CPT code 63650: Neurostimulator lead, percutaneous epidural array2026 Medicare rate & RVUs in Mississippi
Percutaneous epidural neurostimulator lead placement is reported when a clinician advances an electrode array through a needle, commonly for spinal cord stimulation.
In Mississippi, Medicare pays $2,085.64 for 63650 in the office and $352.38 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 63650 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 63650 covers
The clinician advances a neurostimulator electrode array through a percutaneous needle into the epidural space, positioning it to deliver spinal cord stimulation. Pain medicine physicians, anesthesiologists, and neurosurgeons commonly perform the procedure for patients with persistent pain, including during a temporary stimulation trial before a permanent system is considered. The lead may connect to an external stimulator during a trial or to an implanted pulse generator for ongoing therapy.
Report 63650 for percutaneous epidural array placement, rather than the open laminectomy approach in 63655. The operative or procedure note should support the percutaneous approach, epidural placement, and array work performed. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
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.
How Mississippi compares for 63650
Across 109 of 109 payment localities, the office rate for 63650 runs from $2,075.47 in Arkansas to $3,343.02 in San Benito County, CA. Mississippi pays $2,085.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$2,085.64
- Los Angeles, CA · California$2,778.84+$693.20
- Washington, DC area · District of Columbia$2,783.07+$697.43
- Miami, FL · Florida$2,516.15+$430.51
- Chicago, IL · Illinois$2,434.95+$349.31
- Manhattan, NY · New York$2,763.81+$678.17
- Alaska · Alaska$2,631.46+$545.82
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $2,110.88 | $349.44 |
| ArkansasArkansas | $2,075.47 | $346.24 |
| ArizonaArizona | $2,318.69 | $368.02 |
| Bakersfield, CACalifornia | $2,587.02 | $380.69 |
| Chico, CACalifornia | $2,584.63 | $378.30 |
| El Centro, CACalifornia | $2,584.76 | $378.43 |
| Fresno, CACalifornia | $2,584.63 | $378.30 |
| Hanford, CACalifornia | $2,584.63 | $378.30 |
| Madera, CACalifornia | $2,584.63 | $378.30 |
| Merced, CACalifornia | $2,584.63 | $378.30 |
| Modesto, CACalifornia | $2,584.63 | $378.30 |
| Napa, CACalifornia | $3,067.30 | $414.07 |
| Oxnard, CACalifornia | $2,772.60 | $393.15 |
| Redding, CACalifornia | $2,584.63 | $378.30 |
| Rest of CaliforniaCalifornia | $2,584.63 | $378.30 |
| Riverside, CACalifornia | $2,593.22 | $386.90 |
| Sacramento, CACalifornia | $2,731.71 | $390.51 |
| Salinas, CACalifornia | $2,722.03 | $388.88 |
| San Diego, CACalifornia | $2,800.74 | $393.11 |
| Marin County, CACalifornia | $3,269.36 | $430.92 |
| San Francisco, CACalifornia | $3,268.46 | $430.03 |
| San Benito County, CACalifornia | $3,343.02 | $440.17 |
| Santa Clara County, CACalifornia | $3,339.35 | $436.50 |
| San Luis Obispo, CACalifornia | $2,676.19 | $383.30 |
| Santa Cruz, CACalifornia | $2,838.94 | $393.06 |
| Santa Maria, CACalifornia | $2,736.24 | $389.00 |
| Santa Rosa, CACalifornia | $2,868.72 | $396.67 |
| Stockton, CACalifornia | $2,584.63 | $378.30 |
| Vallejo, CACalifornia | $3,066.01 | $412.78 |
| Visalia, CACalifornia | $2,584.63 | $378.30 |
| Yuba City, CACalifornia | $2,584.63 | $378.30 |
