No office rate
Use 61891 when the skull-mounted device is revised or replaced; 61892 identifies its removal.
On this page
CMS RVU26D · Effective 2026-10-01
61892 Neurostimulator removal Medicare reimbursement rates in Vermont
Report 61892 for surgical removal of an implanted skull-mounted cranial neurostimulator pulse generator or receiver. Compare 61892 office and facility rates across CMS payment localities in Vermont.
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 61892 in Vermont?
Vermont 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
$990.56
1 of 1 localities have a supported rate.
Payment area: Vermont
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 61892: Skull-mounted cranial neurostimulator removal
Report 61892 for surgical removal of an implanted skull-mounted cranial neurostimulator pulse generator or receiver.
This service removes the pulse generator or receiver of a cranial neurostimulation system that is mounted to the skull. A neurosurgeon typically performs the operation in a hospital or other surgical facility, exposing the implanted device and removing it from its cranial attachment. The code identifies removal of the generator or receiver, rather than removal of an intracranial electrode alone.
Select 61892 when the operative report supports removal of the skull-mounted device; revision or replacement is a different service. Documentation should identify the device and describe its removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 61892
- 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 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 RVU14.63 · 45%
- Practice expense (office) RVU12.03 · 37%
- Malpractice RVU6.16 · 19%
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.
61892 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
61889 describes insertion or replacement of a skull-mounted cranial neurostimulator generator or receiver, rather than removal.
No office rate
61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration; 61892 specifies the skull-mounted device.
No office rate
61880 addresses revision or removal of a neuroelectrode. 61892 is for removal of the skull-mounted generator or receiver.
Compare 61892 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
Vermont →
Office / nonfacility
Unavailable
Facility
$990.56
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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 61892 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,906
- Code
- 61892
- Physician work
- 14.63
- Practice expense
- 12.03
- Malpractice
- 6.16
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.000 | 14.6300 |
| Practice expense | 12.03 | × 0.990 | 11.9097 |
| Malpractice | 6.16 | × 0.506 | 3.1170 |
| Total RVUs | 29.6567 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$990.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1 |
| Practice expense | 12.03 | 0.99 |
| Malpractice | 6.16 | 0.506 |
(14.63 × 1 + 12.03 × 0.99 + 6.16 × 0.506) × $33.4009 = $990.56
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.
61892 billing questions
How does 61892 differ from 61888?
61892 is for removal of a skull-mounted cranial neurostimulator generator or receiver. 61888 concerns revision or removal of a cranial neurostimulator generator or receiver in a different device configuration.
Should 61892 be used for removal of an electrode?
No. The code identifies removal of the skull-mounted generator or receiver, not an intracranial neuroelectrode. Select the applicable electrode procedure code when the work is electrode removal or revision.
What documentation supports reporting 61892?
The operative report should identify the skull-mounted cranial neurostimulator generator or receiver and document its removal. Documentation of electrode work alone does not support this code.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and multiple procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
6,90361888,,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
6,90762000,,Treat skull fracture,A,,13.58,11.86,NA,11.86,,5.72,31.16,31.16,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90862005,,Treat skull fracture,A,,17.19,13.38,NA,13.38,,7.26,37.83,37.83,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90962010,,Treatment of head injury,A,,20.89,15.74,NA,15.74,,8.81,45.44,45.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817