CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 61886 RVU and Medicare Payment (2026)
Implant neurostim arrays — 9.68 work RVU, about $931.22 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 9.68
- PE RVU (non-facility)
- 14.17
- PE RVU (facility)
- 14.17
- MP RVU
- 4.03
- Office payment
- $931.22
- Facility payment
- $931.22
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 61886 in a non-facility setting with national GPCI: (9.68 + 14.17 + 4.03) × $33.4009 ≈ $931.22. The same code in a facility setting pays about $931.22 because facility PE RVU (14.17) replaces office PE RVU.
What changes by locality
GPCI moves 61886 non-facility payment from $799.2 to $1,156.72 across CMS localities — from Arkansas to Nyc Suburbs/long Island. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 61886?
9.68. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 61886 in 2026?
About $931.22 non-facility ($931.22 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (9.68) and malpractice RVU stay fixed; only practice expense changes (14.17 office vs 14.17 facility). That is the entire office-vs-facility payment gap.