No office rate
Use 61885 when the generator connects to one electrode array. Use 61886 when it connects to two or more.
On this page
CMS RVU26D · Effective 2026-10-01
61886 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$879.06
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Neurosurgery
About 61886: Cranial neurostimulator generator, multiple arrays
Reports placement or replacement of an implanted cranial neurostimulator generator connected to two or more electrode arrays, such as in deep brain stimulation.
A neurosurgeon typically places or replaces the implanted pulse generator or receiver and connects it to at least two previously placed or concurrently implanted electrode arrays. In deep brain stimulation, the generator is commonly placed in a subcutaneous pocket and linked by extensions to electrodes in the brain. The service may occur during an initial implant or a generator exchange when the existing array connections are retained or reconnected.
Select this code based on the number of electrode arrays connected to the generator, not the number of contacts on an array. The operative report should identify the generator work and document connection to two or more arrays. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 61886
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.68 · 35%
- Practice expense (office) RVU14.17 · 51%
- Malpractice RVU4.03 · 14%
4.8K
Medicare services in 2024 · #1894 by national volume
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.
61886 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
This code describes electrode implantation, not generator placement or replacement. A case involving both services may support reporting both when each is performed and documented.
No office rate
61888 describes revision or removal of a neurostimulator receiver or generator; 61886 describes placing or replacing the generator with connections to two or more arrays.
No office rate
61889 concerns a skull-mounted cranial neurostimulator system. 61886 describes a generator connected to two or more electrode arrays.
The same code, a different location
How does Beaumont compare?
61886 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 61886
Office
Unavailable
Facility
$894.02
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 61886
Office
Unavailable
Facility
$985.86
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61886
Office
Unavailable
Facility
$1048.13
No comparable office rate is available.
Miami
Florida · 61886
Office
Unavailable
Facility
$1156.43
No comparable office rate is available.
Chicago
Illinois · 61886
Office
Unavailable
Facility
$1110.16
No comparable office rate is available.
Manhattan
New York · 61886
Office
Unavailable
Facility
$1107.46
No comparable office rate is available.
Alaska*
Alaska · 61886
Office
Unavailable
Facility
$1063.20
No comparable office rate is available.
Alabama
Alabama · 61886
Office
Unavailable
Facility
$813.64
No comparable office rate is available.
Arkansas
Arkansas · 61886
Office
Unavailable
Facility
$799.20
No comparable office rate is available.
Arizona
Arizona · 61886
Office
Unavailable
Facility
$897.16
No comparable office rate is available.
Bakersfield
California · 61886
Office
Unavailable
Facility
$930.17
No comparable office rate is available.
Chico
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
El Centro
California · 61886
Office
Unavailable
Facility
$920.37
No comparable office rate is available.
Fresno
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Hanford-Corcoran
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Madera
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Merced
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Modesto
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Napa
California · 61886
Office
Unavailable
Facility
$1035.87
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61886
Office
Unavailable
Facility
$975.66
No comparable office rate is available.
Redding
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Rest Of California
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61886
Office
Unavailable
Facility
$962.69
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61886
Office
Unavailable
Facility
$957.55
No comparable office rate is available.
Salinas
California · 61886
Office
Unavailable
Facility
$954.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61886
Office
Unavailable
Facility
$972.03
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61886
Office
Unavailable
Facility
$1083.16
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61886
Office
Unavailable
Facility
$1078.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61886
Office
Unavailable
Facility
$1113.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61886
Office
Unavailable
Facility
$1094.81
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61886
Office
Unavailable
Facility
$940.04
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61886
Office
Unavailable
Facility
$977.31
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61886
Office
Unavailable
Facility
$956.38
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61886
Office
Unavailable
Facility
$986.37
No comparable office rate is available.
Stockton
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Vallejo
California · 61886
Office
Unavailable
Facility
$1029.27
No comparable office rate is available.
Visalia
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Yuba City
California · 61886
Office
Unavailable
Facility
$919.69
No comparable office rate is available.
Colorado
Colorado · 61886
Office
Unavailable
Facility
$935.91
No comparable office rate is available.
Connecticut
Connecticut · 61886
Office
Unavailable
Facility
$1002.39
No comparable office rate is available.
Delaware
Delaware · 61886
Office
Unavailable
Facility
$913.56
No comparable office rate is available.
