CPT code 63664: Paddle lead revision, surgically exposed electrode2026 Medicare rate & RVUs in Connecticut

Revision of an implanted spinal cord stimulation paddle electrode, including repositioning or replacement through surgical exposure when the existing lead requires correction.

CMS RVU26DEffective Oct 1, 2026One payment locality851 Medicare services in 2024

In Connecticut, Medicare pays $951.59 for 63664 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$951.59Hospital or facility

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.

We’ll open 63664 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 63664 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 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 Connecticut 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. Connecticut pays $951.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

63664 in Connecticut vs other payment areas
  1. Connecticut · this page$951.59
  2. Los Angeles, CA · California$924.17−$27.42
  3. Washington, DC area · District of Columbia$988.82+$37.23
  4. Miami, FL · Florida$1,111.70+$160.11
  5. Chicago, IL · Illinois$1,068.73+$117.14
  6. Manhattan, NY · New York$1,051.51+$99.92
  7. Alaska · Alaska$1,036.68+$85.09

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

Every other payment area

63664 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$780.12
ArkansasArkansas—$767.13
ArizonaArizona—$855.10
Bakersfield, CACalifornia—$875.82
Chico, CACalifornia—$865.05
El Centro, CACalifornia—$865.74
Fresno, CACalifornia—$865.05
Hanford, CACalifornia—$865.05

63664 rates by state

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

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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
63664 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 63664 in every payment locality

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

Office or facility?

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 Connecticut 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

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 63664 in Connecticut
ComponentRVULocality factorAdjusted
Physician work11.23× 1.02011.4546
Practice expense11.20× 1.07712.0624
Malpractice4.11× 1.2104.9731
Total RVUs28.4901
Conversion factor× 33.4009

Facility rate, Connecticut$951.59

Facility: (11.23 × 1.02 + 11.2 × 1.077 + 4.11 × 1.21) × $33.4009 = $951.59

Open 63664 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.11/0.76/0.13Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

How 63664 has changed in Connecticut

63664 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$951.59RVU26D
2026-07-01Not available in this setting$951.59RVU26C
2026-04-01Not available in this setting$951.59RVU26B
2026-01-01Not available in this setting$951.59RVU26A
2025-10-01Not available in this setting$950.97RVU25D
2025-07-01Not available in this setting$950.97RVU25C
2025-04-01Not available in this setting$950.97RVU25B
2025-01-01Not available in this setting$950.97RVU25A
2024-10-01Not available in this setting$971.85RVU24D
2024-07-01Not available in this setting$971.85RVU24C
2024-04-01Not available in this setting$971.85RVU24B
2024-03-09Not available in this setting$971.85RVU24AR
2024-01-01Not available in this setting$955.99RVU24A
2023-10-01Not available in this setting$965.34RVU23D
2023-07-01Not available in this setting$965.34RVU23C
2023-04-01Not available in this setting$965.34RVU23B
2023-01-01Not available in this setting$965.34RVU23A
2022-10-01Not available in this setting$957.29RVU22D
2022-07-01Not available in this setting$957.29RVU22C
2022-04-01Not available in this setting$957.29RVU22B
2022-01-01Not available in this setting$957.29RVU22A
2021-10-01Not available in this setting$956.47RVU21D
2021-07-01Not available in this setting$956.47RVU21C
2021-04-01Not available in this setting$956.47RVU21B
2021-01-01Not available in this setting$956.47RVU21A
2020-10-01Not available in this setting$978.36RVU20D
2020-07-01Not available in this setting$978.36RVU20C
2020-04-01Not available in this setting$978.36RVU20B
2020-01-01Not available in this setting$978.36RVU20A
2019-10-01Not available in this setting$995.83RVU19D
2019-07-01Not available in this setting$995.83RVU19C
2019-04-01Not available in this setting$995.83RVU19B
2019-01-01Not available in this setting$995.83RVU19A
2018-10-01Not available in this setting$996.34RVU18D
2018-07-01Not available in this setting$996.34RVU18C
2018-04-01Not available in this setting$996.34RVU18B
2018-01-01Not available in this setting$996.34RVU18AR1
2017-10-01Not available in this setting$985.50RVU17D
2017-07-01Not available in this setting$985.50RVU17C
2017-04-01Not available in this setting$985.50RVU17B
2017-01-01Not available in this setting$985.50RVU17A
2016-10-01Not available in this setting$979.59RVU16D
2016-07-01Not available in this setting$979.59RVU16C
2016-04-01Not available in this setting$979.59RVU16B
2016-01-01Not available in this setting$979.59RVU16A
2015-10-01Not available in this setting$984.94RVU15D
2015-07-01Not available in this setting$984.94RVU15C
2015-04-01Not available in this setting$980.04RVU15B
2015-01-01Not available in this setting$980.04RVU15A
2014-10-01Not available in this setting$883.25RVU14D
2014-07-01Not available in this setting$883.25RVU14C
2014-04-01Not available in this setting$883.25RVU14B
2014-01-01Not available in this setting$883.25RVU14A
2013-10-01Not available in this setting$868.18RVU13D
2013-07-01Not available in this setting$868.18RVU13C
2013-04-01Not available in this setting$868.18RVU13B
2013-01-01Not available in this setting$868.18RVU13AR

Price 63664 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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
RVUs for 63664PPRRVU2026_Oct_nonQPP.csv, line 7,082 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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