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CPT code 63663: Lead revision, percutaneous electrode array2026 Medicare rate & RVUs in West Virginia

Report this service when a surgeon revises or replaces an existing percutaneous spinal cord stimulator electrode array, such as to address lead displacement or coverage problems.

CMS RVU26DEffective Oct 1, 2026One payment locality2.8K Medicare services in 2024

In West Virginia, Medicare pays $881.74 for 63663 in the office and $409.20 when it’s performed in a hospital or facility.

$881.74Office (non-facility)
$409.20Hospital or facility
−7.5%vs the national office rate ($953.26)

Check a contract rate as a % of Medicare · 63663 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 63663 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 63663 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 63663 covers

A surgeon revises an existing percutaneous electrode array used for spinal cord neuromodulation, repositioning or adjusting the lead and replacing it when needed. This work may be considered when a patient’s stimulation coverage changes or the array has shifted. Neurosurgeons and physicians specializing in pain procedures commonly perform the revision in an operating room or other procedural setting. Fluoroscopic guidance, when used, is included in the service.

Select this code for revision of a percutaneously placed array, not for removal alone, initial array placement, or revision of a surgically placed paddle array. The operative report should identify the existing array and describe the revision or replacement performed. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 West Virginia compares for 63663

Across 109 of 109 payment localities, the office rate for 63663 runs from $842.05 in Arkansas to $1,258.09 in San Benito County, CA. West Virginia pays $881.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

63663 in West Virginia vs other payment areas
  1. West Virginia · this page$881.74
  2. Los Angeles, CA · California$1,073.13+$191.39
  3. Washington, DC area · District of Columbia$1,089.29+$207.55
  4. Miami, FL · Florida$1,035.67+$153.93
  5. Chicago, IL · Illinois$1,005.07+$123.33
  6. Manhattan, NY · New York$1,098.24+$216.50
  7. Alaska · Alaska$1,106.52+$224.78

Other areas in West Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

63663 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$854.52$378.73
ArkansasArkansas$842.05$374.95
ArizonaArizona$927.46$400.55
Bakersfield, CACalifornia$1,007.76$411.80
Chico, CACalifornia$1,004.63$408.66
El Centro, CACalifornia$1,004.81$408.84
Fresno, CACalifornia$1,004.63$408.66
Hanford, CACalifornia$1,004.63$408.66

63663 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$842.05

$1,131.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
63663 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,106.521
AL$854.521
AR$842.051
AZ$927.461
CA$1,004.63–$1,258.0929
CO$990.931
CT$1,017.071
DC$1,089.291
DE$942.901
FL$942.16–$1,035.673
GA$888.40–$971.902
GU$1,029.141
HI$1,029.141
IA$875.011
ID$881.081
IL$915.74–$1,005.074
IN$886.201
KS$871.561
KY$876.421
LA$875.31–$918.952
MA$985.21–$1,088.592
MD$960.80–$1,089.293
ME$886.45–$933.972
MI$900.09–$954.742
MN$947.141
MO$860.60–$921.433
MS$851.461
MT$953.191
NC$895.711
ND$931.831
NE$879.641
NH$976.001
NJ$1,028.01–$1,077.972
NM$905.341
NV$947.901
NY$909.31–$1,125.965
OH$895.721
OK$874.101
OR$939.89–$1,021.852
PA$896.77–$992.022
PR$960.031
RI$976.101
SC$897.341
SD$929.311
TN$876.071
TX$890.88–$988.218
UT$909.701
VA$931.36–$1,089.292
VI$960.031
VT$928.791
WA$983.15–$1,110.172
WI$900.381
WV$881.741
WY$943.881

See 63663 in every payment locality

How the 63663 rate is calculated

Each of 63663’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 · 63663

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.56

7.56 RVUs× 1.000 GPCI

Practice expense19.90

19.90 RVUs× 1.000 GPCI

Malpractice1.08

1.08 RVUs× 1.000 GPCI

Adjusted RVUs

28.5400

Conversion factor

$33.4009

Medicare rate

$953.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact West Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,081

Code
63663
Physician work
7.56
Practice expense
19.90
Malpractice
1.08

GPCI2026.csv

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 63663 in West Virginia
ComponentRVULocality factorAdjusted
Physician work7.56× 1.0007.5600
Practice expense19.90× 0.86917.2931
Malpractice1.08× 1.4311.5455
Total RVUs26.3986
Conversion factor× 33.4009

Office rate, West Virginia$881.74

Office: (7.56 × 1 + 19.9 × 0.869 + 1.08 × 1.431) × $33.4009 = $881.74

Facility: (7.56 × 1 + 3.62 × 0.869 + 1.08 × 1.431) × $33.4009 = $409.20

Open 63663 in the RVU calculator

Payment rules and modifiers for 63663

63663 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63663

Lead revision, percutaneous electrode array

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63663

Lead revision, percutaneous electrode 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63663 without 51 · national office

$953.26

Lead revision, percutaneous electrode array

63663-51 · Second procedure: 50%

$476.63

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%).