Fort Lauderdale
Florida · 61886
Office
Unavailable
Facility
$1046.13
No comparable office rate is available.
Rest Of Florida
Florida · 61886
Office
Unavailable
Facility
$978.10
No comparable office rate is available.
Atlanta
Georgia · 61886
Office
Unavailable
Facility
$966.82
No comparable office rate is available.
Rest Of Georgia
Georgia · 61886
Office
Unavailable
Facility
$905.95
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61886
Office
Unavailable
Facility
$939.39
No comparable office rate is available.
Iowa
Iowa · 61886
Office
Unavailable
Facility
$809.82
No comparable office rate is available.
Idaho
Idaho · 61886
Office
Unavailable
Facility
$822.42
No comparable office rate is available.
East St. Louis
Illinois · 61886
Office
Unavailable
Facility
$1029.84
No comparable office rate is available.
Rest Of Illinois
Illinois · 61886
Office
Unavailable
Facility
$965.82
No comparable office rate is available.
Suburban Chicago
Illinois · 61886
Office
Unavailable
Facility
$1050.17
No comparable office rate is available.
Indiana
Indiana · 61886
Office
Unavailable
Facility
$827.48
No comparable office rate is available.
Kansas
Kansas · 61886
Office
Unavailable
Facility
$819.02
No comparable office rate is available.
Kentucky
Kentucky · 61886
Office
Unavailable
Facility
$867.24
No comparable office rate is available.
New Orleans
Louisiana · 61886
Office
Unavailable
Facility
$921.60
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61886
Office
Unavailable
Facility
$871.14
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61886
Office
Unavailable
Facility
$1021.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61886
Office
Unavailable
Facility
$934.15
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61886
Office
Unavailable
Facility
$1002.84
No comparable office rate is available.
Rest Of Maryland
Maryland · 61886
Office
Unavailable
Facility
$929.09
No comparable office rate is available.
Rest Of Maine
Maine · 61886
Office
Unavailable
Facility
$842.47
No comparable office rate is available.
Southern Maine
Maine · 61886
Office
Unavailable
Facility
$877.29
No comparable office rate is available.
Detroit
Michigan · 61886
Office
Unavailable
Facility
$1006.99
No comparable office rate is available.
Rest Of Michigan
Michigan · 61886
Office
Unavailable
Facility
$907.40
No comparable office rate is available.
Minnesota
Minnesota · 61886
Office
Unavailable
Facility
$850.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61886
Office
Unavailable
Facility
$899.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61886
Office
Unavailable
Facility
$908.77
No comparable office rate is available.
Rest Of Missouri
Missouri · 61886
Office
Unavailable
Facility
$862.40
No comparable office rate is available.
Mississippi
Mississippi · 61886
Office
Unavailable
Facility
$830.30
No comparable office rate is available.
Montana**
Montana · 61886
Office
Unavailable
Facility
$930.95
No comparable office rate is available.
North Carolina
North Carolina · 61886
Office
Unavailable
Facility
$850.91
No comparable office rate is available.
North Dakota**
North Dakota · 61886
Office
Unavailable
Facility
$851.26
No comparable office rate is available.
Nebraska
Nebraska · 61886
Office
Unavailable
Facility
$811.05
No comparable office rate is available.
New Hampshire
New Hampshire · 61886
Office
Unavailable
Facility
$933.80
No comparable office rate is available.
Northern Nj
New Jersey · 61886
Office
Unavailable
Facility
$1036.47
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61886
Office
Unavailable
Facility
$1000.75
No comparable office rate is available.
New Mexico
New Mexico · 61886
Office
Unavailable
Facility
$918.99
No comparable office rate is available.
Nevada**
Nevada · 61886
Office
Unavailable
Facility
$909.21
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61886
Office
Unavailable
Facility
$1156.72
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61886
Office
Unavailable
Facility
$1019.00
No comparable office rate is available.
Queens
New York · 61886
Office
Unavailable
Facility
$1097.54
No comparable office rate is available.
Rest Of New York
New York · 61886
Office
Unavailable
Facility
$867.57
No comparable office rate is available.
Ohio
Ohio · 61886
Office
Unavailable
Facility
$891.12
No comparable office rate is available.
Oklahoma
Oklahoma · 61886
Office
Unavailable
Facility
$850.56
No comparable office rate is available.
