No office rate
Choose 61888 when the cranial receiver or generator is revised or removed; choose 61880 when the work is on the neurostimulator electrode array.
On this page
CMS RVU26D · Effective 2026-10-01
61888 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$385.43
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 61888: Cranial neurostimulator receiver revision or removal
Revision or removal of an implanted cranial neurostimulator receiver or pulse generator when the existing cranial component is surgically altered or taken out.
A neurosurgeon exposes an implanted cranial neurostimulator receiver or pulse generator to revise or remove that component. The work concerns the cranial generator or receiver, rather than an intracranial electrode array. These procedures are generally performed in an operating room for patients with implanted neurostimulation systems, such as systems used for movement disorders or seizure treatment.
Report this code when the operative service addresses the existing cranial receiver or generator; use the insertion or replacement codes when that is the service performed, and the electrode revision code when the electrode array is the target. The operative note should identify the device component treated and whether it was revised or removed. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 61888
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU5.10 · 42%
- Practice expense (office) RVU4.93 · 41%
- Malpractice RVU2.04 · 17%
407
Medicare services in 2024 · #3726 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.
61888 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
61885 covers insertion or replacement of a cranial generator or receiver with a single array connection. This code is for revision or removal.
No office rate
61891 is specific to revision or replacement of a skull-mounted cranial neurostimulator. Distinguish the device type from the cranial receiver or generator service reported with 61888.
No office rate
61892 is specific to removal of a skull-mounted cranial neurostimulator; 61888 addresses revision or removal of the cranial receiver or generator.
The same code, a different location
How does Wyoming** compare?
61888 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 · 61888
Office
Unavailable
Facility
$352.99
No comparable office rate is available.
Arkansas
Arkansas · 61888
Office
Unavailable
Facility
$346.88
No comparable office rate is available.
Arizona
Arizona · 61888
Office
Unavailable
Facility
$388.23
No comparable office rate is available.
Bakersfield
California · 61888
Office
Unavailable
Facility
$395.55
No comparable office rate is available.
Chico
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
El Centro
California · 61888
Office
Unavailable
Facility
$390.58
No comparable office rate is available.
Fresno
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Hanford-Corcoran
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Madera
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Merced
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Modesto
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Napa
California · 61888
Office
Unavailable
Facility
$432.72
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61888
Office
Unavailable
Facility
$412.20
No comparable office rate is available.
Redding
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Rest Of California
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61888
Office
Unavailable
Facility
$412.01
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61888
Office
Unavailable
Facility
$404.51
No comparable office rate is available.
Salinas
California · 61888
Office
Unavailable
Facility
$403.00
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61888
Office
Unavailable
Facility
$409.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61888
Office
Unavailable
Facility
$449.98
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61888
Office
Unavailable
Facility
$447.67
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61888
Office
Unavailable
Facility
$463.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61888
Office
Unavailable
Facility
$453.58
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61888
Office
Unavailable
Facility
$397.32
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61888
Office
Unavailable
Facility
$410.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61888
Office
Unavailable
Facility
$403.64
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61888
Office
Unavailable
Facility
$414.19
No comparable office rate is available.
Stockton
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Vallejo
California · 61888
Office
Unavailable
Facility
$429.38
No comparable office rate is available.
Visalia
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Yuba City
California · 61888
Office
Unavailable
Facility
$390.24
No comparable office rate is available.
Colorado
Colorado · 61888
Office
Unavailable
Facility
$400.81
No comparable office rate is available.
Connecticut
Connecticut · 61888
Office
Unavailable
Facility
$433.54
No comparable office rate is available.
Delaware
Delaware · 61888
Office
Unavailable
Facility
$395.14
No comparable office rate is available.
Fort Lauderdale
Florida · 61888
Office
Unavailable
Facility
$460.34
No comparable office rate is available.
Rest Of Florida
Florida · 61888
Office
Unavailable
Facility
$430.18
No comparable office rate is available.
