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See a sample rate comparisonCPT 61864 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Implant Neuroelectrde Addl, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray Without Use Of Intraoperative Microelectrode Recording Each Additional Array List Separately In Addition To Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 61864 |
| Medicaid Fee Schedule | View Medicaid rates for 61864 |
National average reimbursement for CPT 61864 by major payers:
$390.53
$434.35
$429.92
$477.09
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CPT 61864
5 of 25 sample ratesHigher to lower in this preview
Southern Hills Medical Center, LLC, Southern Hills Hospital & Medical Center
Southern Hills Medical Center LLC
$2,897.00Published rateLoyola Ambulatory Surgery Center At Oakbrook Lp
$1,100.00Published rateSurgery Nevada LLC
$855.00Published rateRevision Advanced Surgery Center Inc
$535.00Published ratePowder River Surgery Center
$248.00Published rate
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See a sample payer proposalCPT 61864 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61864 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 61864 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 61863-CPT | High | Implant Neuroelectrode, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray Without Use Of Intraoperative Microelectrode Recording First Array |
| 61864-CPT | Moderate | Implant Neuroelectrde Addl, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray Without Use Of Intraoperative Microelectrode Recording Each Additional Array List Separately In Addition To Primary Procedure |
| 61867-CPT | High | Implant Neuroelectrode, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray With Use Of Intraoperative Microelectrode Recording First Array |
| 61868-CPT | Moderate | Implant Neuroelectrde Addl, Twist Drill Burr Hole Craniotomy Or Craniectomy With Stereotactic Implantation Of Neurostimulator Electrode Array In Subcortical Site Eg Thalamus Globus Pallidus Subthalamic Nucleus Periventricular Periaqueductal Gray With Use Of Intraoperative Microelectrode Recording Each Additional Array List Separately In Addition To Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61864. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61864 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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