$804.451
IA$677.401
ID$682.621
IL$714.48–$789.784
IN$686.861
KS$674.911
KY$680.181
LA$679.40–$715.772
MA$768.41–$852.502
MD$749.02–$853.223
ME$687.50–$726.522
MI$700.27–$746.872
MN$736.281
MO$667.38–$717.393
MS$659.151
MT$743.441
NC$695.141
ND$724.061
NE$681.151
NH$761.781
NJ$803.47–$843.422
NM$704.811
NV$738.581
NY$706.51–$885.235
OH$696.311
OK$677.841
OR$731.60–$798.312
PA$696.98–$775.162
PR$749.011
RI$761.111
SC$697.141
SD$721.771
TN$678.711
TX$692.09–$771.748
UT$707.441
VA$724.61–$853.222
VI$749.011
VT$721.881
WA$766.74–$869.592
WI$697.941
WV$686.161
WY$734.991

See 63661 in every payment locality

How the 63661 rate is calculated

Each of 63661’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 · 63661

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.95

4.95 RVUs× 1.000 GPCI

Practice expense16.33

16.33 RVUs× 1.000 GPCI

Malpractice0.98

0.98 RVUs× 1.000 GPCI

Adjusted RVUs

22.2600

Conversion factor

$33.4009

Medicare rate

$743.50

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,079

Code
63661
Physician work
4.95
Practice expense
16.33
Malpractice
0.98

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 63661 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work4.95× 1.0004.9500
Practice expense16.33× 1.13718.5672
Malpractice0.98× 0.5790.5674
Total RVUs24.0846
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$804.45

Office: (4.95 × 1 + 16.33 × 1.137 + 0.98 × 0.579) × $33.4009 = $804.45

Facility: (4.95 × 1 + 3.32 × 1.137 + 0.98 × 0.579) × $33.4009 = $310.37

Open 63661 in the RVU calculator

Payment rules and modifiers for 63661

63661 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63661

Lead removal, percutaneous electrode array

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)0The 150% bilateral adjustment doesn’t apply.
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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63661

Lead removal, percutaneous electrode array

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 51 · payment effect

With and without the modifier

63661 without 51 · national office

$743.50

Lead removal, percutaneous electrode array

63661-51 · Second procedure: 50%

$371.75

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 63661

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 63661
CodeHow it relatesOffice range, Hawaii, Guam, HI
Often billed with
63650Neurostimulator lead, percutaneous epidural arrayMay accompany removal when a new percutaneous spinal stimulation array is placed in the same session.$2,669.10
63688Spinal stimulator, generator revision or removalAddresses revision or removal of the implanted pulse generator or receiver when that work is also performed.No office rate
Same family
63662Paddle lead removal, laminotomy or laminectomy approachRemoval code for a surgically placed paddle or plate electrode rather than a percutaneous array.No office rate
Used instead
63663Lead revision, percutaneous electrode arrayUsed for revision of a percutaneous spinal neurostimulator array instead of extraction.$1,029.14
63664Paddle lead revision, surgically exposed electrodeUsed for revision of a surgically placed paddle or plate electrode.No office rate

How 63661 has changed in Hawaii, Guam, HI

63661 · Office / nonfacility

$804.45

Effective 2026-10-01

The base rate is $92.18 higher than on 2025-10-01, moving from $712.27 to $804.45 (12.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $712.27changed to$804.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.08 changed to 4.95
    • Practice expense RVU 14.25 changed to 16.33
    • Malpractice RVU 1.01 changed to 0.98
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $743.50changed to$712.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.52 changed to 14.25
    • Malpractice RVU 1.02 changed to 1.01

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $731.36changed to$743.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $755.30changed to$731.36

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.48 changed to 14.52
    • Malpractice RVU 0.97 changed to 1.02
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $776.06changed to$755.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.57 changed to 14.48
    • Malpractice RVU 0.95 changed to 0.97
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $767.76changed to$776.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.23 changed to 14.57
    • Malpractice RVU 0.90 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $715.73changed to$767.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.39 changed to 14.23
    • Malpractice RVU 0.85 changed to 0.90
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $680.72changed to$715.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.60 changed to 12.39
    • Malpractice RVU 0.83 changed to 0.85
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $648.17changed to$680.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.84 changed to 11.60
    • Malpractice RVU 0.81 changed to 0.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $642.43changed to$648.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.69 changed to 10.84
    • Malpractice RVU 0.77 changed to 0.81
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $646.47changed to$642.43

