CPT code 63664: Paddle lead revision, surgically exposed electrode2026 Medicare rate & RVUs in Oxnard, CA
Revision of an implanted spinal cord stimulation paddle electrode, including repositioning or replacement through surgical exposure when the existing lead requires correction.
In Oxnard, CA, Medicare pays $913.29 for 63664 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63664 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 63664 covers
This service revises an implanted spinal cord stimulation paddle or plate electrode when the existing lead must be repositioned or replaced. The surgeon exposes the lead through a laminotomy or laminectomy to access the electrode; intraoperative imaging may be used. Neurosurgeons and orthopedic spine surgeons commonly perform the procedure in a facility setting for patients whose implanted paddle lead requires surgical correction.
Report 63664 for revision of the paddle electrode, not removal alone or work on the pulse generator. The operative report should identify the existing paddle lead and describe the revision performed, including the surgical exposure and whether the lead was repositioned or replaced. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is not appropriate. 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 Oxnard, CA compares for 63664
Across 109 of 109 payment localities, the facility rate for 63664 runs from $767.13 in Arkansas to $1,111.70 in Miami, FL. Oxnard, CA pays $913.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oxnard, CA · this page$913.29
- Bakersfield, CA · California$875.82−$37.47
- Chico, CA · California$865.05−$48.24
- El Centro, CA · California$865.74−$47.55
- Fresno, CA · California$865.05−$48.24
- Hanford, CA · California$865.05−$48.24
- Los Angeles, CA · California$924.17+$10.88
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $865.05 |
| Merced, CACalifornia | — | $865.05 |
| Modesto, CACalifornia | — | $865.05 |
| Napa, CACalifornia | — | $961.51 |
| Redding, CACalifornia | — | $865.05 |
| Rest of CaliforniaCalifornia | — | $865.05 |
| Riverside, CACalifornia | — | $908.94 |
| Sacramento, CACalifornia | — | $897.24 |
| Salinas, CACalifornia | — | $893.87 |
| San Diego, CACalifornia | — | $908.16 |
| Marin County, CACalifornia | — | $1,001.20 |
| San Francisco, CACalifornia | — | $996.54 |
| San Benito County, CACalifornia | — | $1,029.37 |
| Santa Clara County, CACalifornia | — | $1,010.29 |
| San Luis Obispo, CACalifornia | — | $881.14 |
| Santa Cruz, CACalifornia | — | $911.07 |
| Santa Maria, CACalifornia | — | $895.36 |
| Santa Rosa, CACalifornia | — | $919.31 |
| Stockton, CACalifornia | — | $865.05 |
| Vallejo, CACalifornia | — | $954.78 |
| Visalia, CACalifornia | — | $865.05 |
| Yuba City, CACalifornia | — | $865.05 |
| Washington, DC areaDistrict of Columbia | — | $988.82 |
| Miami, FLFlorida | — | $1,111.70 |
| Chicago, ILIllinois | — | $1,068.73 |
| Manhattan, NYNew York | — | $1,051.51 |
| AlaskaAlaska | — | $1,036.68 |
| AlabamaAlabama | — | $780.12 |
| ArkansasArkansas | — | $767.13 |
| ArizonaArizona | — | $855.10 |
| ColoradoColorado | — | $884.84 |
| ConnecticutConnecticut | — | $951.59 |
| DelawareDelaware | — | $869.98 |
| Fort Lauderdale, FLFlorida | — | $1,002.24 |
| Rest of FloridaFlorida | — | $939.05 |
| Atlanta, GAGeorgia | — | $921.16 |
| Rest of GeorgiaGeorgia | — | $872.42 |
| Hawaii, Guam, HIHawaii | — | $879.92 |
| IowaIowa | — | $771.88 |
| IdahoIdaho | — | $784.19 |
| East St. Louis, ILIllinois | — | $995.73 |
| Rest of IllinoisIllinois | — | $931.20 |
| Suburban Chicago, ILIllinois | — | $1,005.16 |
| IndianaIndiana | — | $788.59 |
| KansasKansas | — | $782.46 |
| KentuckyKentucky | — | $833.27 |
| New Orleans, LALouisiana | — | $883.06 |
| Rest of LouisianaLouisiana | — | $837.67 |
| Metropolitan Boston, MAMassachusetts | — | $959.31 |
| Rest of MassachusettsMassachusetts | — | $884.42 |
| Baltimore area, MDMaryland | — | $952.30 |
| Rest of MarylandMaryland | — | $883.44 |
| Rest of MaineMaine | — | $804.64 |
| Southern Maine, MEMaine | — | $832.44 |
| Detroit, MIMichigan | — | $967.54 |