| ColoradoColorado | $2,521.79 | $379.88 |
| ConnecticutConnecticut | $2,562.65 | $394.57 |
| DelawareDelaware | $2,361.45 | $372.53 |
| Fort Lauderdale, FLFlorida | $2,437.50 | $398.26 |
| Rest of FloridaFlorida | $2,308.08 | $383.58 |
| Atlanta, GAGeorgia | $2,428.57 | $383.29 |
| Rest of GeorgiaGeorgia | $2,163.60 | $367.94 |
| Hawaii, Guam, HIHawaii | $2,669.10 | $380.24 |
| IowaIowa | $2,191.60 | $349.63 |
| IdahoIdaho | $2,204.25 | $352.22 |
| East St. Louis, ILIllinois | $2,244.91 | $392.88 |
| Rest of IllinoisIllinois | $2,218.10 | $380.17 |
| Suburban Chicago, ILIllinois | $2,467.99 | $400.56 |
| IndianaIndiana | $2,219.50 | $353.38 |
| KansasKansas | $2,171.00 | $351.18 |
| KentuckyKentucky | $2,149.90 | $360.28 |
| New Orleans, LALouisiana | $2,266.46 | $372.16 |
| Rest of LouisianaLouisiana | $2,142.52 | $360.95 |
| Metropolitan Boston, MAMassachusetts | $2,808.23 | $404.62 |
| Rest of MassachusettsMassachusetts | $2,499.72 | $379.95 |
| Baltimore area, MDMaryland | $2,553.92 | $393.89 |
| Rest of MarylandMaryland | $2,414.21 | $376.99 |
| Rest of MaineMaine | $2,208.18 | $356.15 |
| Southern Maine, MEMaine | $2,359.60 | $364.64 |
| Detroit, MIMichigan | $2,332.07 | $389.46 |
| Rest of MichiganMichigan | $2,206.65 | $368.72 |
| MinnesotaMinnesota | $2,431.67 | $360.22 |
| Metropolitan Kansas City, MOMissouri | $2,258.00 | $367.73 |
| Metropolitan St. Louis, MOMissouri | $2,286.34 | $369.90 |
| Rest of MissouriMissouri | $2,093.97 | $358.70 |
| MontanaMontana | $2,388.45 | $375.37 |
| North CarolinaNorth Carolina | $2,236.31 | $358.11 |
| North DakotaNorth Dakota | $2,372.82 | $359.75 |
| NebraskaNebraska | $2,208.13 | $350.06 |
| New HampshireNew Hampshire | $2,472.50 | $376.89 |
| Northern New JerseyNew Jersey | $2,745.65 | $410.48 |
| Rest of New JerseyNew Jersey | $2,596.27 | $397.99 |
| New MexicoNew Mexico | $2,217.07 | $371.08 |
| NevadaNevada | $2,386.22 | $371.14 |
| NYC suburbs and Long Island, NYNew York | $2,828.45 | $434.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,606.80 | $402.49 |
| Queens, NYNew York | $2,802.59 | $423.14 |
| Rest of New YorkNew York | $2,274.20 | $361.78 |
| OhioOhio | $2,203.46 | $365.52 |
| OklahomaOklahoma | $2,154.78 | $357.10 |
| Portland, OROregon | $2,621.82 | $385.30 |
| Rest of OregonOregon | $2,372.14 | $367.12 |
| Metropolitan Philadelphia, PAPennsylvania | $2,485.08 | $389.47 |
| Rest of PennsylvaniaPennsylvania | $2,212.44 | $364.44 |
| Puerto RicoPuerto Rico | $2,411.52 | $376.31 |
| Rhode IslandRhode Island | $2,460.34 | $380.84 |
| South CarolinaSouth Carolina | $2,222.71 | $362.63 |
| South DakotaSouth Dakota | $2,370.98 | $357.91 |
| TennesseeTennessee | $2,182.51 | $352.63 |
| Austin, TXTexas | $2,509.46 | $379.63 |
| Beaumont, TXTexas | $2,194.99 | $363.09 |
| Brazoria, TXTexas | $2,365.39 | $370.44 |
| Dallas, TXTexas | $2,378.33 | $373.31 |
| Fort Worth, TXTexas | $2,357.38 | $372.49 |
| Galveston, TXTexas | $2,370.92 | $371.94 |
| Houston, TXTexas | $2,385.38 | $386.40 |
| Rest of TexasTexas | $2,277.34 | $366.94 |
| UtahUtah | $2,258.05 | $365.76 |
| VirginiaVirginia | $2,344.54 | $365.69 |
| Virgin Islands, VIUnited States Virgin Islands | $2,411.52 | $376.31 |
| VermontVermont | $2,354.17 | $361.23 |
| Rest of WashingtonWashington | $2,498.07 | $378.31 |
| King County, WAWashington | $2,878.66 | $408.62 |
| WisconsinWisconsin | $2,280.81 | $352.28 |
