No office rate
Both involve cortical neurostimulator electrodes. 61850 uses a twist-drill or burr-hole approach; 61860 involves craniotomy or craniectomy.
On this page
CMS RVU26D · Effective 2026-10-01
61860 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1451.46
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 61860: Cortical neurostimulator electrode implantation
Cranial surgery to place neurostimulator electrodes on the cerebral cortex when cortical electrode implantation requires a craniotomy or craniectomy.
A neurosurgeon exposes the cerebral cortex through a craniotomy or craniectomy and places neurostimulator electrodes at the planned cortical target. The procedure may be part of treatment planning for a patient who needs cortical neuromodulation, such as for epilepsy. It is performed in an operating room, typically in a hospital facility. The operative report should identify the cortical target and document the surgical exposure and electrode placement.
Report 61860 for cortical electrode implantation using craniotomy or craniectomy, rather than the burr-hole approach represented by 61850. The day-before preoperative visit and 90 days of related postoperative care are included in its 90-day global period. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 61860
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU21.70 · 47%
- Practice expense (office) RVU14.97 · 33%
- Malpractice RVU9.17 · 20%
17
Medicare services in 2024 · #6019 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.
61860 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
61863 is for subcortical electrode-array implantation using a stereotactic frame. 61860 concerns electrodes placed at a cerebral cortical target.
No office rate
61867 involves subcortical electrode-array implantation with connection to a pulse generator or receiver during the session; 61860 is cortical electrode implantation.
The same code, a different location
How does Wyoming** compare?
61860 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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 Wyoming 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
Alabama
Alabama · 61860
Office
Unavailable
Facility
$1335.67
No comparable office rate is available.
Arkansas
Arkansas · 61860
Office
Unavailable
Facility
$1312.05
No comparable office rate is available.
Arizona
Arizona · 61860
Office
Unavailable
Facility
$1471.49
No comparable office rate is available.
Bakersfield
California · 61860
Office
Unavailable
Facility
$1473.11
No comparable office rate is available.
Chico
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
El Centro
California · 61860
Office
Unavailable
Facility
$1450.83
No comparable office rate is available.
Fresno
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Hanford-Corcoran
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Madera
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Merced
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Modesto
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Napa
California · 61860
Office
Unavailable
Facility
$1585.07
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61860
Office
Unavailable
Facility
$1526.92
No comparable office rate is available.
Redding
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Rest Of California
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61860
Office
Unavailable
Facility
$1547.12
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61860
Office
Unavailable
Facility
$1496.58
No comparable office rate is available.
Salinas
California · 61860
Office
Unavailable
Facility
$1490.95
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61860
Office
Unavailable
Facility
$1510.56
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61860
Office
Unavailable
Facility
$1639.26
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61860
Office
Unavailable
Facility
$1628.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61860
Office
Unavailable
Facility
$1689.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61860
Office
Unavailable
Facility
$1647.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61860
Office
Unavailable
Facility
$1470.80
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61860
Office
Unavailable
Facility
$1511.70
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61860
Office
Unavailable
Facility
$1492.28
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61860
Office
Unavailable
Facility
$1524.73
No comparable office rate is available.
Stockton
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Vallejo
California · 61860
Office
Unavailable
Facility
$1570.06
No comparable office rate is available.
Visalia
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Yuba City
California · 61860
Office
Unavailable
Facility
$1449.30
No comparable office rate is available.
Colorado
Colorado · 61860
Office
Unavailable
Facility
$1504.72
No comparable office rate is available.
Connecticut
Connecticut · 61860
Office
Unavailable
Facility
$1648.41
No comparable office rate is available.
Delaware
Delaware · 61860
Office
Unavailable
Facility
$1497.79
No comparable office rate is available.
Fort Lauderdale
Florida · 61860
Office
Unavailable
Facility
$1785.08
No comparable office rate is available.
Rest Of Florida
Florida · 61860
Office
Unavailable
Facility
$1663.16
No comparable office rate is available.
Atlanta
Georgia · 61860
Office
Unavailable
Facility
$1602.84
No comparable office rate is available.
Rest Of Georgia
Georgia · 61860
Office
Unavailable
Facility
$1535.90
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61860
Office
Unavailable
Facility
$1470.65
No comparable office rate is available.
