CPT code 61880: Neuroelectrode surgery2026 Medicare rate & RVUs in Alabama

Neurosurgeons report this service when an implanted intracranial stimulation lead is surgically repositioned or removed, rather than when a new lead is implanted.

CMS RVU26DEffective Oct 1, 20261 payment locality398 Medicare services in 2024

CMS doesn’t publish an office rate for 61880 in Alabama.

—Office (non-facility)
$541.13Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 61880 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alabama
  2. What 61880 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 61880 covers

A neurosurgeon uses this service for operative work on an existing intracranial stimulation electrode, such as a deep brain stimulation lead used to treat a movement disorder. The procedure may revise the lead’s position or remove it, for example when an implanted lead has migrated or needs to be explanted. It is generally performed in a hospital operating room, with the operative report identifying the electrode and the work performed.

Report the service for revision or removal of the intracranial electrode, not for implantation of a new lead or work limited to a pulse generator or receiver. The record should establish which lead was treated and whether it was repositioned or removed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

61880 in Alabama

61880 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$541.13

How the 61880 rate is calculated

Each of 61880’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 61880

RVUs × geographic indexes × conversion factor

Work6.78

6.78 RVUs× 1.000 GPCI

Practice expense8.93

8.93 RVUs× 1.000 GPCI

Malpractice2.84

2.84 RVUs× 1.000 GPCI

Adjusted RVUs

18.5500

Conversion factor

$33.4009

Medicare rate

$619.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 61880

61880 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 61880

Neuroelectrode surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 61880

Neuroelectrode surgery

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

61880 without 50 · national facility

$619.59

Neuroelectrode surgery

61880-50 · Bilateral: 150%

$929.39

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

61880 compared with similar codes

Compare codes · National

4 codes, side by side

  • 61880

    Neuroelectrode surgery6.78 wRVU

    Not priced

  • 61863

    Brain electrode placement20.19 wRVU

    Not priced

  • 61867

    Neuroelectrode placement32.2 wRVU

    Not priced

  • 61888

    Neurostimulator surgery5.1 wRVU

    Not priced

How to choose

61863Brain electrode placement
Choose 61863 for the specified stereotactic implantation of a new intracranial electrode array. Choose 61880 when the surgeon revises or removes an existing intracranial stimulation electrode.
61867Neuroelectrode placement
61867 describes new stereotactic electrode implantation with microelectrode recording. It is not the code for repositioning or removing an already implanted electrode.
61888Neurostimulator surgery
61888 concerns revision or removal of the neurostimulator pulse generator or receiver. This code concerns the intracranial electrode itself.

61880 billing questions

How is this different from implanting a new intracranial lead?

Use this code for operative revision or removal of an existing intracranial stimulation electrode. Codes such as 61863 or 61867 describe new electrode implantation in their respective circumstances.

Does this code cover work on the pulse generator or receiver?

No. This service concerns the intracranial electrode; code 61888 describes revision or removal of a neurostimulator pulse generator or receiver.

What documentation supports reporting this service?

The operative report should identify the intracranial electrode and describe whether the surgeon revised its position or removed it. Documenting only generator or receiver work does not support this electrode service.

How does Medicare treat multiple procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. The code also has a 90-day global period that includes related postoperative care.

Can modifier 50 or an assistant-at-surgery claim be used?

For a bilateral procedure, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 61880PPRRVU2026_Oct_nonQPP.csv, line 6,900 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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