| West VirginiaWest Virginia | $2,120.93 | $371.57 |
| WyomingWyoming | $2,381.64 | $368.57 |
63650 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$2,075.47
$2,963.83
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,631.46 | 1 |
| AL | $2,110.88 | 1 |
| AR | $2,075.47 | 1 |
| AZ | $2,318.69 | 1 |
| CA | $2,584.63–$3,343.02 | 29 |
| CO | $2,521.79 | 1 |
| CT | $2,562.65 | 1 |
| DC | $2,783.07 | 1 |
| DE | $2,361.45 | 1 |
| FL | $2,308.08–$2,516.15 | 3 |
| GA | $2,163.60–$2,428.57 | 2 |
| GU | $2,669.10 | 1 |
| HI | $2,669.10 | 1 |
| IA | $2,191.60 | 1 |
| ID | $2,204.25 | 1 |
| IL | $2,218.10–$2,467.99 | 4 |
| IN | $2,219.50 | 1 |
| KS | $2,171.00 | 1 |
| KY | $2,149.90 | 1 |
| LA | $2,142.52–$2,266.46 | 2 |
| MA | $2,499.72–$2,808.23 | 2 |
| MD | $2,414.21–$2,783.07 | 3 |
| ME | $2,208.18–$2,359.60 | 2 |
| MI | $2,206.65–$2,332.07 | 2 |
| MN | $2,431.67 | 1 |
| MO | $2,093.97–$2,286.34 | 3 |
| MS | $2,085.64 | 1 |
| MT | $2,388.45 | 1 |
| NC | $2,236.31 | 1 |
| ND | $2,372.82 | 1 |
| NE | $2,208.13 | 1 |
| NH | $2,472.50 | 1 |
| NJ | $2,596.27–$2,745.65 | 2 |
| NM | $2,217.07 | 1 |
| NV | $2,386.22 | 1 |
| NY | $2,274.20–$2,828.45 | 5 |
| OH | $2,203.46 | 1 |
| OK | $2,154.78 | 1 |
| OR | $2,372.14–$2,621.82 | 2 |
| PA | $2,212.44–$2,485.08 | 2 |
| PR | $2,411.52 | 1 |
| RI | $2,460.34 | 1 |
| SC | $2,222.71 | 1 |
| SD | $2,370.98 | 1 |
| TN | $2,182.51 | 1 |
| TX | $2,194.99–$2,509.46 | 8 |
| UT | $2,258.05 | 1 |
| VA | $2,344.54–$2,783.07 | 2 |
| VI | $2,411.52 | 1 |
| VT | $2,354.17 | 1 |
| WA | $2,498.07–$2,878.66 | 2 |
| WI | $2,280.81 | 1 |
| WV | $2,120.93 | 1 |
| WY | $2,381.64 | 1 |
How the 63650 rate is calculated
Each of 63650’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 63650
RVUs × geographic indexes × conversion factor
Work6.97
6.97 RVUs× 1.000 GPCI
Practice expense63.75
63.75 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
71.5100
Conversion factor
$33.4009
Medicare rate
$2,388.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,077
- Code
- 63650
- Physician work
- 6.97
- Practice expense
- 63.75
- Malpractice
- 0.79
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.97 | × 1.000 | 6.9700 |
| Practice expense | 63.75 | × 0.861 | 54.8888 |
| Malpractice | 0.79 | × 0.739 | 0.5838 |
| Total RVUs | 62.4426 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Mississippi$2085.64
Office: (6.97 × 1 + 63.75 × 0.861 + 0.79 × 0.739) × $33.4009 = $2085.64
Facility: (6.97 × 1 + 3.48 × 0.861 + 0.79 × 0.739) × $33.4009 = $352.38
Payment rules and modifiers for 63650
63650 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63650
Neurostimulator lead, percutaneous epidural array
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63650
Neurostimulator lead, percutaneous epidural array
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63650 without 51 · national office
$2,388.50
Neurostimulator lead, percutaneous epidural array
63650-51 · Second procedure: 50%
$1,194.25
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 63650 has changed in Mississippi
63650 · Office / nonfacility
$2085.64
Effective 2026-10-01
The base rate is $241.34 higher than on 2025-10-01, moving from $1844.30 to $2085.64 (13.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$1844.30changed to$2085.64
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.15 changed to 6.97