Iowa
Iowa · 61860
Office
Unavailable
Facility
$1303.91
No comparable office rate is available.
Idaho
Idaho · 61860
Office
Unavailable
Facility
$1329.68
No comparable office rate is available.
East St. Louis
Illinois · 61860
Office
Unavailable
Facility
$1801.67
No comparable office rate is available.
Rest Of Illinois
Illinois · 61860
Office
Unavailable
Facility
$1660.04
No comparable office rate is available.
Suburban Chicago
Illinois · 61860
Office
Unavailable
Facility
$1786.12
No comparable office rate is available.
Indiana
Indiana · 61860
Office
Unavailable
Facility
$1337.17
No comparable office rate is available.
Kansas
Kansas · 61860
Office
Unavailable
Facility
$1331.18
No comparable office rate is available.
Kentucky
Kentucky · 61860
Office
Unavailable
Facility
$1449.56
No comparable office rate is available.
New Orleans
Louisiana · 61860
Office
Unavailable
Facility
$1543.25
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61860
Office
Unavailable
Facility
$1460.73
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61860
Office
Unavailable
Facility
$1624.12
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61860
Office
Unavailable
Facility
$1507.02
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61860
Office
Unavailable
Facility
$1651.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 61860
Office
Unavailable
Facility
$1519.23
No comparable office rate is available.
Rest Of Maine
Maine · 61860
Office
Unavailable
Facility
$1375.32
No comparable office rate is available.
Southern Maine
Maine · 61860
Office
Unavailable
Facility
$1413.58
No comparable office rate is available.
Detroit
Michigan · 61860
Office
Unavailable
Facility
$1723.71
No comparable office rate is available.
Rest Of Michigan
Michigan · 61860
Office
Unavailable
Facility
$1527.11
No comparable office rate is available.
Minnesota
Minnesota · 61860
Office
Unavailable
Facility
$1329.97
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61860
Office
Unavailable
Facility
$1493.55
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61860
Office
Unavailable
Facility
$1507.71
No comparable office rate is available.
Rest Of Missouri
Missouri · 61860
Office
Unavailable
Facility
$1454.13
No comparable office rate is available.
Mississippi
Mississippi · 61860
Office
Unavailable
Facility
$1381.65
No comparable office rate is available.
Montana**
Montana · 61860
Office
Unavailable
Facility
$1530.48
No comparable office rate is available.
North Carolina
North Carolina · 61860
Office
Unavailable
Facility
$1387.03
No comparable office rate is available.
North Dakota**
North Dakota · 61860
Office
Unavailable
Facility
$1349.16
No comparable office rate is available.
Nebraska
Nebraska · 61860
Office
Unavailable
Facility
$1302.09
No comparable office rate is available.
New Hampshire
New Hampshire · 61860
Office
Unavailable
Facility
$1513.31
No comparable office rate is available.
Northern Nj
New Jersey · 61860
Office
Unavailable
Facility
$1677.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61860
Office
Unavailable
Facility
$1635.80
No comparable office rate is available.
New Mexico
New Mexico · 61860
Office
Unavailable
Facility
$1551.16
No comparable office rate is available.
Nevada**
Nevada · 61860
Office
Unavailable
Facility
$1480.45
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61860
Office
Unavailable
Facility
$1934.47
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61860
Office
Unavailable
Facility
$1675.53
No comparable office rate is available.
Queens
New York · 61860
Office
Unavailable
Facility
$1803.87
No comparable office rate is available.
Rest Of New York
New York · 61860
Office
Unavailable
Facility
$1415.13
No comparable office rate is available.
Ohio
Ohio · 61860
Office
Unavailable
Facility
$1490.05
No comparable office rate is available.
Oklahoma
Oklahoma · 61860
Office
Unavailable
Facility
$1409.29
No comparable office rate is available.
Portland
Oregon · 61860
Office
Unavailable
Facility
$1519.79
No comparable office rate is available.
Rest Of Oregon
Oregon · 61860
Office
Unavailable
Facility
$1438.13
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61860
Office
Unavailable
Facility
$1623.76
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61860
Office
Unavailable
Facility
$1473.25
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61860
Office
Unavailable
Facility
$1532.00
No comparable office rate is available.
Rhode Island
Rhode Island · 61860
Office
Unavailable
Facility
$1528.29
No comparable office rate is available.