Atlanta
Georgia · 61888
Office
Unavailable
Facility
$419.99
No comparable office rate is available.
Rest Of Georgia
Georgia · 61888
Office
Unavailable
Facility
$398.45
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61888
Office
Unavailable
Facility
$397.02
No comparable office rate is available.
Iowa
Iowa · 61888
Office
Unavailable
Facility
$348.07
No comparable office rate is available.
Idaho
Idaho · 61888
Office
Unavailable
Facility
$354.07
No comparable office rate is available.
East St. Louis
Illinois · 61888
Office
Unavailable
Facility
$459.07
No comparable office rate is available.
Rest Of Illinois
Illinois · 61888
Office
Unavailable
Facility
$427.18
No comparable office rate is available.
Suburban Chicago
Illinois · 61888
Office
Unavailable
Facility
$461.39
No comparable office rate is available.
Indiana
Indiana · 61888
Office
Unavailable
Facility
$356.11
No comparable office rate is available.
Kansas
Kansas · 61888
Office
Unavailable
Facility
$353.54
No comparable office rate is available.
Kentucky
Kentucky · 61888
Office
Unavailable
Facility
$379.08
No comparable office rate is available.
New Orleans
Louisiana · 61888
Office
Unavailable
Facility
$402.70
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61888
Office
Unavailable
Facility
$381.35
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61888
Office
Unavailable
Facility
$434.58
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61888
Office
Unavailable
Facility
$400.77
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61888
Office
Unavailable
Facility
$434.04
No comparable office rate is available.
Rest Of Maryland
Maryland · 61888
Office
Unavailable
Facility
$401.24
No comparable office rate is available.
Rest Of Maine
Maine · 61888
Office
Unavailable
Facility
$364.22
No comparable office rate is available.
Southern Maine
Maine · 61888
Office
Unavailable
Facility
$376.52
No comparable office rate is available.
Detroit
Michigan · 61888
Office
Unavailable
Facility
$444.13
No comparable office rate is available.
Rest Of Michigan
Michigan · 61888
Office
Unavailable
Facility
$397.61
No comparable office rate is available.
Minnesota
Minnesota · 61888
Office
Unavailable
Facility
$359.96
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61888
Office
Unavailable
Facility
$391.54
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61888
Office
Unavailable
Facility
$395.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 61888
Office
Unavailable
Facility
$378.65
No comparable office rate is available.
Mississippi
Mississippi · 61888
Office
Unavailable
Facility
$362.48
No comparable office rate is available.
Montana**
Montana · 61888
Office
Unavailable
Facility
$403.01
No comparable office rate is available.
North Carolina
North Carolina · 61888
Office
Unavailable
Facility
$367.52
No comparable office rate is available.
North Dakota**
North Dakota · 61888
Office
Unavailable
Facility
$362.67
No comparable office rate is available.
Nebraska
Nebraska · 61888
Office
Unavailable
Facility
$348.09
No comparable office rate is available.
New Hampshire
New Hampshire · 61888
Office
Unavailable
Facility
$401.38
No comparable office rate is available.
Northern Nj
New Jersey · 61888
Office
Unavailable
Facility
$444.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61888
Office
Unavailable
Facility
$431.72
No comparable office rate is available.
New Mexico
New Mexico · 61888
Office
Unavailable
Facility
$403.18
No comparable office rate is available.
Nevada**
Nevada · 61888
Office
Unavailable
Facility
$391.93
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61888
Office
Unavailable
Facility
$503.57
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61888
Office
Unavailable
Facility
$440.77
No comparable office rate is available.
Queens
New York · 61888
Office
Unavailable
Facility
$474.14
No comparable office rate is available.
Rest Of New York
New York · 61888
Office
Unavailable
Facility
$374.68
No comparable office rate is available.
Ohio
Ohio · 61888
Office
Unavailable
Facility
$389.37
No comparable office rate is available.
Oklahoma
Oklahoma · 61888
Office
Unavailable
Facility
$370.33
No comparable office rate is available.
