No office rate
61867 is the primary electrode-placement service using intraoperative microelectrode recording. Use 61868 only for additional arrays placed with that primary service.
On this page
CMS RVU26D · Effective 2026-10-01
61868 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$418.74
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 61868: Additional subcortical neurostimulator electrode array
Reports each additional subcortical neurostimulator electrode array implanted during a procedure that uses intraoperative microelectrode recording.
A neurosurgeon reports 61868 for each additional subcortical neurostimulator electrode array implanted during the same operation as the primary electrode-placement service. The procedure uses intraoperative microelectrode recording and imaging guidance to support electrode placement. It is commonly part of deep brain stimulation surgery for conditions such as Parkinson disease, essential tremor, or dystonia, typically in a hospital operating room.
Report 61868 with the corresponding primary code, 61867, when the operative record supports placement of additional arrays beyond the primary service. The record should identify the arrays implanted and document use of intraoperative microelectrode recording. This is an add-on code: it is billed only with a primary procedure and is paid within that procedure’s global period. A separately implanted cranial pulse generator may be reported when performed and supported by its own documentation.
CMS billing rules for 61868
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU7.71 · 56%
- Practice expense (office) RVU2.70 · 20%
- Malpractice RVU3.24 · 24%
1.2K
Medicare services in 2024 · #2845 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.
61868 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
61864 reports additional arrays when the procedure does not use intraoperative microelectrode recording; 61868 is for the recording pathway.
No office rate
61863 is the primary electrode-placement service without intraoperative microelectrode recording, rather than the additional-array add-on for the recording pathway.
No office rate
61886 describes implantation or replacement of a cranial pulse generator for two or more arrays, not placement of an additional brain electrode array.
The same code, a different location
How does Madera compare?
61868 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Modesto
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Napa
California · 61868
Office
Unavailable
Facility
$447.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61868
Office
Unavailable
Facility
$438.75
No comparable office rate is available.
Redding
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Rest Of California
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61868
Office
Unavailable
Facility
$453.31
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61868
Office
Unavailable
Facility
$429.68
No comparable office rate is available.
Salinas
California · 61868
Office
Unavailable
Facility
$428.03
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61868
Office
Unavailable
Facility
$431.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61868
Office
Unavailable
Facility
$458.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61868
Office
Unavailable
Facility
$455.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61868
Office
Unavailable
Facility
$473.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61868
Office
Unavailable
Facility
$458.85
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61868
Office
Unavailable
Facility
$422.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61868
Office
Unavailable
Facility
$430.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61868
Office
Unavailable
Facility
$427.89
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61868
Office
Unavailable
Facility
$434.00
No comparable office rate is available.
Stockton
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Vallejo
California · 61868
Office
Unavailable
Facility
$442.28
No comparable office rate is available.
Visalia
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Yuba City
California · 61868
Office
Unavailable
Facility
$418.74
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61868
Office
Unavailable
Facility
$498.11
No comparable office rate is available.
Miami
Florida · 61868
Office
Unavailable
Facility
$625.09
No comparable office rate is available.
Chicago
Illinois · 61868
Office
Unavailable
Facility
$598.32
No comparable office rate is available.
Manhattan
New York · 61868
Office
Unavailable
Facility
$550.43
No comparable office rate is available.
Alaska*
Alaska · 61868
Office
Unavailable
Facility
$541.95
No comparable office rate is available.
Alabama
Alabama · 61868
Office
Unavailable
Facility
$397.68
No comparable office rate is available.
Arkansas
Arkansas · 61868
Office
Unavailable
Facility
$390.72
No comparable office rate is available.
Arizona
Arizona · 61868
Office
Unavailable
Facility
$437.54
No comparable office rate is available.
Colorado
Colorado · 61868
Office
Unavailable
Facility
$441.08
No comparable office rate is available.
Connecticut
Connecticut · 61868
Office
Unavailable
Facility
$490.74
No comparable office rate is available.
Delaware
Delaware · 61868
Office
Unavailable
Facility
$445.20
No comparable office rate is available.
Fort Lauderdale
Florida · 61868
Office
Unavailable
Facility
$544.54
No comparable office rate is available.
Rest Of Florida
Florida · 61868
Office
Unavailable
Facility
$506.39
No comparable office rate is available.
Atlanta
Georgia · 61868
Office
Unavailable
Facility
$479.89
No comparable office rate is available.
