Billing code 61880: Neuroelectrode surgeryMedicare rate & RVUs in Nevada
Neurosurgeons report this service when an implanted intracranial stimulation lead is surgically repositioned or removed, rather than when a new lead is implanted.
CMS doesn’t publish an office rate for 61880 in Nevada.
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 61880 covers
A neurosurgeon uses this service for operative work on an existing intracranial stimulation electrode, such as a deep brain stimulation lead used to treat a movement disorder. The procedure may revise the lead’s position or remove it, for example when an implanted lead has migrated or needs to be explanted. It is generally performed in a hospital operating room, with the operative report identifying the electrode and the work performed.
Report the service for revision or removal of the intracranial electrode, not for implantation of a new lead or work limited to a pulse generator or receiver. The record should establish which lead was treated and whether it was repositioned or removed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is 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.
61880 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $604.04 |
How the 61880 rate is calculated
Each of 61880’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 · 61880
RVUs × geographic indexes × conversion factor
Work6.78
6.78 RVUs× 1.000 GPCI
Practice expense8.93
8.93 RVUs× 1.000 GPCI
Malpractice2.84
2.84 RVUs× 1.000 GPCI
Adjusted RVUs
18.5500
Conversion factor
$33.4009
Medicare rate
$619.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 61880
61880 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61880
Neuroelectrode surgery
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 61880
Neuroelectrode surgery
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
61880 without 50 · national facility
$619.59
Neuroelectrode surgery
61880-50 · Bilateral: 150%
$929.39
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).
61880 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 61863Brain electrode placement
- Choose 61863 for the specified stereotactic implantation of a new intracranial electrode array. Choose 61880 when the surgeon revises or removes an existing intracranial stimulation electrode.
- 61867Neuroelectrode placement
- 61867 describes new stereotactic electrode implantation with microelectrode recording. It is not the code for repositioning or removing an already implanted electrode.
- 61888Neurostimulator surgery
- 61888 concerns revision or removal of the neurostimulator pulse generator or receiver. This code concerns the intracranial electrode itself.
61880 billing questions
How is this different from implanting a new intracranial lead?
Use this code for operative revision or removal of an existing intracranial stimulation electrode. Codes such as 61863 or 61867 describe new electrode implantation in their respective circumstances.
Does this code cover work on the pulse generator or receiver?
No. This service concerns the intracranial electrode; code 61888 describes revision or removal of a neurostimulator pulse generator or receiver.
What documentation supports reporting this service?
The operative report should identify the intracranial electrode and describe whether the surgeon revised its position or removed it. Documenting only generator or receiver work does not support this electrode service.
How does Medicare treat multiple procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. The code also has a 90-day global period that includes related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
For a bilateral procedure, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation.
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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