Portland
Oregon · 61888
Office
Unavailable
Facility
$406.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 61888
Office
Unavailable
Facility
$382.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61888
Office
Unavailable
Facility
$426.12
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61888
Office
Unavailable
Facility
$385.90
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61888
Office
Unavailable
Facility
$403.94
No comparable office rate is available.
Rhode Island
Rhode Island · 61888
Office
Unavailable
Facility
$404.46
No comparable office rate is available.
South Carolina
South Carolina · 61888
Office
Unavailable
Facility
$380.41
No comparable office rate is available.
South Dakota**
South Dakota · 61888
Office
Unavailable
Facility
$357.91
No comparable office rate is available.
Tennessee
Tennessee · 61888
Office
Unavailable
Facility
$356.62
No comparable office rate is available.
Austin
Texas · 61888
Office
Unavailable
Facility
$405.27
No comparable office rate is available.
Beaumont
Texas · 61888
Office
Unavailable
Facility
$383.49
No comparable office rate is available.
Brazoria
Texas · 61888
Office
Unavailable
Facility
$388.04
No comparable office rate is available.
Dallas
Texas · 61888
Office
Unavailable
Facility
$394.35
No comparable office rate is available.
Fort Worth
Texas · 61888
Office
Unavailable
Facility
$393.59
No comparable office rate is available.
Galveston
Texas · 61888
Office
Unavailable
Facility
$391.64
No comparable office rate is available.
Houston
Texas · 61888
Office
Unavailable
Facility
$428.98
No comparable office rate is available.
Rest Of Texas
Texas · 61888
Office
Unavailable
Facility
$388.14
No comparable office rate is available.
Utah
Utah · 61888
Office
Unavailable
Facility
$386.32
No comparable office rate is available.
Virginia
Virginia · 61888
Office
Unavailable
Facility
$380.32
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61888
Office
Unavailable
Facility
$403.94
No comparable office rate is available.
Vermont
Vermont · 61888
Office
Unavailable
Facility
$367.84
No comparable office rate is available.
Rest Of Washington
Washington · 61888
Office
Unavailable
Facility
$397.81
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61888
Office
Unavailable
Facility
$436.58
No comparable office rate is available.
Wisconsin
Wisconsin · 61888
Office
Unavailable
Facility
$349.08
No comparable office rate is available.
West Virginia
West Virginia · 61888
Office
Unavailable
Facility
$410.94
No comparable office rate is available.
See how rates vary across the country
61888 · 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 61888 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$423.97
$385.43 × 110% = $423.97
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 61888 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,903
- Code
- 61888
- Physician work
- 5.10
- Practice expense
- 4.93
- Malpractice
- 2.04
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.10 | × 1.000 | 5.1000 |
| Practice expense | 4.93 | × 1.000 | 4.9300 |
| Malpractice | 2.04 | × 0.740 | 1.5096 |
| Total RVUs | 11.5396 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$385.43
Open 61888 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.1 | 1 |
| Practice expense | 4.93 | 1 |
| Malpractice | 2.04 | 0.74 |
(5.1 × 1 + 4.93 × 1 + 2.04 × 0.74) × $33.4009 = $385.43
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
61888 · 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 | $385.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $385.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $385.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $385.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $377.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $377.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $377.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $377.64 | RVU25A |
61888 billing questions
How do I distinguish this code from 61880?
Use 61888 for revision or removal of the cranial receiver or pulse generator. Code 61880 addresses revision or removal of the neurostimulator electrode array.
When should I use 61885 or 61886 instead?
Those codes describe insertion or replacement of a cranial neurostimulator generator or receiver. Use 61888 when the service is revision or removal of the existing component.
Are postoperative visits separately reported during the global period?
Related postoperative visits within the 10-day global period are included in the procedure.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services are not paid for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting this code?
Document the implanted cranial component treated and the work performed to revise or remove it. Identify whether the procedure instead involved insertion or replacement, or treatment of an electrode array.
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.
6,90061880,,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
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
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.,,,,,,