No office rate
61867 is the primary electrode-placement service using intraoperative microelectrode recording. Use 61868 only for additional arrays placed with that primary service.
On this page
CMS RVU26D · Effective 2026-10-01
61868 DBS electrode Medicare reimbursement rates in Michigan
Reports each additional subcortical neurostimulator electrode array implanted during a procedure that uses intraoperative microelectrode recording. Compare 61868 office and facility rates across CMS payment localities in Michigan.
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 61868 in Michigan?
Michigan 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
$462.04–$527.00
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 61868: Additional subcortical neurostimulator electrode array
Reports each additional subcortical neurostimulator electrode array implanted during a procedure that uses intraoperative microelectrode recording.
A neurosurgeon reports 61868 for each additional subcortical neurostimulator electrode array implanted during the same operation as the primary electrode-placement service. The procedure uses intraoperative microelectrode recording and imaging guidance to support electrode placement. It is commonly part of deep brain stimulation surgery for conditions such as Parkinson disease, essential tremor, or dystonia, typically in a hospital operating room.
Report 61868 with the corresponding primary code, 61867, when the operative record supports placement of additional arrays beyond the primary service. The record should identify the arrays implanted and document use of intraoperative microelectrode recording. This is an add-on code: it is billed only with a primary procedure and is paid within that procedure’s global period. A separately implanted cranial pulse generator may be reported when performed and supported by its own documentation.
CMS billing rules for 61868
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU7.71 · 56%
- Practice expense (office) RVU2.70 · 20%
- Malpractice RVU3.24 · 24%
1.2K
Medicare services in 2024 · #2845 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.
61868 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
61864 reports additional arrays when the procedure does not use intraoperative microelectrode recording; 61868 is for the recording pathway.
No office rate
61863 is the primary electrode-placement service without intraoperative microelectrode recording, rather than the additional-array add-on for the recording pathway.
No office rate
61886 describes implantation or replacement of a cranial pulse generator for two or more arrays, not placement of an additional brain electrode array.
Compare 61868 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
Detroit →
Office / nonfacility
Unavailable
Facility
$527.00
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$462.04
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61868 billing questions
Which primary code must accompany 61868?
Report 61868 with 61867, the primary electrode-placement service involving intraoperative microelectrode recording. It is not reported by itself.
How does 61868 differ from 61864?
Both describe an additional electrode array, but 61868 belongs to the pathway using intraoperative microelectrode recording; 61864 is the corresponding add-on when that recording is not used.
What documentation supports reporting an additional array?
The operative report should identify the additional array or arrays implanted and document the use of intraoperative microelectrode recording during electrode placement.
Can the pulse generator be reported with 61868?
A cranial neurostimulator pulse generator may be reported when it is implanted during the same encounter and the operative record supports that separate service. Code 61886 describes a generator service for two or more arrays.
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.
6,89661863,,Implant neuroelectrode,A,,20.19,16.07,NA,16.07,,8.53,44.79,44.79,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89761864,,Implant neuroelectrde addl,A,,4.38,1.54,NA,1.54,,1.84,7.76,7.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89861867,,Implant neuroelectrode,A,,32.20,20.26,NA,20.26,,13.60,66.06,66.06,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,89961868,,Implant neuroelectrde addl,A,,7.71,2.70,NA,2.70,,3.24,13.65,13.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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