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See a sample rate comparisonCPT 61867 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61867 |
| Medicaid Fee Schedule | View Medicaid rates for 61867 |
National average reimbursement for CPT 61867 by major payers:
$2,908.42
$3,089.37
$3,287.75
$3,635.00
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CPT 61867
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$5,213.00Published rateSurgery Center Of Kalamazoo LLC
$1,881.00Published rateGulfshore Endoscopy Center LLC
$1,049.00Published rateHeart Of Texas Surgery Center PLLC, Waco Center Of Surgical Arts
Heart Of Texas Surgery Center PLLC
$550.00Published rateRiverview Ambulatory Surgical Center, LLC
Riverview Ambulatory Surgical Ce
$268.00Published rate
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See a sample payer proposalCPT 61867 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61867 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 61867 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 61867. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61867 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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