When to use modifier 51

Codes related to 63663

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 63663
CodeHow it relatesOffice range, West Virginia
Used instead
63650Neurostimulator lead, percutaneous epidural arrayUsed for percutaneous electrode-array placement rather than revision of an existing array.$2,120.93
63661Lead removal, percutaneous electrode arrayRemoval of a percutaneous array without the revision service reported with 63663.$686.16
Same family
63664Paddle lead revision, surgically exposed electrodeRevision of a surgically placed paddle array rather than a percutaneous array.No office rate
Often billed with
63685Neurostimulator generator, spinal pulse generator or receiverMay accompany separately performed insertion or replacement of the neurostimulator generator or receiver.No office rate
63688Spinal stimulator, generator revision or removalCovers separate revision or removal work on the implanted generator or receiver connection.No office rate

How 63663 has changed in West Virginia

63663 · Office / nonfacility

$881.74

Effective 2026-10-01

The base rate is $88.96 higher than on 2025-10-01, moving from $792.78 to $881.74 (11.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $792.78changed to$881.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.75 changed to 7.56
    • Practice expense RVU 17.71 changed to 19.90
    • Malpractice RVU 1.12 changed to 1.08
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $832.51changed to$792.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 18.26 changed to 17.71
    • Malpractice RVU 1.14 changed to 1.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $818.92changed to$832.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $839.93changed to$818.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 18.19 changed to 18.26
    • Malpractice RVU 1.10 changed to 1.14
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $854.32changed to$839.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 18.26 changed to 18.19
    • Malpractice RVU 1.06 changed to 1.10
    • Practice expense GPCI 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $848.29changed to$854.32

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 17.85 changed to 18.26
    • Malpractice RVU 1.04 changed to 1.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $808.68changed to$848.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 15.59 changed to 17.85
    • Practice expense GPCI 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $779.08changed to$808.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 14.73 changed to 15.59
    • Malpractice RVU 0.96 changed to 1.04
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $749.24changed to$779.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.76 changed to 14.73
    • Malpractice RVU 0.98 changed to 0.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $735.80changed to$749.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.61 changed to 13.76
    • Malpractice RVU 0.95 changed to 0.98
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $738.51changed to$735.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.93 changed to 13.61
    • Malpractice RVU 0.96 changed to 0.95
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $735.74changed to$738.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.78 changed to 13.93
    • Malpractice RVU 0.94 changed to 0.96

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $732.08changed to$735.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $737.51changed to$732.08

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.86 changed to 13.78
    • Malpractice RVU 1.04 changed to 0.94
    • Practice expense GPCI 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $757.46changed to$737.51

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 15.91 changed to 13.86
    • Malpractice RVU 1.09 changed to 1.04
    • Practice expense GPCI 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $757.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$881.74$409.20RVU26D
2026-07-01$881.74$409.20RVU26C
2026-04-01$881.74$409.20RVU26B
2026-01-01$881.74$409.20RVU26A
2025-10-01$792.78$430.30RVU25D
2025-07-01$792.78$430.30RVU25C
2025-04-01$792.78$430.30RVU25B
2025-01-01$792.78$430.30RVU25A
2024-10-01$832.51$442.56RVU24D
2024-07-01$832.51$442.56RVU24C
2024-04-01$832.51$442.56RVU24B
2024-03-09$832.51$442.56RVU24AR
2024-01-01$818.92$435.34RVU24A
2023-10-01$839.93$442.71RVU23D
2023-07-01$839.93$442.71RVU23C
2023-04-01$839.93$442.71RVU23B
2023-01-01$839.93$442.71RVU23A
2022-10-01$854.32$444.27RVU22D
2022-07-01$854.32$444.27RVU22C
2022-04-01$854.32$444.27RVU22B
2022-01-01$854.32$444.27RVU22A
2021-10-01$848.29$447.72RVU21D
2021-07-01$848.29$447.72RVU21C
2021-04-01$848.29$447.72RVU21B
2021-01-01$848.29$447.72RVU21A
2020-10-01$808.68$456.71RVU20D
2020-07-01$808.68$456.71RVU20C
2020-04-01$808.68$456.71RVU20B
2020-01-01$808.68$456.71RVU20A
2019-10-01$779.08$455.10RVU19D
2019-07-01$779.08$455.10RVU19C
2019-04-01$779.08$455.10RVU19B
2019-01-01$779.08$455.10RVU19A
2018-10-01$749.24$455.84RVU18D
2018-07-01$749.24$455.84RVU18C
2018-04-01$749.24$455.84RVU18B
2018-01-01$749.24$455.84RVU18AR1
2017-10-01$735.80$450.67RVU17D
2017-07-01$735.80$450.67RVU17C
2017-04-01$735.80$450.67RVU17B
2017-01-01$735.80$450.67RVU17A
2016-10-01$738.51$452.65RVU16D
2016-07-01$738.51$452.65RVU16C
2016-04-01$738.51$452.65RVU16B
2016-01-01$738.51$452.65RVU16A
2015-10-01$735.74$452.16RVU15D
2015-07-01$735.74$452.16RVU15C
2015-04-01$732.08$449.91RVU15B
2015-01-01$732.08$449.91RVU15A
2014-10-01$737.51$457.05RVU14D
2014-07-01$737.51$457.05RVU14C
2014-04-01$737.51$457.05RVU14B
2014-01-01$737.51$457.05RVU14A
2013-10-01$757.46$452.65RVU13D
2013-07-01$757.46$452.65RVU13C
2013-04-01$757.46$452.65RVU13B
2013-01-01$757.46$452.65RVU13AR

Price 63663 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

63663 billing questions

When should 63663 be used instead of 63661?

Use 63663 when the percutaneous electrode array is revised or replaced. Use 63661 when the array is removed without revision.

How does 63663 differ from 63664?

63663 is for revision of a percutaneous electrode array. 63664 is for revision of a surgically placed paddle array.

Is fluoroscopic guidance separately reported?

Fluoroscopy used for the electrode-array revision is included in 63663.

Can modifier 50 be appended for bilateral work?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What postoperative care is included?

Related postoperative visits during the 10-day global period are included in the procedure.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.

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

Show the CMS file lines behind this rate
RVUs for 63663PPRRVU2026_Oct_nonQPP.csv, line 7,081 (RVU26D)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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