Portland
Oregon · 61886
Office
Unavailable
Facility
$954.47
No comparable office rate is available.
Rest Of Oregon
Oregon · 61886
Office
Unavailable
Facility
$889.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61886
Office
Unavailable
Facility
$982.42
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61886
Office
Unavailable
Facility
$885.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61886
Office
Unavailable
Facility
$934.40
No comparable office rate is available.
Rhode Island
Rhode Island · 61886
Office
Unavailable
Facility
$938.44
No comparable office rate is available.
South Carolina
South Carolina · 61886
Office
Unavailable
Facility
$875.06
No comparable office rate is available.
South Dakota**
South Dakota · 61886
Office
Unavailable
Facility
$841.84
No comparable office rate is available.
Tennessee
Tennessee · 61886
Office
Unavailable
Facility
$825.83
No comparable office rate is available.
Utah
Utah · 61886
Office
Unavailable
Facility
$889.09
No comparable office rate is available.
Virginia
Virginia · 61886
Office
Unavailable
Facility
$883.60
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61886
Office
Unavailable
Facility
$934.40
No comparable office rate is available.
Vermont
Vermont · 61886
Office
Unavailable
Facility
$859.99
No comparable office rate is available.
Rest Of Washington
Washington · 61886
Office
Unavailable
Facility
$928.33
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61886
Office
Unavailable
Facility
$1030.19
No comparable office rate is available.
Wisconsin
Wisconsin · 61886
Office
Unavailable
Facility
$818.19
No comparable office rate is available.
West Virginia
West Virginia · 61886
Office
Unavailable
Facility
$927.23
No comparable office rate is available.
Wyoming**
Wyoming · 61886
Office
Unavailable
Facility
$896.22
No comparable office rate is available.
See how rates vary across the country
61886 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 61886 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$966.97
$879.06 × 110% = $966.97
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 61886 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
6,902
- Code
- 61886
- Physician work
- 9.68
- Practice expense
- 14.17
- Malpractice
- 4.03
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.68 | × 1.000 | 9.6800 |
| Practice expense | 14.17 | × 0.910 | 12.8947 |
| Malpractice | 4.03 | × 0.929 | 3.7439 |
| Total RVUs | 26.3186 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$879.06
Open 61886 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.68 | 1 |
| Practice expense | 14.17 | 0.91 |
| Malpractice | 4.03 | 0.929 |
(9.68 × 1 + 14.17 × 0.91 + 4.03 × 0.929) × $33.4009 = $879.06
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
61886 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $879.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $879.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $879.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $879.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $831.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $831.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $831.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $831.42 | RVU25A |
61886 billing questions
How does 61886 differ from 61885?
61886 is for a generator connected to two or more electrode arrays; 61885 is for connection to one array.
Can electrode-array placement be reported with 61886?
Array placement may be separately reported when performed and supported by the operative documentation. Codes such as 61863 or 61864 describe electrode implantation work, not generator placement.
Does 61886 include generator replacement?
Yes. It can describe placement or replacement of the generator when it is connected to two or more arrays. Revision or removal without generator placement or replacement is a different service.
What documentation supports 61886?
Document the generator placement or replacement and identify at least two electrode arrays connected to it. The record should distinguish this work from electrode implantation or revision.
Can modifier 50 be used for bilateral implantation?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires documented medical necessity.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,89961868,,Implant neuroelectrde addl,A,,7.71,2.70,NA,2.70,,3.24,13.65,13.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90061880,,Revise/remove neuroelectrode,A,,6.78,8.93,NA,8.93,,2.84,18.55,18.55,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90161885,,Insrt/redo neurostim 1 array,A,,5.90,8.42,NA,8.42,,2.37,16.69,16.69,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90261886,,Implant neurostim arrays,A,,9.68,14.17,NA,14.17,,4.03,27.88,27.88,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90361888,,Revise/remove neuroreceiver,A,,5.10,4.93,NA,4.93,,2.04,12.07,12.07,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90461889,,Ins sk-mnt crnl nstm pg/rcvr,A,,25.11,16.68,NA,16.68,,10.61,52.40,52.40,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90561891,,Rev/rplcmt sk-mnt crnl nstm,A,,10.97,9.84,NA,9.84,,4.26,25.07,25.07,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871