CPT code 63685: Neurostimulator generator, spinal pulse generator or receiver2026 Medicare rate & RVUs in Indiana

In Indiana, Medicare pays $292.25 for 63685 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63685 nationwide

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

What 63685 covers

This service places or replaces the implanted pulse generator or receiver that powers a spinal cord neurostimulator. The surgeon creates or accesses a pocket, commonly in the flank or buttock, and connects the generator to the stimulation leads. Neurosurgeons and pain physicians commonly perform the procedure in an operating room, including after a successful temporary stimulation trial or when an implanted generator needs replacement.

Report the generator or receiver service for the implanted power unit; lead implantation is a separate service when performed and coded. Operative documentation should identify whether the unit was newly implanted or replaced, the pocket work, and its connection to the stimulation system. Related postoperative visits for 10 days 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 for this descriptor and anatomy. Medicare may pay an assistant at surgery; 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 Indiana compares for 63685

Across 109 of 109 payment localities, the facility rate for 63685 runs from $285.48 in Arkansas to $394.85 in Alaska. Indiana pays $292.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63685 rates by state

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

See 63685 in every payment locality

How the 63685 rate is calculated

Each of 63685’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.

Payment rules and modifiers for 63685

63685 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 63685

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

How 63685 has changed in Indiana

Price 63685 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Abington
• Adams
• Adams Lake
• Advance
• Akron
• Alamo
• Albany

Browse all communities in Indiana

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

Open CMS sourceHow we calculate rates