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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61886 |
| Medicaid Fee Schedule | View Medicaid rates for 61886 |
National average reimbursement for CPT 61886 by major payers:

$1,075.82

$1,127.88

$1,235.48

$1,382.62
Choose a payer to see a sample of rates for CPT 61886.
Riva Road Surgical Center LLC
Hs Surgery PLLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 61886 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61886 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 61886 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 |
| 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 |
| 61885-CPT | Moderate | Insrt Redo Neurostim 1 Array, Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver Direct Or Inductive Coupling With Connection To A Single Electrode Array |
| 61886-CPT | High | Incision And Subcutaneous Plac, Incision And Subcutaneous Placement Of Cranial Neurostimulator Pulse Generator Or Receiver Direct Or Inductive Coupling With Connection On Two Or More Electrode Arrays |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61886. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61886 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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