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CMS RVU26D · Effective 2026-10-01

61867 Neuroelectrode placement Medicare reimbursement rates in Connecticut

Reports unilateral stereotactic placement of a subcortical neurostimulator electrode using intraoperative microelectrode recording to guide deep brain stimulation targeting. Compare 61867 office and facility rates across CMS payment localities in Connecticut.

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 61867 in Connecticut?

Connecticut 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

$2375.47

1 of 1 localities have a supported rate.

Payment area: Connecticut

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 61867 in your payment locality →

Neurosurgery

About 61867: Subcortical neuroelectrode placement with recording

Reports unilateral stereotactic placement of a subcortical neurostimulator electrode using intraoperative microelectrode recording to guide deep brain stimulation targeting.

A neurosurgeon places a neurostimulator electrode into a subcortical target through twist-drill or burr-hole access, using intraoperative microelectrode recording to help identify the intended target. The procedure is used for deep brain stimulation, including treatment of movement disorders such as Parkinson disease, essential tremor, or dystonia. It is generally performed in a hospital operating room with stereotactic guidance.

Report this code for the unilateral electrode placement when intraoperative microelectrode recording is used; use 61863 when it is not. The additional-array code 61868 applies to each additional array. Document the target, side, approach, electrode array count, and use of recording. The 90-day global period includes the day-before preoperative visit and related postoperative care. For bilateral work, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 61867

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 RVU32.20 · 49%
  • Practice expense (office) RVU20.26 · 31%
  • Malpractice RVU13.60 · 21%

2.5K

Medicare services in 2024 · #2287 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.

61867 compared with similar codes

Office rates for Connecticut, from the same CMS release.

61863

Brain electrode placement

Subcortical, without microelectrode recording

No office rate

Use 61867 for subcortical placement with intraoperative microelectrode recording. Use 61863 for the corresponding placement without recording.

61868

DBS electrode

Additional array with microelectrode recording

No office rate

61867 reports the primary unilateral subcortical electrode placement with recording; 61868 reports each additional array.

61850

Cortical electrode implant

Burr-hole approach, no stereotaxy

No office rate

61850 is for cortical electrode placement. 61867 is for a subcortical target with intraoperative microelectrode recording.

61860

Cortical electrodes

Craniotomy or craniectomy

No office rate

61860 describes cortical electrode placement through craniotomy or craniectomy; 61867 uses twist-drill or burr-hole access for a subcortical target.

Compare 61867 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 61867 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

6,898

Code
61867
Physician work
32.20
Practice expense
20.26
Malpractice
13.60

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 61867 in Connecticut
ComponentRVULocality factorAdjusted
Physician work32.20× 1.02032.8440
Practice expense20.26× 1.07721.8200
Malpractice13.60× 1.21016.4560
Total RVUs71.1200
Conversion factor× 33.4009

Facility rate, Connecticut$2375.47

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
Work32.21.02
Practice expense20.261.077
Malpractice13.61.21

(32.2 × 1.02 + 20.26 × 1.077 + 13.6 × 1.21) × $33.4009 = $2375.47

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.

61867 billing questions

How does 61867 differ from 61863?

Both describe unilateral subcortical electrode placement through twist-drill or burr-hole access. Choose 61867 when intraoperative microelectrode recording is used; choose 61863 when it is not.

Can 61863 and 61867 be reported for the same electrode?

No. Select the code that matches whether microelectrode recording was used for that placement.

How are additional electrode arrays reported?

Report 61868 for each additional array in the applicable subcortical placement session.

How should bilateral placement be reported?

Report bilateral work with modifier 50. CMS pays the bilateral procedure at 150%.

What documentation supports 61867?

Document the subcortical target, laterality, electrode array count, burr-hole or twist-drill approach, and use of intraoperative microelectrode recording.

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 61867PPRRVU2026_Oct_nonQPP.csv, line 6,898 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)