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.76 changed to 10.69
    • Malpractice RVU 0.74 changed to 0.77
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $646.33changed to$646.47

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.69 changed to 10.76
    • Malpractice RVU 0.76 changed to 0.74

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $643.11changed to$646.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $636.04changed to$643.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.55 changed to 10.69
    • Malpractice RVU 0.68 changed to 0.76
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $654.22changed to$636.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.83 changed to 10.55
    • Malpractice RVU 0.71 changed to 0.68
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$654.22

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$804.45$310.37RVU26D
2026-07-01$804.45$310.37RVU26C
2026-04-01$804.45$310.37RVU26B
2026-01-01$804.45$310.37RVU26A
2025-10-01$712.27$328.34RVU25D
2025-07-01$712.27$328.34RVU25C
2025-04-01$712.27$328.34RVU25B
2025-01-01$712.27$328.34RVU25A
2024-10-01$743.50$335.40RVU24D
2024-07-01$743.50$335.40RVU24C
2024-04-01$743.50$335.40RVU24B
2024-03-09$743.50$335.40RVU24AR
2024-01-01$731.36$329.93RVU24A
2023-10-01$755.30$338.61RVU23D
2023-07-01$755.30$338.61RVU23C
2023-04-01$755.30$338.61RVU23B
2023-01-01$755.30$338.61RVU23A
2022-10-01$776.06$344.52RVU22D
2022-07-01$776.06$344.52RVU22C
2022-04-01$776.06$344.52RVU22B
2022-01-01$776.06$344.52RVU22A
2021-10-01$767.76$344.20RVU21D
2021-07-01$767.76$344.20RVU21C
2021-04-01$767.76$344.20RVU21B
2021-01-01$767.76$344.20RVU21A
2020-10-01$715.73$344.56RVU20D
2020-07-01$715.73$344.56RVU20C
2020-04-01$715.73$344.56RVU20B
2020-01-01$715.73$344.56RVU20A
2019-10-01$680.72$342.46RVU19D
2019-07-01$680.72$342.46RVU19C
2019-04-01$680.72$342.46RVU19B
2019-01-01$680.72$342.46RVU19A
2018-10-01$648.17$342.88RVU18D
2018-07-01$648.17$342.88RVU18C
2018-04-01$648.17$342.88RVU18B
2018-01-01$648.17$342.88RVU18AR1
2017-10-01$642.43$341.34RVU17D
2017-07-01$642.43$341.34RVU17C
2017-04-01$642.43$341.34RVU17B
2017-01-01$642.43$341.34RVU17A
2016-10-01$646.47$343.17RVU16D
2016-07-01$646.47$343.17RVU16C
2016-04-01$646.47$343.17RVU16B
2016-01-01$646.47$343.17RVU16A
2015-10-01$646.33$343.60RVU15D
2015-07-01$646.33$343.60RVU15C
2015-04-01$643.11$341.89RVU15B
2015-01-01$643.11$341.89RVU15A
2014-10-01$636.04$341.10RVU14D
2014-07-01$636.04$341.10RVU14C
2014-04-01$636.04$341.10RVU14B
2014-01-01$636.04$341.10RVU14A
2013-10-01$654.22$339.73RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 63661 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

63661 billing questions

How does 63661 differ from 63662?

63661 is for removing a percutaneously placed electrode array. 63662 is for removing a surgically placed paddle or plate electrode.

Should removal or revision be reported when a lead is repositioned?

Use 63661 when the percutaneous array is removed. If the lead is revised rather than extracted, consider 63663 and document the work performed.

Can 63661 be reported with new lead placement?

It may be reported with 63650 when the old percutaneous array is removed and a new percutaneous array is placed in the same session; document both services.

Is modifier 50 appropriate for bilateral lead removal?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What postoperative care is included?

Related postoperative visits during the 10-day global period are included. Document the removal and the reason for it in the operative note.

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 63661PPRRVU2026_Oct_nonQPP.csv, line 7,079 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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