Rest Of Georgia
Georgia · 61868
Office
Unavailable
Facility
$466.96
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61868
Office
Unavailable
Facility
$422.72
No comparable office rate is available.
Iowa
Iowa · 61868
Office
Unavailable
Facility
$383.00
No comparable office rate is available.
Idaho
Idaho · 61868
Office
Unavailable
Facility
$391.68
No comparable office rate is available.
East St. Louis
Illinois · 61868
Office
Unavailable
Facility
$558.44
No comparable office rate is available.
Rest Of Illinois
Illinois · 61868
Office
Unavailable
Facility
$509.00
No comparable office rate is available.
Suburban Chicago
Illinois · 61868
Office
Unavailable
Facility
$543.70
No comparable office rate is available.
Indiana
Indiana · 61868
Office
Unavailable
Facility
$393.71
No comparable office rate is available.
Kansas
Kansas · 61868
Office
Unavailable
Facility
$393.59
No comparable office rate is available.
Kentucky
Kentucky · 61868
Office
Unavailable
Facility
$436.71
No comparable office rate is available.
New Orleans
Louisiana · 61868
Office
Unavailable
Facility
$465.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61868
Office
Unavailable
Facility
$441.01
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61868
Office
Unavailable
Facility
$472.07
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61868
Office
Unavailable
Facility
$442.85
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61868
Office
Unavailable
Facility
$492.27
No comparable office rate is available.
Rest Of Maryland
Maryland · 61868
Office
Unavailable
Facility
$450.71
No comparable office rate is available.
Rest Of Maine
Maine · 61868
Office
Unavailable
Facility
$407.80
No comparable office rate is available.
Southern Maine
Maine · 61868
Office
Unavailable
Facility
$415.18
No comparable office rate is available.
Detroit
Michigan · 61868
Office
Unavailable
Facility
$527.00
No comparable office rate is available.
Rest Of Michigan
Michigan · 61868
Office
Unavailable
Facility
$462.04
No comparable office rate is available.
Minnesota
Minnesota · 61868
Office
Unavailable
Facility
$382.35
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61868
Office
Unavailable
Facility
$447.93
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61868
Office
Unavailable
Facility
$451.81
No comparable office rate is available.
Rest Of Missouri
Missouri · 61868
Office
Unavailable
Facility
$440.66
No comparable office rate is available.
Mississippi
Mississippi · 61868
Office
Unavailable
Facility
$415.14
No comparable office rate is available.
Montana**
Montana · 61868
Office
Unavailable
Facility
$455.71
No comparable office rate is available.
North Carolina
North Carolina · 61868
Office
Unavailable
Facility
$410.81
No comparable office rate is available.
North Dakota**
North Dakota · 61868
Office
Unavailable
Facility
$391.64
No comparable office rate is available.
Nebraska
Nebraska · 61868
Office
Unavailable
Facility
$381.67
No comparable office rate is available.
New Hampshire
New Hampshire · 61868
Office
Unavailable
Facility
$446.09
No comparable office rate is available.
Northern Nj
New Jersey · 61868
Office
Unavailable
Facility
$493.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61868
Office
Unavailable
Facility
$485.02
No comparable office rate is available.
New Mexico
New Mexico · 61868
Office
Unavailable
Facility
$470.19
No comparable office rate is available.
Nevada**
Nevada · 61868
Office
Unavailable
Facility
$437.94
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61868
Office
Unavailable
Facility
$582.19
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61868
Office
Unavailable
Facility
$498.80
No comparable office rate is available.
Queens
New York · 61868
Office
Unavailable
Facility
$536.65
No comparable office rate is available.
Rest Of New York
New York · 61868
Office
Unavailable
Facility
$419.27
No comparable office rate is available.
Ohio
Ohio · 61868
Office
Unavailable
Facility
$448.94
No comparable office rate is available.
Oklahoma
Oklahoma · 61868
Office
Unavailable
Facility
$422.14
No comparable office rate is available.
Portland
Oregon · 61868
Office
Unavailable
Facility
$442.35
No comparable office rate is available.
Rest Of Oregon
Oregon · 61868
Office
Unavailable
Facility
$423.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61868
Office
Unavailable
Facility
$485.14
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61868
Office
Unavailable
Facility
$442.58
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61868
Office
Unavailable
Facility
$455.29
No comparable office rate is available.