- Practice expense RVU 57.79 changed to 63.75
- Malpractice RVU 0.82 changed to 0.79
- Practice expense GPCI 0.852 changed to 0.861
- Malpractice GPCI 0.768 changed to 0.739
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1969.98changed to$1844.30
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 60.33 changed to 57.79
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1937.83changed to$1969.98
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2016.44changed to$1937.83
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 61.14 changed to 60.33
- Malpractice RVU 0.79 changed to 0.82
- Practice expense GPCI 0.847 changed to 0.852
- Malpractice GPCI 0.720 changed to 0.768
January 1, 2023
RVU23A
$2096.84changed to$2016.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 62.84 changed to 61.14
- Practice expense GPCI 0.842 changed to 0.847
- Malpractice GPCI 0.671 changed to 0.720
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1987.77changed to$2096.84
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 58.56 changed to 62.84
- Malpractice RVU 0.76 changed to 0.79
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1701.61changed to$1987.77
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 46.26 changed to 58.56
- Malpractice RVU 0.77 changed to 0.76
- Practice expense GPCI 0.856 changed to 0.842
- Malpractice GPCI 0.521 changed to 0.671
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1462.90changed to$1701.61
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 38.15 changed to 46.26
- Malpractice RVU 0.68 changed to 0.77
- Practice expense GPCI 0.870 changed to 0.856
- Malpractice GPCI 0.370 changed to 0.521
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1198.53changed to$1462.90
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 29.76 changed to 38.15
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1183.72changed to$1198.53
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 29.41 changed to 29.76
- Practice expense GPCI 0.867 changed to 0.870
- Malpractice GPCI 0.492 changed to 0.370
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1200.61changed to$1183.72
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 30.06 changed to 29.41
- Malpractice RVU 0.67 changed to 0.68
- Practice expense GPCI 0.864 changed to 0.867
- Malpractice GPCI 0.613 changed to 0.492
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1200.82changed to$1200.61
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 29.92 changed to 30.06
- Malpractice RVU 0.68 changed to 0.67
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1194.84changed to$1200.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1197.96changed to$1194.84
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 29.91 changed to 29.92
- Malpractice RVU 0.61 changed to 0.68
- Practice expense GPCI 0.865 changed to 0.864
- Malpractice GPCI 0.687 changed to 0.613
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$1197.96
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2,085.64 | $352.38 | RVU26D |
| 2026-07-01 | $2,085.64 | $352.38 | RVU26C |
| 2026-04-01 | $2,085.64 | $352.38 | RVU26B |
| 2026-01-01 | $2,085.64 | $352.38 | RVU26A |
| 2025-10-01 | $1,844.30 | $375.94 | RVU25D |
| 2025-07-01 | $1,844.30 | $375.94 | RVU25C |
| 2025-04-01 | $1,844.30 | $375.94 | RVU25B |
| 2025-01-01 | $1,844.30 | $375.94 | RVU25A |
| 2024-10-01 | $1,969.98 | $385.17 | RVU24D |
