No office rate
Use 61891 when the skull-mounted device is revised or replaced; 61892 identifies its removal.
On this page
CMS RVU26D · Effective 2026-10-01
61892 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1047.63
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 61892: Skull-mounted cranial neurostimulator removal
Report 61892 for surgical removal of an implanted skull-mounted cranial neurostimulator pulse generator or receiver.
This service removes the pulse generator or receiver of a cranial neurostimulation system that is mounted to the skull. A neurosurgeon typically performs the operation in a hospital or other surgical facility, exposing the implanted device and removing it from its cranial attachment. The code identifies removal of the generator or receiver, rather than removal of an intracranial electrode alone.
Select 61892 when the operative report supports removal of the skull-mounted device; revision or replacement is a different service. Documentation should identify the device and describe its removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 61892
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.63 · 45%
- Practice expense (office) RVU12.03 · 37%
- Malpractice RVU6.16 · 19%
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.
61892 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
61889 describes insertion or replacement of a skull-mounted cranial neurostimulator generator or receiver, rather than removal.
No office rate
61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration; 61892 specifies the skull-mounted device.
No office rate
61880 addresses revision or removal of a neuroelectrode. 61892 is for removal of the skull-mounted generator or receiver.
The same code, a different location
How does Madera compare?
61892 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 · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Modesto
California · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Napa
California · 61892
Office
Unavailable
Facility
$1153.55
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61892
Office
Unavailable
Facility
$1105.46
No comparable office rate is available.
Redding
California · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Rest Of California
California · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61892
Office
Unavailable
Facility
$1113.34
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61892
Office
Unavailable
Facility
$1083.84
No comparable office rate is available.
Salinas
California · 61892
Office
Unavailable
Facility
$1079.79
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61892
Office
Unavailable
Facility
$1095.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61892
Office
Unavailable
Facility
$1196.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61892
Office
Unavailable
Facility
$1189.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61892
Office
Unavailable
Facility
$1232.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61892
Office
Unavailable
Facility
$1203.50
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61892
Office
Unavailable
Facility
$1064.91
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61892
Office
Unavailable
Facility
$1097.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61892
Office
Unavailable
Facility
$1081.13
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61892
Office
Unavailable
Facility
$1107.02
No comparable office rate is available.
Stockton
California · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Vallejo
California · 61892
Office
Unavailable
Facility
$1143.47
No comparable office rate is available.
Visalia
California · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Yuba City
California · 61892
Office
Unavailable
Facility
$1047.63
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 61892
Office
Unavailable
Facility
$1217.38
No comparable office rate is available.
Miami
Florida · 61892
Office
Unavailable
Facility
$1427.28
No comparable office rate is available.
Chicago
Illinois · 61892
Office
Unavailable
Facility
$1368.09
No comparable office rate is available.
Manhattan
New York · 61892
Office
Unavailable
Facility
$1313.15
No comparable office rate is available.
Alaska*
Alaska · 61892
Office
Unavailable
Facility
$1274.28
No comparable office rate is available.
Alabama
Alabama · 61892
Office
Unavailable
Facility
$956.70
No comparable office rate is available.
Arkansas
Arkansas · 61892
Office
Unavailable
Facility
$939.77
No comparable office rate is available.
Arizona
Arizona · 61892
Office
Unavailable
Facility
$1054.13
No comparable office rate is available.
Colorado
Colorado · 61892
Office
Unavailable
Facility
$1082.74
No comparable office rate is available.
Connecticut
Connecticut · 61892
Office
Unavailable
Facility
$1180.14
No comparable office rate is available.
Delaware
Delaware · 61892
Office
Unavailable
Facility
$1073.06
No comparable office rate is available.
Fort Lauderdale
Florida · 61892
Office
Unavailable
Facility
$1267.69
No comparable office rate is available.
Rest Of Florida
Florida · 61892
Office
Unavailable
Facility
$1182.03
No comparable office rate is available.
Atlanta
Georgia · 61892
Office
Unavailable
Facility
$1145.47
No comparable office rate is available.
Rest Of Georgia
Georgia · 61892
Office
Unavailable
Facility
$1092.33
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61892
Office
Unavailable
Facility
$1064.65
No comparable office rate is available.