Rhode Island
Rhode Island · 61868
Office
Unavailable
Facility
$452.10
No comparable office rate is available.
South Carolina
South Carolina · 61868
Office
Unavailable
Facility
$432.84
No comparable office rate is available.
South Dakota**
South Dakota · 61868
Office
Unavailable
Facility
$384.06
No comparable office rate is available.
Tennessee
Tennessee · 61868
Office
Unavailable
Facility
$397.61
No comparable office rate is available.
Austin
Texas · 61868
Office
Unavailable
Facility
$449.33
No comparable office rate is available.
Beaumont
Texas · 61868
Office
Unavailable
Facility
$440.12
No comparable office rate is available.
Brazoria
Texas · 61868
Office
Unavailable
Facility
$433.36
No comparable office rate is available.
Dallas
Texas · 61868
Office
Unavailable
Facility
$442.51
No comparable office rate is available.
Fort Worth
Texas · 61868
Office
Unavailable
Facility
$443.02
No comparable office rate is available.
Galveston
Texas · 61868
Office
Unavailable
Facility
$438.74
No comparable office rate is available.
Houston
Texas · 61868
Office
Unavailable
Facility
$498.04
No comparable office rate is available.
Rest Of Texas
Texas · 61868
Office
Unavailable
Facility
$440.83
No comparable office rate is available.
Utah
Utah · 61868
Office
Unavailable
Facility
$439.47
No comparable office rate is available.
Virginia
Virginia · 61868
Office
Unavailable
Facility
$422.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61868
Office
Unavailable
Facility
$455.29
No comparable office rate is available.
Vermont
Vermont · 61868
Office
Unavailable
Facility
$401.56
No comparable office rate is available.
Rest Of Washington
Washington · 61868
Office
Unavailable
Facility
$438.19
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61868
Office
Unavailable
Facility
$469.47
No comparable office rate is available.
Wisconsin
Wisconsin · 61868
Office
Unavailable
Facility
$377.25
No comparable office rate is available.
West Virginia
West Virginia · 61868
Office
Unavailable
Facility
$490.75
No comparable office rate is available.
Wyoming**
Wyoming · 61868
Office
Unavailable
Facility
$427.79
No comparable office rate is available.
See how rates vary across the country
61868 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 61868 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$460.61
$418.74 × 110% = $460.61
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 61868 in Madera.
PPRRVU2026_Oct_nonQPP.csv
6,899
- Code
- 61868
- Physician work
- 7.71
- Practice expense
- 2.70
- Malpractice
- 3.24
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.71 | × 1.017 | 7.8411 |
| Practice expense | 2.70 | × 1.096 | 2.9592 |
| Malpractice | 3.24 | × 0.536 | 1.7366 |
| Total RVUs | 12.5369 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$418.74
Open 61868 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.71 | 1.017 |
| Practice expense | 2.7 | 1.096 |
| Malpractice | 3.24 | 0.536 |
(7.71 × 1.017 + 2.7 × 1.096 + 3.24 × 0.536) × $33.4009 = $418.74
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
61868 · 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 | $418.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $418.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $418.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $418.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $455.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $455.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $455.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $455.31 | RVU25A |
61868 billing questions
Which primary code must accompany 61868?
Report 61868 with 61867, the primary electrode-placement service involving intraoperative microelectrode recording. It is not reported by itself.
How does 61868 differ from 61864?
Both describe an additional electrode array, but 61868 belongs to the pathway using intraoperative microelectrode recording; 61864 is the corresponding add-on when that recording is not used.
What documentation supports reporting an additional array?
The operative report should identify the additional array or arrays implanted and document the use of intraoperative microelectrode recording during electrode placement.
Can the pulse generator be reported with 61868?
A cranial neurostimulator pulse generator may be reported when it is implanted during the same encounter and the operative record supports that separate service. Code 61886 describes a generator service for two or more arrays.
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.
6,89661863,,Implant neuroelectrode,A,,20.19,16.07,NA,16.07,,8.53,44.79,44.79,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89761864,,Implant neuroelectrde addl,A,,4.38,1.54,NA,1.54,,1.84,7.76,7.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89861867,,Implant neuroelectrode,A,,32.20,20.26,NA,20.26,,13.60,66.06,66.06,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89961868,,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
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508