FeeBase
Log inGet started
Menu

Billing code 61867: Neuroelectrode placementMedicare rate & RVUs

Reports unilateral stereotactic placement of a subcortical neurostimulator electrode using intraoperative microelectrode recording to guide deep brain stimulation targeting.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.5K Medicare services in 2024

Medicare pays $2,206.46 for 61867 nationally in a facility.

Medicare rate · 61867

Neuroelectrode placement

Swap in your local Medicare rate.

Work RVUs
32.2
Total RVUs
66.06
Global days
090

National rate · 2026

$2,206.46

Facility setting, before claim adjustments.

See every locality for 61867 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 61867 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 61867 covers

A neurosurgeon places a neurostimulator electrode into a subcortical target through twist-drill or burr-hole access, using intraoperative microelectrode recording to help identify the intended target. The procedure is used for deep brain stimulation, including treatment of movement disorders such as Parkinson disease, essential tremor, or dystonia. It is generally performed in a hospital operating room with stereotactic guidance.

Report this code for the unilateral electrode placement when intraoperative microelectrode recording is used; use 61863 when it is not. The additional-array code 61868 applies to each additional array. Document the target, side, approach, electrode array count, and use of recording. The 90-day global period includes the day-before preoperative visit and related postoperative care. For bilateral work, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant may be paid; co-surgeons require 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.

Where 61867 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

61867 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,924.73
Alaska*Unavailable$2,584.24
ArizonaUnavailable$2,120.07
ArkansasUnavailable$1,890.74
AtlantaUnavailable$2,311.82
AustinUnavailable$2,196.08
BakersfieldUnavailable$2,114.25
Baltimore/Surr. CntysUnavailable$2,380.73
BeaumontUnavailable$2,113.31
BrazoriaUnavailable$2,109.04

61867 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.

View every state and territory as a table
61867 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

How the 61867 rate is calculated

Each of 61867’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 · 61867

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 32.20Practice expense 20.26Malpractice 13.60

66.0600 adjusted RVUs×$33.4009 conversion factor=$2,206.46

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 61867

61867 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61867

Neuroelectrode placement

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61867

Neuroelectrode placement

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

61867 without 50 · national facility

$2,206.46

Neuroelectrode placement

61867-50 · Bilateral: 150%

$3,309.69

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

61867 compared with similar codes

Compare codes

61867 vs 61863 vs 61868 vs 61850 vs 61860: national Medicare rates

Swap in your local Medicare rate.

  • 61867
    Neuroelectrode placement · 32.2 wRVU
    —
  • 61863
    Brain electrode placement · 20.19 wRVU
    —
  • 61868
    DBS electrode · 7.71 wRVU
    —
  • 61850
    Cortical electrode implant · 13.01 wRVU
    —
  • 61860
    Cortical electrodes · 21.7 wRVU
    —

How to choose

61863Brain electrode placement
Use 61867 for subcortical placement with intraoperative microelectrode recording. Use 61863 for the corresponding placement without recording.
61868DBS electrode
61867 reports the primary unilateral subcortical electrode placement with recording; 61868 reports each additional array.
61850Cortical electrode implant
61850 is for cortical electrode placement. 61867 is for a subcortical target with intraoperative microelectrode recording.
61860Cortical electrodes
61860 describes cortical electrode placement through craniotomy or craniectomy; 61867 uses twist-drill or burr-hole access for a subcortical target.

Codes related to 61867

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

Codes related to 61867
CodeHow it relatesNational office range
Add-on codes
61868DBS electrodeAdd-on code for each additional subcortical electrode array.No office rate
Used instead
61863Brain electrode placementUnilateral subcortical electrode placement when intraoperative microelectrode recording is not used.No office rate
61850Cortical electrode implantNeurostimulator electrode placement for a cortical rather than subcortical target.No office rate
61860Cortical electrodesCortical electrode placement using a craniotomy or craniectomy approach.No office rate

61867 billing questions

How does 61867 differ from 61863?

Both describe unilateral subcortical electrode placement through twist-drill or burr-hole access. Choose 61867 when intraoperative microelectrode recording is used; choose 61863 when it is not.

Can 61863 and 61867 be reported for the same electrode?

No. Select the code that matches whether microelectrode recording was used for that placement.

How are additional electrode arrays reported?

Report 61868 for each additional array in the applicable subcortical placement session.

How should bilateral placement be reported?

Report bilateral work with modifier 50. CMS pays the bilateral procedure at 150%.

What documentation supports 61867?

Document the subcortical target, laterality, electrode array count, burr-hole or twist-drill approach, and use of intraoperative microelectrode recording.

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 61867PPRRVU2026_Oct_nonQPP.csv, line 6,898 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 61867 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 61867 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →