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CPT code 63661: Lead removal, percutaneous electrode array2026 Medicare rate & RVUs in South Carolina

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 South Carolina, Medicare pays $697.14 for 63661 in the office and $295.62 when it’s performed in a hospital or facility.

$697.14Office (non-facility)
$295.62Hospital or facility
−6.2%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 South Carolina
  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 South Carolina 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. South Carolina pays $697.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

63661 in South Carolina vs other payment areas
  1. South Carolina · this page$697.14
  2. Los Angeles, CA · California$839.10+$141.96
  3. Washington, DC area · District of Columbia$853.22+$156.08
  4. Miami, FL · Florida$815.92+$118.78
  5. Chicago, IL · Illinois$789.78+$92.64
  6. Manhattan, NY · New York$861.63+$164.49
  7. Alaska · Alaska$846.93+$149.79

Other areas in South Carolina 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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 63661 in South Carolina
ComponentRVULocality factorAdjusted
Physician work4.95× 1.0004.9500
Practice expense16.33× 0.92415.0889
Malpractice0.98× 0.8500.8330
Total RVUs20.8719
Conversion factor× 33.4009

Office rate, South Carolina$697.14

Office: (4.95 × 1 + 16.33 × 0.924 + 0.98 × 0.85) × $33.4009 = $697.14

Facility: (4.95 × 1 + 3.32 × 0.924 + 0.98 × 0.85) × $33.4009 = $295.62

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, South Carolina
Often billed with
63650Neurostimulator lead, percutaneous epidural arrayMay accompany removal when a new percutaneous spinal stimulation array is placed in the same session.$2,222.71
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.$897.34
63664Paddle lead revision, surgically exposed electrodeUsed for revision of a surgically placed paddle or plate electrode.No office rate

How 63661 has changed in South Carolina

63661 · Office / nonfacility

$697.14

Effective 2026-10-01

The base rate is $85.29 higher than on 2025-10-01, moving from $611.85 to $697.14 (13.9%).

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

    $611.85changed to$697.14

    • 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 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $638.12changed to$611.85

    • 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

    $627.71changed to$638.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $642.54changed to$627.71

    • 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
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $653.95changed to$642.54

    • 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
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $647.45changed to$653.95

    • 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

    $608.04changed to$647.45

    • 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
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $580.89changed to$608.04

    • 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
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $554.90changed to$580.89

    • 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

    $549.72changed to$554.90

    • 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
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $552.18changed to$549.72

    • 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
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $552.39changed to$552.18

    • 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

    $549.65changed to$552.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $541.33changed to$549.65

    • 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
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $551.26changed to$541.33

    • 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
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $551.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$697.14$295.62RVU26D
2026-07-01$697.14$295.62RVU26C
2026-04-01$697.14$295.62RVU26B
2026-01-01$697.14$295.62RVU26A
2025-10-01$611.85$306.78RVU25D
2025-07-01$611.85$306.78RVU25C
2025-04-01$611.85$306.78RVU25B
2025-01-01$611.85$306.78RVU25A
2024-10-01$638.12$313.85RVU24D
2024-07-01$638.12$313.85RVU24C
2024-04-01$638.12$313.85RVU24B
2024-03-09$638.12$313.85RVU24AR
2024-01-01$627.71$308.73RVU24A
2023-10-01$642.54$312.38RVU23D
2023-07-01$642.54$312.38RVU23C
2023-04-01$642.54$312.38RVU23B
2023-01-01$642.54$312.38RVU23A
2022-10-01$653.95$313.02RVU22D
2022-07-01$653.95$313.02RVU22C
2022-04-01$653.95$313.02RVU22B
2022-01-01$653.95$313.02RVU22A
2021-10-01$647.45$312.83RVU21D
2021-07-01$647.45$312.83RVU21C
2021-04-01$647.45$312.83RVU21B
2021-01-01$647.45$312.83RVU21A
2020-10-01$608.04$313.77RVU20D
2020-07-01$608.04$313.77RVU20C
2020-04-01$608.04$313.77RVU20B
2020-01-01$608.04$313.77RVU20A
2019-10-01$580.89$311.70RVU19D
2019-07-01$580.89$311.70RVU19C
2019-04-01$580.89$311.70RVU19B
2019-01-01$580.89$311.70RVU19A
2018-10-01$554.90$311.94RVU18D
2018-07-01$554.90$311.94RVU18C
2018-04-01$554.90$311.94RVU18B
2018-01-01$554.90$311.94RVU18AR1
2017-10-01$549.72$311.77RVU17D
2017-07-01$549.72$311.77RVU17C
2017-04-01$549.72$311.77RVU17B
2017-01-01$549.72$311.77RVU17A
2016-10-01$552.18$314.14RVU16D
2016-07-01$552.18$314.14RVU16C
2016-04-01$552.18$314.14RVU16B
2016-01-01$552.18$314.14RVU16A
2015-10-01$552.39$314.80RVU15D
2015-07-01$552.39$314.80RVU15C
2015-04-01$549.65$313.24RVU15B
2015-01-01$549.65$313.24RVU15A
2014-10-01$541.33$309.30RVU14D
2014-07-01$541.33$309.30RVU14C
2014-04-01$541.33$309.30RVU14B
2014-01-01$541.33$309.30RVU14A
2013-10-01$551.26$303.54RVU13D
2013-07-01$551.26$303.54RVU13C
2013-04-01$551.26$303.54RVU13B
2013-01-01$551.26$303.54RVU13AR

Price 63661 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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 South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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