| 2024-07-01 | $1,969.98 | $385.17 | RVU24C |
| 2024-04-01 | $1,969.98 | $385.17 | RVU24B |
| 2024-03-09 | $1,969.98 | $385.17 | RVU24AR |
| 2024-01-01 | $1,937.83 | $378.89 | RVU24A |
| 2023-10-01 | $2,016.44 | $385.85 | RVU23D |
| 2023-07-01 | $2,016.44 | $385.85 | RVU23C |
| 2023-04-01 | $2,016.44 | $385.85 | RVU23B |
| 2023-01-01 | $2,016.44 | $385.85 | RVU23A |
| 2022-10-01 | $2,096.84 | $389.03 | RVU22D |
| 2022-07-01 | $2,096.84 | $389.03 | RVU22C |
| 2022-04-01 | $2,096.84 | $389.03 | RVU22B |
| 2022-01-01 | $2,096.84 | $389.03 | RVU22A |
| 2021-10-01 | $1,987.77 | $391.85 | RVU21D |
| 2021-07-01 | $1,987.77 | $391.85 | RVU21C |
| 2021-04-01 | $1,987.77 | $391.85 | RVU21B |
| 2021-01-01 | $1,987.77 | $391.85 | RVU21A |
| 2020-10-01 | $1,701.61 | $396.40 | RVU20D |
| 2020-07-01 | $1,701.61 | $396.40 | RVU20C |
| 2020-04-01 | $1,701.61 | $396.40 | RVU20B |
| 2020-01-01 | $1,701.61 | $396.40 | RVU20A |
| 2019-10-01 | $1,462.90 | $391.85 | RVU19D |
| 2019-07-01 | $1,462.90 | $391.85 | RVU19C |
| 2019-04-01 | $1,462.90 | $391.85 | RVU19B |
| 2019-01-01 | $1,462.90 | $391.85 | RVU19A |
| 2018-10-01 | $1,198.53 | $391.73 | RVU18D |
| 2018-07-01 | $1,198.53 | $391.73 | RVU18C |
| 2018-04-01 | $1,198.53 | $391.73 | RVU18B |
| 2018-01-01 | $1,198.53 | $391.73 | RVU18AR1 |
| 2017-10-01 | $1,183.72 | $392.76 | RVU17D |
| 2017-07-01 | $1,183.72 | $392.76 | RVU17C |
| 2017-04-01 | $1,183.72 | $392.76 | RVU17B |
| 2017-01-01 | $1,183.72 | $392.76 | RVU17A |
| 2016-10-01 | $1,200.61 | $397.85 | RVU16D |
| 2016-07-01 | $1,200.61 | $397.85 | RVU16C |
| 2016-04-01 | $1,200.61 | $397.85 | RVU16B |
| 2016-01-01 | $1,200.61 | $397.85 | RVU16A |
| 2015-10-01 | $1,200.82 | $397.95 | RVU15D |
| 2015-07-01 | $1,200.82 | $397.95 | RVU15C |
| 2015-04-01 | $1,194.84 | $395.97 | RVU15B |
| 2015-01-01 | $1,194.84 | $395.97 | RVU15A |
| 2014-10-01 | $1,197.96 | $400.36 | RVU14D |
| 2014-07-01 | $1,197.96 | $400.36 | RVU14C |
| 2014-04-01 | $1,197.96 | $400.36 | RVU14B |
| 2014-01-01 | $1,197.96 | $400.36 | RVU14A |
| 2013-10-01 | Not available in this setting | $410.40 | RVU13D |
| 2013-07-01 | Not available in this setting | $410.40 | RVU13C |
| 2013-04-01 | Not available in this setting | $410.40 | RVU13B |
| 2013-01-01 | Not available in this setting | $410.40 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
63650 billing questions
How is 63650 different from 63655?
63650 describes percutaneous placement through a needle. Use 63655 for epidural electrode placement through a laminectomy approach.
Can 63650 be reported with an implanted pulse generator code?
It may be reported with 63685 when percutaneous lead placement and pulse generator insertion are performed as part of the same permanent system procedure. A temporary trial typically uses an external stimulator rather than an implanted generator.
Should modifier 50 be appended for bilateral placement?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure's payment.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 63650. Co-surgeons and team surgery are not permitted.
What documentation supports 63650?
Document the percutaneous approach, epidural electrode array placement, and the clinical purpose, such as a spinal cord stimulation trial or permanent lead placement.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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