Iowa
Iowa · 61892
Office
Unavailable
Facility
$938.00
No comparable office rate is available.
Idaho
Idaho · 61892
Office
Unavailable
Facility
$955.64
No comparable office rate is available.
East St. Louis
Illinois · 61892
Office
Unavailable
Facility
$1272.70
No comparable office rate is available.
Rest Of Illinois
Illinois · 61892
Office
Unavailable
Facility
$1177.10
No comparable office rate is available.
Suburban Chicago
Illinois · 61892
Office
Unavailable
Facility
$1269.33
No comparable office rate is available.
Indiana
Indiana · 61892
Office
Unavailable
Facility
$961.13
No comparable office rate is available.
Kansas
Kansas · 61892
Office
Unavailable
Facility
$955.59
No comparable office rate is available.
Kentucky
Kentucky · 61892
Office
Unavailable
Facility
$1034.13
No comparable office rate is available.
New Orleans
Louisiana · 61892
Office
Unavailable
Facility
$1100.49
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61892
Office
Unavailable
Facility
$1041.37
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61892
Office
Unavailable
Facility
$1171.57
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61892
Office
Unavailable
Facility
$1083.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61892
Office
Unavailable
Facility
$1182.13
No comparable office rate is available.
Rest Of Maryland
Maryland · 61892
Office
Unavailable
Facility
$1089.05
No comparable office rate is available.
Rest Of Maine
Maine · 61892
Office
Unavailable
Facility
$986.30
No comparable office rate is available.
Southern Maine
Maine · 61892
Office
Unavailable
Facility
$1016.68
No comparable office rate is available.
Detroit
Michigan · 61892
Office
Unavailable
Facility
$1223.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 61892
Office
Unavailable
Facility
$1087.80
No comparable office rate is available.
Minnesota
Minnesota · 61892
Office
Unavailable
Facility
$963.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61892
Office
Unavailable
Facility
$1066.97
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61892
Office
Unavailable
Facility
$1077.34
No comparable office rate is available.
Rest Of Missouri
Missouri · 61892
Office
Unavailable
Facility
$1035.42
No comparable office rate is available.
Mississippi
Mississippi · 61892
Office
Unavailable
Facility
$986.66
No comparable office rate is available.
Montana**
Montana · 61892
Office
Unavailable
Facility
$1095.81
No comparable office rate is available.
North Carolina
North Carolina · 61892
Office
Unavailable
Facility
$995.02
No comparable office rate is available.
North Dakota**
North Dakota · 61892
Office
Unavailable
Facility
$974.00
No comparable office rate is available.
Nebraska
Nebraska · 61892
Office
Unavailable
Facility
$937.30
No comparable office rate is available.
New Hampshire
New Hampshire · 61892
Office
Unavailable
Facility
$1086.97
No comparable office rate is available.
Northern Nj
New Jersey · 61892
Office
Unavailable
Facility
$1205.28
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61892
Office
Unavailable
Facility
$1172.69
No comparable office rate is available.
New Mexico
New Mexico · 61892
Office
Unavailable
Facility
$1104.22
No comparable office rate is available.
Nevada**
Nevada · 61892
Office
Unavailable
Facility
$1062.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61892
Office
Unavailable
Facility
$1379.76
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61892
Office
Unavailable
Facility
$1199.59
No comparable office rate is available.
Queens
New York · 61892
Office
Unavailable
Facility
$1291.56
No comparable office rate is available.
Rest Of New York
New York · 61892
Office
Unavailable
Facility
$1015.02
No comparable office rate is available.
Ohio
Ohio · 61892
Office
Unavailable
Facility
$1062.91
No comparable office rate is available.
Oklahoma
Oklahoma · 61892
Office
Unavailable
Facility
$1007.34
No comparable office rate is available.
Portland
Oregon · 61892
Office
Unavailable
Facility
$1095.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 61892
Office
Unavailable
Facility
$1033.50
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61892
Office
Unavailable
Facility
$1161.20
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61892
Office
Unavailable
Facility
$1051.95
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61892
Office
Unavailable
Facility
$1097.55
No comparable office rate is available.
Rhode Island
Rhode Island · 61892
Office
Unavailable
Facility
$1096.54
No comparable office rate is available.
South Carolina
South Carolina · 61892
Office
Unavailable
Facility
$1034.82
No comparable office rate is available.
