No office rate
Choose 63661 for removal of a percutaneous electrode array. Choose 63662 when the electrode being removed is a surgically placed paddle or plate.
On this page
CMS RVU26D · Effective 2026-10-01
63661 Lead removal Medicare reimbursement rates in Missouri
Removal of a percutaneous spinal cord stimulation electrode array, reported when the implanted epidural leads are extracted rather than revised or left in place. Compare 63661 office and facility rates across CMS payment localities in Missouri.
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 63661 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$667.38–$717.39
3 of 3 localities have a supported rate.
Facility setting
$292.80–$303.70
3 of 3 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.
Where 63661 pays more and less in Missouri
3 payment localities
$667.38 to $717.39
Neuromodulation surgery
About 63661: Percutaneous spinal stimulator lead removal
Removal of a percutaneous spinal cord stimulation electrode array, reported when the implanted epidural leads are extracted rather than revised or left in place.
This procedure removes percutaneously placed epidural leads from a spinal cord stimulation system. Neurosurgeons and pain specialists commonly perform it when leads have migrated, fractured, become infected, or are no longer needed. The code concerns the electrode array, not removal or replacement of the pulse generator in its pocket. Fluoroscopy, when performed, is included in the service.
Report 63661 when the percutaneous array is extracted; use a revision code when the lead is repositioned or otherwise revised instead. The operative note should identify the percutaneous approach and document which leads were removed and why. Related postoperative visits are included in the 10-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63661
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU4.95 · 22%
- Practice expense (office) RVU16.33 · 73%
- Malpractice RVU0.98 · 4%
6.5K
Medicare services in 2024 · #1708 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.
63661 compared with similar codes
Office rates for Missouri, from the same CMS release.
$860.60–$921.43
63661 describes extraction of a percutaneous array; 63663 is for revising the array rather than removing it.
No office rate
63664 is revision of a surgically placed paddle or plate electrode. 63661 is removal of a percutaneous array.
No office rate
63688 concerns the pulse generator or receiver and its connection component, not removal of the spinal electrode array.
Compare 63661 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$709.48
Facility
$301.44
Metropolitan St. Louis →
Office / nonfacility
$717.39
Facility
$303.70
Rest Of Missouri →
Office / nonfacility
$667.38
Facility
$292.80
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63661 billing questions
How does 63661 differ from 63662?
63661 is for removing a percutaneously placed electrode array. 63662 is for removing a surgically placed paddle or plate electrode.
Should removal or revision be reported when a lead is repositioned?
Use 63661 when the percutaneous array is removed. If the lead is revised rather than extracted, consider 63663 and document the work performed.
Can 63661 be reported with new lead placement?
It may be reported with 63650 when the old percutaneous array is removed and a new percutaneous array is placed in the same session; document both services.
Is modifier 50 appropriate for bilateral lead removal?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included. Document the removal and the reason for it in the operative note.
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.
7,07663621,,Srs spinal lesion addl,A,,3.90,1.37,NA,1.37,,1.64,6.91,6.91,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07763650,,Implant neuroelectrodes,A,,6.97,63.75,,3.48,,0.79,71.51,11.24,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07863655,,Implant neuroelectrodes,A,,10.65,10.63,NA,10.63,,3.83,25.11,25.11,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07963661,,Remove spine eltrd perq aray,A,,4.95,16.33,,3.32,,0.98,22.26,9.25,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08063662,,Remove spine eltrd plate,A,,10.73,10.84,NA,10.84,,3.87,25.44,25.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08163663,,Revise spine eltrd perq aray,A,,7.56,19.90,,3.62,,1.08,28.54,12.26,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08263664,,Revise spine eltrd plate,A,,11.23,11.20,NA,11.20,,4.11,26.54,26.54,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00