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 Neurostimulator surgery Medicare reimbursement rates in Massachusetts
Revision or removal of an implanted cranial neurostimulator receiver or pulse generator when the existing cranial component is surgically altered or taken out. Compare 61888 office and facility rates across CMS payment localities in Massachusetts.
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 61888 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$400.77–$434.58
2 of 2 localities have a supported rate.
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.
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 Massachusetts, 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.
Compare 61888 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$434.58
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$400.77
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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