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CMS RVU26D · Effective 2026-10-01

61880 Neuroelectrode surgery Medicare reimbursement rates in Arkansas

Neurosurgeons report this service when an implanted intracranial stimulation lead is surgically repositioned or removed, rather than when a new lead is implanted. Compare 61880 office and facility rates across CMS payment localities in Arkansas.

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.

What does Medicare pay for 61880 in Arkansas?

Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$531.52

1 of 1 localities have a supported rate.

Payment area: Arkansas

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 61880 in your payment locality →

Neurosurgery

About 61880: Intracranial neuroelectrode revision or removal

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

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.

CMS billing rules for 61880

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
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.78 · 37%
  • Practice expense (office) RVU8.93 · 48%
  • Malpractice RVU2.84 · 15%

398

Medicare services in 2024 · #3742 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.

61880 compared with similar codes

Office rates for Arkansas, from the same CMS release.

61863

Brain electrode placement

Subcortical, without microelectrode recording

No office rate

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.

61867

Neuroelectrode placement

Subcortical, with microelectrode recording

No office rate

61867 describes new stereotactic electrode implantation with microelectrode recording. It is not the code for repositioning or removing an already implanted electrode.

61888

Neurostimulator surgery

Receiver revision or removal

No office rate

61888 concerns revision or removal of the neurostimulator pulse generator or receiver. This code concerns the intracranial electrode itself.

Compare 61880 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 61880 in Arkansas.

PPRRVU2026_Oct_nonQPP.csv

6,900

Code
61880
Physician work
6.78
Practice expense
8.93
Malpractice
2.84

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 61880 in Arkansas
ComponentRVULocality factorAdjusted
Physician work6.78× 1.0006.7800
Practice expense8.93× 0.8597.6709
Malpractice2.84× 0.5151.4626
Total RVUs15.9135
Conversion factor× 33.4009

Facility rate, Arkansas$531.52

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.781
Practice expense8.930.859
Malpractice2.840.515

(6.78 × 1 + 8.93 × 0.859 + 2.84 × 0.515) × $33.4009 = $531.52

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.

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 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.

RVUs for 61880PPRRVU2026_Oct_nonQPP.csv, line 6,900 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)