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CPT code 64555: Nerve stimulation, percutaneous peripheral nerve2026 Medicare rate & RVUs in Delaware

Percutaneous peripheral nerve stimulation lead placement is reported when an electrode array is implanted near a peripheral nerve for neuromodulation, excluding sacral nerve targets.

CMS RVU26DEffective Oct 1, 2026One payment locality26.2K Medicare services in 2024

In Delaware, Medicare pays $2,198.28 for 64555 in the office and $291.87 when it’s performed in a hospital or facility.

$2,198.28Office (non-facility)
$291.87Hospital or facility
−1.1%vs the national office rate ($2,223.50)

Check a contract rate as a % of Medicare · 64555 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 64555 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 64555 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 64555 covers

This service places a neurostimulation electrode array through the skin near a peripheral nerve, rather than exposing the nerve through an open incision. It is commonly performed by pain physicians, anesthesiologists, or other physicians treating chronic nerve-related pain; an occipital nerve target is one example. The code distinguishes peripheral nerve placement from cranial and sacral nerve electrode procedures.

Select the code based on the percutaneous approach and the nerve being targeted. The operative or procedure note should identify the target nerve, describe the percutaneous lead placement, and document the clinical reason for neuromodulation. 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Delaware compares for 64555

Across 109 of 109 payment localities, the office rate for 64555 runs from $1,929.79 in Arkansas to $3,126.41 in San Benito County, CA. Delaware pays $2,198.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

64555 in Delaware vs other payment areas
  1. Delaware · this page$2,198.28
  2. Los Angeles, CA · California$2,593.69+$395.41
  3. Washington, DC area · District of Columbia$2,594.74+$396.46
  4. Miami, FL · Florida$2,335.79+$137.51
  5. Chicago, IL · Illinois$2,259.98+$61.70
  6. Manhattan, NY · New York$2,573.52+$375.24
  7. Alaska · Alaska$2,439.72+$241.44

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

Every other payment area

64555 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,963.04$274.66
ArkansasArkansas$1,929.79$272.29
ArizonaArizona$2,158.20$288.45
Bakersfield, CACalifornia$2,413.07$298.26
Chico, CACalifornia$2,411.28$296.47
El Centro, CACalifornia$2,411.37$296.56
Fresno, CACalifornia$2,411.28$296.47
Hanford, CACalifornia$2,411.28$296.47

64555 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.

$1,929.79

$2,768.85

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

View every state and territory as a table
64555 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,439.721
AL$1,963.041
AR$1,929.791
AZ$2,158.201
CA$2,411.28–$3,126.4129
CO$2,350.561
CT$2,386.581
DC$2,594.741
DE$2,198.281
FL$2,144.52–$2,335.793
GA$2,009.44–$2,260.222
GU$2,491.591
HI$2,491.591
IA$2,040.421
ID$2,051.981
IL$2,058.98–$2,294.214
IN$2,066.341
KS$2,020.311
KY$1,998.031
LA$1,990.80–$2,107.162
MA$2,329.44–$2,620.252
MD$2,247.98–$2,594.743
ME$2,054.86–$2,198.202
MI$2,050.57–$2,166.212
MN$2,268.341
MO$1,944.73–$2,126.753
MS$1,938.161
MT$2,223.461
NC$2,081.401
ND$2,211.991
NE$2,056.181
NH$2,303.751
NJ$2,418.40–$2,559.272
NM$2,060.031
NV$2,222.281
NY$2,116.92–$2,633.225
OH$2,048.231
OK$2,003.421
OR$2,209.68–$2,445.362
PA$2,057.09–$2,313.292
PR$2,245.391
RI$2,291.511
SC$2,067.341
SD$2,210.631
TN$2,031.031
TX$2,040.65–$2,338.628
UT$2,100.541
VA$2,183.52–$2,594.742
VI$2,245.391
VT$2,193.761
WA$2,328.18–$2,687.062
WI$2,125.401
WV$1,967.701
WY$2,218.461

