No office rate
Use 61885 when the generator connects to one electrode array. Use 61886 when it connects to two or more.
On this page
CMS RVU26D · Effective 2026-10-01
61886 Neurostimulator generator Medicare reimbursement rates in Ohio
Reports placement or replacement of an implanted cranial neurostimulator generator connected to two or more electrode arrays, such as in deep brain stimulation. Compare 61886 office and facility rates across CMS payment localities in Ohio.
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 61886 in Ohio?
Ohio has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$891.12
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
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 61886: Cranial neurostimulator generator, multiple arrays
Reports placement or replacement of an implanted cranial neurostimulator generator connected to two or more electrode arrays, such as in deep brain stimulation.
A neurosurgeon typically places or replaces the implanted pulse generator or receiver and connects it to at least two previously placed or concurrently implanted electrode arrays. In deep brain stimulation, the generator is commonly placed in a subcutaneous pocket and linked by extensions to electrodes in the brain. The service may occur during an initial implant or a generator exchange when the existing array connections are retained or reconnected.
Select this code based on the number of electrode arrays connected to the generator, not the number of contacts on an array. The operative report should identify the generator work and document connection to two or more arrays. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 61886
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.68 · 35%
- Practice expense (office) RVU14.17 · 51%
- Malpractice RVU4.03 · 14%
4.8K
Medicare services in 2024 · #1894 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.
61886 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This code describes electrode implantation, not generator placement or replacement. A case involving both services may support reporting both when each is performed and documented.
No office rate
61888 describes revision or removal of a neurostimulator receiver or generator; 61886 describes placing or replacing the generator with connections to two or more arrays.
No office rate
61889 concerns a skull-mounted cranial neurostimulator system. 61886 describes a generator connected to two or more electrode arrays.
Compare 61886 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.
1 of 1 payment localities
Ohio →
Office / nonfacility
Unavailable
Facility
$891.12
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 61886 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,902
- Code
- 61886
- Physician work
- 9.68
- Practice expense
- 14.17
- Malpractice
- 4.03
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.68 | × 1.000 | 9.6800 |
| Practice expense | 14.17 | × 0.913 | 12.9372 |
| Malpractice | 4.03 | × 1.008 | 4.0622 |
| Total RVUs | 26.6794 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$891.12
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.68 | 1 |
| Practice expense | 14.17 | 0.913 |
| Malpractice | 4.03 | 1.008 |
(9.68 × 1 + 14.17 × 0.913 + 4.03 × 1.008) × $33.4009 = $891.12
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
61886 billing questions
How does 61886 differ from 61885?
61886 is for a generator connected to two or more electrode arrays; 61885 is for connection to one array.
Can electrode-array placement be reported with 61886?
Array placement may be separately reported when performed and supported by the operative documentation. Codes such as 61863 or 61864 describe electrode implantation work, not generator placement.
Does 61886 include generator replacement?
Yes. It can describe placement or replacement of the generator when it is connected to two or more arrays. Revision or removal without generator placement or replacement is a different service.
What documentation supports 61886?
Document the generator placement or replacement and identify at least two electrode arrays connected to it. The record should distinguish this work from electrode implantation or revision.
Can modifier 50 be used for bilateral implantation?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires documented medical necessity.
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.
6,89961868,,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
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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703