CPT code 63688: Spinal stimulator, generator revision or removal2026 Medicare rate & RVUs in Alabama

In Alabama, Medicare pays $274.18 for 63688 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63688 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 63688 covers

This service involves surgically revising or removing the implanted pulse generator or receiver that powers a spinal cord stimulation system. It is commonly performed by a neurosurgeon or pain physician for a generator that has shifted, malfunctioned, or reached the end of its service life, or when the generator pocket requires surgical attention. The work concerns the generator or receiver, not the implanted spinal electrodes.

Report this code when the operative work revises or removes the generator or receiver; documentation should identify the device component and the specific work performed. Use the lead-removal or lead-revision codes when the electrode array or paddle is the target. Medicare assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is not appropriate. Medicare does not pay an assistant at surgery, 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 Alabama compares for 63688

Across 109 of 109 payment localities, the facility rate for 63688 runs from $270.32 in Arkansas to $369.33 in NYC suburbs and Long Island, NY. Alabama pays $274.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63688 rates by state

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

See 63688 in every payment locality

How the 63688 rate is calculated

Each of 63688’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 63688

63688 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 63688

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

How 63688 has changed in Alabama

Price 63688 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

• Abanda
• Abbeville
• Adamsville
• Addison
• Akron
• Alabaster
• Albertville
• Alexander City

Browse all communities in Alabama

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