South Dakota**
South Dakota · 61892
Office
Unavailable
Facility
$959.60
No comparable office rate is available.
Tennessee
Tennessee · 61892
Office
Unavailable
Facility
$964.39
No comparable office rate is available.
Austin
Texas · 61892
Office
Unavailable
Facility
$1097.04
No comparable office rate is available.
Beaumont
Texas · 61892
Office
Unavailable
Facility
$1045.45
No comparable office rate is available.
Brazoria
Texas · 61892
Office
Unavailable
Facility
$1051.25
No comparable office rate is available.
Dallas
Texas · 61892
Office
Unavailable
Facility
$1069.79
No comparable office rate is available.
Fort Worth
Texas · 61892
Office
Unavailable
Facility
$1068.45
No comparable office rate is available.
Galveston
Texas · 61892
Office
Unavailable
Facility
$1061.93
No comparable office rate is available.
Houston
Texas · 61892
Office
Unavailable
Facility
$1174.68
No comparable office rate is available.
Rest Of Texas
Texas · 61892
Office
Unavailable
Facility
$1055.77
No comparable office rate is available.
Utah
Utah · 61892
Office
Unavailable
Facility
$1051.12
No comparable office rate is available.
Virginia
Virginia · 61892
Office
Unavailable
Facility
$1028.90
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61892
Office
Unavailable
Facility
$1097.55
No comparable office rate is available.
Vermont
Vermont · 61892
Office
Unavailable
Facility
$990.56
No comparable office rate is available.
Rest Of Washington
Washington · 61892
Office
Unavailable
Facility
$1074.69
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61892
Office
Unavailable
Facility
$1174.21
No comparable office rate is available.
Wisconsin
Wisconsin · 61892
Office
Unavailable
Facility
$936.96
No comparable office rate is available.
West Virginia
West Virginia · 61892
Office
Unavailable
Facility
$1132.26
No comparable office rate is available.
Wyoming**
Wyoming · 61892
Office
Unavailable
Facility
$1042.72
No comparable office rate is available.
See how rates vary across the country
61892 · 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 61892 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1152.39
$1047.63 × 110% = $1152.39
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 61892 in Madera.
PPRRVU2026_Oct_nonQPP.csv
6,906
- Code
- 61892
- Physician work
- 14.63
- Practice expense
- 12.03
- Malpractice
- 6.16
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.017 | 14.8787 |
| Practice expense | 12.03 | × 1.096 | 13.1849 |
| Malpractice | 6.16 | × 0.536 | 3.3018 |
| Total RVUs | 31.3653 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1047.63
Open 61892 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1.017 |
| Practice expense | 12.03 | 1.096 |
| Malpractice | 6.16 | 0.536 |
(14.63 × 1.017 + 12.03 × 1.096 + 6.16 × 0.536) × $33.4009 = $1047.63
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
61892 · 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 | $1047.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $1047.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $1047.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $1047.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $815.62 | RVU25D |
| 2025-07-01 | Not available in this setting | $815.62 | RVU25C |
| 2025-04-01 | Not available in this setting | $815.62 | RVU25B |
| 2025-01-01 | Not available in this setting | $815.62 | RVU25A |
61892 billing questions
How does 61892 differ from 61888?
61892 is for removal of a skull-mounted cranial neurostimulator generator or receiver. 61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration.
Should 61892 be used for removal of an electrode?
No. The code identifies removal of the skull-mounted generator or receiver, not an intracranial neuroelectrode. Select the applicable electrode procedure code when the work is electrode removal or revision.
What documentation supports reporting 61892?
The operative report should identify the skull-mounted cranial neurostimulator generator or receiver and document its removal. Documentation of electrode work alone does not support this code.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and multiple procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
6,90361888,,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
6,90661892,,Rmv sk-mnt crnl nstm pg/rcvr,A,,14.63,12.03,NA,12.03,,6.16,32.82,32.82,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90762000,,Treat skull fracture,A,,13.58,11.86,NA,11.86,,5.72,31.16,31.16,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90862005,,Treat skull fracture,A,,17.19,13.38,NA,13.38,,7.26,37.83,37.83,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90962010,,Treatment of head injury,A,,20.89,15.74,NA,15.74,,8.81,45.44,45.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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