South Carolina
South Carolina · 61860
Office
Unavailable
Facility
$1447.15
No comparable office rate is available.
South Dakota**
South Dakota · 61860
Office
Unavailable
Facility
$1327.72
No comparable office rate is available.
Tennessee
Tennessee · 61860
Office
Unavailable
Facility
$1343.79
No comparable office rate is available.
Austin
Texas · 61860
Office
Unavailable
Facility
$1526.63
No comparable office rate is available.
Beaumont
Texas · 61860
Office
Unavailable
Facility
$1464.35
No comparable office rate is available.
Brazoria
Texas · 61860
Office
Unavailable
Facility
$1465.01
No comparable office rate is available.
Dallas
Texas · 61860
Office
Unavailable
Facility
$1492.13
No comparable office rate is available.
Fort Worth
Texas · 61860
Office
Unavailable
Facility
$1491.11
No comparable office rate is available.
Galveston
Texas · 61860
Office
Unavailable
Facility
$1480.71
No comparable office rate is available.
Houston
Texas · 61860
Office
Unavailable
Facility
$1648.56
No comparable office rate is available.
Rest Of Texas
Texas · 61860
Office
Unavailable
Facility
$1475.89
No comparable office rate is available.
Utah
Utah · 61860
Office
Unavailable
Facility
$1469.86
No comparable office rate is available.
Virginia
Virginia · 61860
Office
Unavailable
Facility
$1432.55
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61860
Office
Unavailable
Facility
$1532.00
No comparable office rate is available.
Vermont
Vermont · 61860
Office
Unavailable
Facility
$1374.79
No comparable office rate is available.
Rest Of Washington
Washington · 61860
Office
Unavailable
Facility
$1493.82
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61860
Office
Unavailable
Facility
$1624.79
No comparable office rate is available.
Wisconsin
Wisconsin · 61860
Office
Unavailable
Facility
$1298.15
No comparable office rate is available.
West Virginia
West Virginia · 61860
Office
Unavailable
Facility
$1597.61
No comparable office rate is available.
See how rates vary across the country
61860 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 61860 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1596.61
$1451.46 × 110% = $1596.61
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 61860 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,895
- Code
- 61860
- Physician work
- 21.70
- Practice expense
- 14.97
- Malpractice
- 9.17
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.70 | × 1.000 | 21.7000 |
| Practice expense | 14.97 | × 1.000 | 14.9700 |
| Malpractice | 9.17 | × 0.740 | 6.7858 |
| Total RVUs | 43.4558 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1451.46
Open 61860 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.7 | 1 |
| Practice expense | 14.97 | 1 |
| Malpractice | 9.17 | 0.74 |
(21.7 × 1 + 14.97 × 1 + 9.17 × 0.74) × $33.4009 = $1451.46
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
61860 · 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 | $1451.46 | RVU26D |
| 2026-07-01 | Not available in this setting | $1451.46 | RVU26C |
| 2026-04-01 | Not available in this setting | $1451.46 | RVU26B |
| 2026-01-01 | Not available in this setting | $1451.46 | RVU26A |
| 2025-10-01 | Not available in this setting | $1472.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $1472.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $1472.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $1472.15 | RVU25A |
61860 billing questions
How does 61860 differ from 61850?
Both concern cortical neurostimulator electrode placement. Use 61860 when the electrodes are implanted through a craniotomy or craniectomy; 61850 represents a twist-drill or burr-hole approach.
Does 61860 include cranial pulse-generator placement?
61860 describes cortical electrode implantation. When a cranial pulse generator is also implanted in the same operative session, the applicable generator code may be reported separately.
Should modifier 50 be appended for electrodes on both sides?
No. The CMS bilateral adjustment does not apply to 61860, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code under the listed CMS rules.
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.
6,89261799,,Srs cran les complex addl,A,,4.69,1.63,NA,1.63,,1.93,8.25,8.25,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89361800,,Apply srs headframe add-on,A,,2.19,1.25,NA,1.25,,0.92,4.36,4.36,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89461850,,Implant neuroelectrodes,A,,13.01,11.15,NA,11.15,,5.48,29.64,29.64,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89561860,,Implant neuroelectrodes,A,,21.70,14.97,NA,14.97,,9.17,45.84,45.84,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,