See 64555 in every payment locality

How the 64555 rate is calculated

Each of 64555’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 · 64555

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.62

5.62 RVUs× 1.000 GPCI

Practice expense60.37

60.37 RVUs× 1.000 GPCI

Malpractice0.58

0.58 RVUs× 1.000 GPCI

Adjusted RVUs

66.5700

Conversion factor

$33.4009

Medicare rate

$2,223.50

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,146

Code
64555
Physician work
5.62
Practice expense
60.37
Malpractice
0.58

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 64555 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.62× 1.0055.6481
Practice expense60.37× 0.98859.6456
Malpractice0.58× 0.8990.5214
Total RVUs65.8151
Conversion factor× 33.4009

Office rate, Delaware$2198.28

Office: (5.62 × 1.005 + 60.37 × 0.988 + 0.58 × 0.899) × $33.4009 = $2198.28

Facility: (5.62 × 1.005 + 2.6 × 0.988 + 0.58 × 0.899) × $33.4009 = $291.87

Open 64555 in the RVU calculator

Payment rules and modifiers for 64555

64555 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64555

Nerve stimulation, percutaneous peripheral nerve

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 64555

Nerve stimulation, percutaneous peripheral nerve

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

64555 without 51 · national office

$2,223.50

Nerve stimulation, percutaneous peripheral nerve

64555-51 · Second procedure: 50%

$1,111.75

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 64555

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

Codes related to 64555
CodeHow it relatesOffice range, Delaware
Same family
64553Neurostimulator lead, percutaneous, cranial nervePercutaneous electrode-array placement in the cranial nerve category rather than a peripheral nerve.$4,779.27
64561Sacral nerve lead, percutaneous approachPercutaneous electrode-array placement for a sacral nerve target.$734.70
Used instead
64575Nerve stimulation, open peripheral nerve placementPeripheral nerve electrode implantation performed through an open approach.No office rate
Often billed with
64590Neurostimulator generator, pulse generator or receiverMay be reported for separate implantation or replacement of the pulse generator or receiver.$423.71

How 64555 has changed in Delaware

64555 · Office / nonfacility

$2198.28

Effective 2026-10-01

The base rate is $223.88 higher than on 2025-10-01, moving from $1974.40 to $2198.28 (11.3%).

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

    $1974.40changed to$2198.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.76 changed to 5.62
    • Practice expense RVU 55.07 changed to 60.37
    • Malpractice RVU 0.63 changed to 0.58
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2104.50changed to$1974.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 57.28 changed to 55.07
    • Malpractice RVU 0.62 changed to 0.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2070.15changed to$2104.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2210.79changed to$2070.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 58.43 changed to 57.28
    • Malpractice RVU 0.64 changed to 0.62
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $2371.56changed to$2210.79

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 60.81 changed to 58.43
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2318.40changed to$2371.56

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 58.65 changed to 60.81
    • Malpractice RVU 0.77 changed to 0.64

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1959.07changed to$2318.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 46.70 changed to 58.65
    • Malpractice RVU 0.79 changed to 0.77
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1627.45changed to$1959.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 37.80 changed to 46.70
    • Malpractice RVU 0.75 changed to 0.79
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1260.04changed to$1627.45

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 27.91 changed to 37.80
    • Malpractice RVU 0.68 changed to 0.75

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $219.75changed to$1260.04

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 2.32 changed to 5.76
    • Practice expense RVU 3.43 changed to 27.91
    • Malpractice RVU 0.24 changed to 0.68
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $220.72changed to$219.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.45 changed to 3.43
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $222.24changed to$220.72

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.48 changed to 3.45
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $221.14changed to$222.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $209.84changed to$221.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.17 changed to 3.48
    • Malpractice RVU 0.25 changed to 0.23
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $206.95changed to$209.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.41 changed to 3.17
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $206.95

