Billing code 61892: Neurostimulator removalMedicare rate & RVUs in Florida
Report 61892 for surgical removal of an implanted skull-mounted cranial neurostimulator pulse generator or receiver.
CMS doesn’t publish an office rate for 61892 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 61892 covers
This service removes the pulse generator or receiver of a cranial neurostimulation system that is mounted to the skull. A neurosurgeon typically performs the operation in a hospital or other surgical facility, exposing the implanted device and removing it from its cranial attachment. The code identifies removal of the generator or receiver, rather than removal of an intracranial electrode alone.
Select 61892 when the operative report supports removal of the skull-mounted device; revision or replacement is a different service. Documentation should identify the device and describe its removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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.
Where 61892 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,267.69 |
| Miami | Unavailable | $1,427.28 |
| Rest Of Florida | Unavailable | $1,182.03 |
How the 61892 rate is calculated
Each of 61892’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 · 61892
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.63Practice expense 12.03Malpractice 6.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 61892
61892 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61892
Neurostimulator removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 61892
Neurostimulator removal
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
61892 without 50 · national facility
$1,096.22
Neurostimulator removal
61892-50 · Bilateral: 150%
$1,644.33
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).
61892 compared with similar codes
Compare codes
61892 vs 61891 vs 61889 vs 61888 vs 61880: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 61891Neurostimulator revision
- Use 61891 when the skull-mounted device is revised or replaced; 61892 identifies its removal.
- 61889Neurostimulator implant
- 61889 describes insertion or replacement of a skull-mounted cranial neurostimulator generator or receiver, rather than removal.
- 61888Neurostimulator surgery
- 61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration; 61892 specifies the skull-mounted device.
- 61880Neuroelectrode surgery
- 61880 addresses revision or removal of a neuroelectrode. 61892 is for removal of the skull-mounted generator or receiver.
61892 billing questions
How does 61892 differ from 61888?
61892 is for removal of a skull-mounted cranial neurostimulator generator or receiver. 61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration.
Should 61892 be used for removal of an electrode?
No. The code identifies removal of the skull-mounted generator or receiver, not an intracranial neuroelectrode. Select the applicable electrode procedure code when the work is electrode removal or revision.
What documentation supports reporting 61892?
The operative report should identify the skull-mounted cranial neurostimulator generator or receiver and document its removal. Documentation of electrode work alone does not support this code.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and multiple procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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
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