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

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 North Carolina, Medicare pays $2,081.40 for 64555 in the office and $281.12 when it’s performed in a hospital or facility.

$2,081.40Office (non-facility)
$281.12Hospital or facility
−6.4%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 North Carolina
  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 North Carolina 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. North Carolina pays $2,081.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

64555 in North Carolina vs other payment areas
  1. North Carolina · this page$2,081.40
  2. Los Angeles, CA · California$2,593.69+$512.29
  3. Washington, DC area · District of Columbia$2,594.74+$513.34
  4. Miami, FL · Florida$2,335.79+$254.39
  5. Chicago, IL · Illinois$2,259.98+$178.58
  6. Manhattan, NY · New York$2,573.52+$492.12
  7. Alaska · Alaska$2,439.72+$358.32

Other areas in North Carolina 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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 64555 in North Carolina
ComponentRVULocality factorAdjusted
Physician work5.62× 1.0005.6200
Practice expense60.37× 0.93356.3252
Malpractice0.58× 0.6390.3706
Total RVUs62.3158
Conversion factor× 33.4009

Office rate, North Carolina$2081.40

Office: (5.62 × 1 + 60.37 × 0.933 + 0.58 × 0.639) × $33.4009 = $2081.40

Facility: (5.62 × 1 + 2.6 × 0.933 + 0.58 × 0.639) × $33.4009 = $281.12

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, North Carolina
Same family
64553Neurostimulator lead, percutaneous, cranial nervePercutaneous electrode-array placement in the cranial nerve category rather than a peripheral nerve.$4,505.72
64561Sacral nerve lead, percutaneous approachPercutaneous electrode-array placement for a sacral nerve target.$697.56
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.$403.46

How 64555 has changed in North Carolina

64555 · Office / nonfacility

$2081.40

Effective 2026-10-01

The base rate is $232.03 higher than on 2025-10-01, moving from $1849.37 to $2081.40 (12.5%).

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

    $1849.37changed to$2081.40

    • 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
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1971.07changed to$1849.37

    • 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

    $1938.90changed to$1971.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2046.77changed to$1938.90

    • 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
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $2170.36changed to$2046.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 60.81 changed to 58.43
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2122.12changed to$2170.36

    • 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

    $1796.87changed to$2122.12

    • 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
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1494.65changed to$1796.87

    • 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
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1159.79changed to$1494.65

    • 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

    $204.17changed to$1159.79

    • 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
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $204.54changed to$204.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.45 changed to 3.43
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $206.01changed to$204.54

    • 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

    $204.98changed to$206.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $195.16changed to$204.98

    • 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 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $192.63changed to$195.16

    • 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 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $192.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,081.40$281.12RVU26D
2026-07-01$2,081.40$281.12RVU26C
2026-04-01$2,081.40$281.12RVU26B
2026-01-01$2,081.40$281.12RVU26A
2025-10-01$1,849.37$302.31RVU25D
2025-07-01$1,849.37$302.31RVU25C
2025-04-01$1,849.37$302.31RVU25B
2025-01-01$1,849.37$302.31RVU25A
2024-10-01$1,971.07$307.18RVU24D
2024-07-01$1,971.07$307.18RVU24C
2024-04-01$1,971.07$307.18RVU24B
2024-03-09$1,971.07$307.18RVU24AR
2024-01-01$1,938.90$302.17RVU24A
2023-10-01$2,046.77$313.38RVU23D
2023-07-01$2,046.77$313.38RVU23C
2023-04-01$2,046.77$313.38RVU23B
2023-01-01$2,046.77$313.38RVU23A
2022-10-01$2,170.36$320.56RVU22D
2022-07-01$2,170.36$320.56RVU22C
2022-04-01$2,170.36$320.56RVU22B
2022-01-01$2,170.36$320.56RVU22A
2021-10-01$2,122.12$333.73RVU21D
2021-07-01$2,122.12$333.73RVU21C
2021-04-01$2,122.12$333.73RVU21B
2021-01-01$2,122.12$333.73RVU21A
2020-10-01$1,796.87$340.89RVU20D
2020-07-01$1,796.87$340.89RVU20C
2020-04-01$1,796.87$340.89RVU20B
2020-01-01$1,796.87$340.89RVU20A
2019-10-01$1,494.65$338.44RVU19D
2019-07-01$1,494.65$338.44RVU19C
2019-04-01$1,494.65$338.44RVU19B
2019-01-01$1,494.65$338.44RVU19A
2018-10-01$1,159.79$334.97RVU18D
2018-07-01$1,159.79$334.97RVU18C
2018-04-01$1,159.79$334.97RVU18B
2018-01-01$1,159.79$334.97RVU18AR1
2017-10-01$204.17$150.38RVU17D
2017-07-01$204.17$150.38RVU17C
2017-04-01$204.17$150.38RVU17B
2017-01-01$204.17$150.38RVU17A
2016-10-01$204.54$150.93RVU16D
2016-07-01$204.54$150.93RVU16C
2016-04-01$204.54$150.93RVU16B
2016-01-01$204.54$150.93RVU16A
2015-10-01$206.01$152.54RVU15D
2015-07-01$206.01$152.54RVU15C
2015-04-01$204.98$151.78RVU15B
2015-01-01$204.98$151.78RVU15A
2014-10-01$195.16$146.91RVU14D
2014-07-01$195.16$146.91RVU14C
2014-04-01$195.16$146.91RVU14B
2014-01-01$195.16$146.91RVU14A
2013-10-01$192.63$142.80RVU13D
2013-07-01$192.63$142.80RVU13C
2013-04-01$192.63$142.80RVU13B
2013-01-01$192.63$142.80RVU13AR

Price 64555 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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 North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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