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,198.28$291.87RVU26D
2026-07-01$2,198.28$291.87RVU26C
2026-04-01$2,198.28$291.87RVU26B
2026-01-01$2,198.28$291.87RVU26A
2025-10-01$1,974.40$317.07RVU25D
2025-07-01$1,974.40$317.07RVU25C
2025-04-01$1,974.40$317.07RVU25B
2025-01-01$1,974.40$317.07RVU25A
2024-10-01$2,104.50$322.02RVU24D
2024-07-01$2,104.50$322.02RVU24C
2024-04-01$2,104.50$322.02RVU24B
2024-03-09$2,104.50$322.02RVU24AR
2024-01-01$2,070.15$316.76RVU24A
2023-10-01$2,210.79$327.80RVU23D
2023-07-01$2,210.79$327.80RVU23C
2023-04-01$2,210.79$327.80RVU23B
2023-01-01$2,210.79$327.80RVU23A
2022-10-01$2,371.56$334.39RVU22D
2022-07-01$2,371.56$334.39RVU22C
2022-04-01$2,371.56$334.39RVU22B
2022-01-01$2,371.56$334.39RVU22A
2021-10-01$2,318.40$348.86RVU21D
2021-07-01$2,318.40$348.86RVU21C
2021-04-01$2,318.40$348.86RVU21B
2021-01-01$2,318.40$348.86RVU21A
2020-10-01$1,959.07$360.62RVU20D
2020-07-01$1,959.07$360.62RVU20C
2020-04-01$1,959.07$360.62RVU20B
2020-01-01$1,959.07$360.62RVU20A
2019-10-01$1,627.45$361.94RVU19D
2019-07-01$1,627.45$361.94RVU19C
2019-04-01$1,627.45$361.94RVU19B
2019-01-01$1,627.45$361.94RVU19A
2018-10-01$1,260.04$357.26RVU18D
2018-07-01$1,260.04$357.26RVU18C
2018-04-01$1,260.04$357.26RVU18B
2018-01-01$1,260.04$357.26RVU18AR1
2017-10-01$219.75$160.53RVU17D
2017-07-01$219.75$160.53RVU17C
2017-04-01$219.75$160.53RVU17B
2017-01-01$219.75$160.53RVU17A
2016-10-01$220.72$161.29RVU16D
2016-07-01$220.72$161.29RVU16C
2016-04-01$220.72$161.29RVU16B
2016-01-01$220.72$161.29RVU16A
2015-10-01$222.24$162.97RVU15D
2015-07-01$222.24$162.97RVU15C
2015-04-01$221.14$162.16RVU15B
2015-01-01$221.14$162.16RVU15A
2014-10-01$209.84$155.93RVU14D
2014-07-01$209.84$155.93RVU14C
2014-04-01$209.84$155.93RVU14B
2014-01-01$209.84$155.93RVU14A
2013-10-01$206.95$150.83RVU13D
2013-07-01$206.95$150.83RVU13C
2013-04-01$206.95$150.83RVU13B
2013-01-01$206.95$150.83RVU13AR

Price 64555 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

64555 billing questions

How does this differ from 64575?

64555 describes percutaneous electrode-array placement near a peripheral nerve. 64575 is used when the peripheral nerve electrode is implanted through an open approach.

Can 64555 be used for sacral nerve lead placement?

No. Sacral nerve electrode placement is represented by 64561 when performed percutaneously.

Is the pulse generator included?

64555 reports electrode-array placement. When a pulse generator or receiver is also implanted or replaced, 64590 may be reported for that separate service.

Should modifier 50 be appended for bilateral placement?

No. CMS identifies bilateral adjustment as inappropriate for 64555; modifier 50 should not be used.

What documentation supports reporting 64555?

Document the targeted peripheral nerve, the percutaneous implantation of the electrode array, and the clinical indication for neuromodulation.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% 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 64555PPRRVU2026_Oct_nonQPP.csv, line 7,146 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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