| Rest of MichiganMichigan | — | $871.62 |
| MinnesotaMinnesota | — | $800.66 |
| Metropolitan Kansas City, MOMissouri | — | $860.48 |
| Metropolitan St. Louis, MOMissouri | — | $868.78 |
| Rest of MissouriMissouri | — | $831.27 |
| MississippiMississippi | — | $798.63 |
| MontanaMontana | — | $886.19 |
| North CarolinaNorth Carolina | — | $811.84 |
| North DakotaNorth Dakota | — | $804.92 |
| NebraskaNebraska | — | $772.27 |
| New HampshireNew Hampshire | — | $884.64 |
| Northern New JerseyNew Jersey | — | $979.28 |
| Rest of New JerseyNew Jersey | — | $949.20 |
| New MexicoNew Mexico | — | $883.00 |
| NevadaNevada | — | $863.91 |
| NYC suburbs and Long Island, NYNew York | — | $1,098.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $967.71 |
| Queens, NYNew York | — | $1,039.23 |
| Rest of New YorkNew York | — | $826.98 |
| OhioOhio | — | $855.01 |
| OklahomaOklahoma | — | $815.82 |
| Portland, OROregon | — | $898.84 |
| Rest of OregonOregon | — | $844.19 |
| Metropolitan Philadelphia, PAPennsylvania | — | $935.04 |
| Rest of PennsylvaniaPennsylvania | — | $848.23 |
| Puerto RicoPuerto Rico | — | $888.52 |
| Rhode IslandRhode Island | — | $891.11 |
| South CarolinaSouth Carolina | — | $837.44 |
| South DakotaSouth Dakota | — | $795.31 |
| TennesseeTennessee | — | $788.86 |
| Austin, TXTexas | — | $893.26 |
| Beaumont, TXTexas | — | $843.05 |
| Brazoria, TXTexas | — | $855.89 |
| Dallas, TXTexas | — | $868.85 |
| Fort Worth, TXTexas | — | $866.89 |
| Galveston, TXTexas | — | $863.23 |
| Houston, TXTexas | — | $938.46 |
| Rest of TexasTexas | — | $854.07 |
| UtahUtah | — | $850.01 |
| VirginiaVirginia | — | $839.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $888.52 |
| VermontVermont | — | $814.90 |
| Rest of WashingtonWashington | — | $878.35 |
| King County, WAWashington | — | $965.01 |
| WisconsinWisconsin | — | $775.75 |
| West VirginiaWest Virginia | — | $896.62 |
| WyomingWyoming | — | $850.77 |
63664 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 63664 rate is calculated
Each of 63664’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 · 63664
RVUs × geographic indexes × conversion factor
Work11.23
11.23 RVUs× 1.000 GPCI
Practice expense11.20
11.20 RVUs× 1.000 GPCI
Malpractice4.11
4.11 RVUs× 1.000 GPCI
Adjusted RVUs
26.5400
Conversion factor
$33.4009
Medicare rate
$886.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Oxnard, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,082
- Code
- 63664
- Physician work
- 11.23
- Practice expense
- 11.20
- Malpractice
- 4.11
GPCI2026.csv
18
- Locality
- Oxnard, CA
- Physician work
- 1.028
- Practice expense
- 1.182
- Malpractice
- 0.623
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.23 | × 1.028 | 11.5444 |
| Practice expense | 11.20 | × 1.182 | 13.2384 |
| Malpractice | 4.11 | × 0.623 | 2.5605 |
| Total RVUs | 27.3434 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oxnard, CA$913.29
Facility: (11.23 × 1.028 + 11.2 × 1.182 + 4.11 × 0.623) × $33.4009 = $913.29
Payment rules and modifiers for 63664
63664 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63664
Paddle lead revision, surgically exposed electrode
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63664
Paddle lead revision, surgically exposed electrode
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63664 without 51 · national facility
$886.46
Paddle lead revision, surgically exposed electrode
63664-51 · Second procedure: 50%
$443.23
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 63664 has changed in Oxnard, CA
63664 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $913.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $913.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $913.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $913.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $913.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $913.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $913.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $913.31 | RVU25A |
| 2024-10-01 | Not available in this setting | $931.86 | RVU24D |
| 2024-07-01 | Not available in this setting | $931.86 | RVU24C |
| 2024-04-01 | Not available in this setting | $931.86 | RVU24B |
| 2024-03-09 | Not available in this setting | $931.86 | RVU24AR |
| 2024-01-01 | Not available in this setting | $916.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $941.88 | RVU23D |
| 2023-07-01 | Not available in this setting | $941.88 | RVU23C |
| 2023-04-01 | Not available in this setting | $941.88 | RVU23B |
| 2023-01-01 | Not available in this setting | $941.88 | RVU23A |
| 2022-10-01 | Not available in this setting | $950.07 | RVU22D |
| 2022-07-01 | Not available in this setting | $950.07 | RVU22C |
| 2022-04-01 | Not available in this setting | $950.07 | RVU22B |
| 2022-01-01 | Not available in this setting | $950.07 | RVU22A |
| 2021-10-01 | Not available in this setting | $949.49 | RVU21D |
| 2021-07-01 | Not available in this setting | $949.49 | RVU21C |
| 2021-04-01 | Not available in this setting | $949.49 | RVU21B |
| 2021-01-01 | Not available in this setting | $949.49 | RVU21A |
| 2020-10-01 | Not available in this setting | $947.63 | RVU20D |
| 2020-07-01 | Not available in this setting | $947.63 | RVU20C |
| 2020-04-01 | Not available in this setting | $947.63 | RVU20B |
| 2020-01-01 | Not available in this setting | $947.63 | RVU20A |
| 2019-10-01 | Not available in this setting | $938.04 | RVU19D |
| 2019-07-01 | Not available in this setting | $938.04 | RVU19C |
| 2019-04-01 | Not available in this setting | $938.04 | RVU19B |
| 2019-01-01 | Not available in this setting | $938.04 | RVU19A |
| 2018-10-01 | Not available in this setting | $938.70 | RVU18D |
| 2018-07-01 | Not available in this setting | $938.70 | RVU18C |
| 2018-04-01 | Not available in this setting | $938.70 | RVU18B |
| 2018-01-01 | Not available in this setting | $938.70 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $941.59 | RVU17D |
| 2017-07-01 | Not available in this setting | $941.59 | RVU17C |
| 2017-04-01 | Not available in this setting | $941.59 | RVU17B |
| 2017-01-01 | Not available in this setting | $941.59 | RVU17A |
| 2016-10-01 | Not available in this setting | $948.92 | RVU16D |
| 2016-07-01 | Not available in this setting | $948.92 | RVU16C |
| 2016-04-01 | Not available in this setting | $948.92 | RVU16B |
| 2016-01-01 | Not available in this setting | $948.92 | RVU16A |
| 2015-10-01 | Not available in this setting | $953.42 | RVU15D |
| 2015-07-01 | Not available in this setting | $953.42 | RVU15C |
| 2015-04-01 | Not available in this setting | $948.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $948.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $883.17 | RVU14D |
| 2014-07-01 | Not available in this setting | $883.17 | RVU14C |
| 2014-04-01 | Not available in this setting | $883.17 | RVU14B |
| 2014-01-01 | Not available in this setting | $883.17 | RVU14A |
| 2013-10-01 | Not available in this setting | $867.44 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Oxnard, CA rate applies
Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Oxnard
- Thousand Oaks
- Bell Canyon
- Camarillo
- Casa Conejo
- Channel Islands Beach
- El Rio
- Fillmore
63664 billing questions
How is 63664 different from 63663?
63664 is for revision of a surgically exposed paddle or plate electrode. 63663 is for revision of a percutaneous electrode array.
When should 63662 be reported instead?
Use 63662 for removal of a spinal paddle or plate electrode without revision. 63664 describes revising the existing lead, including repositioning or replacement.
Does 63664 include pulse-generator work?
No. This code addresses the spinal paddle electrode. Work on the implanted pulse generator or its pocket is described by a separate generator code when performed.
Can modifier 50 be used for bilateral lead revision?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 63664?
Document the implanted paddle lead, why it required revision, the surgical exposure, and what was done to reposition or replace it.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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
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