CPT code 64567: Nerve field stimulation, cranial nerves2026 Medicare rate & RVUs in Iowa
Reports percutaneous electrical nerve field stimulation at cranial nerve sites, commonly delivered through auricular electrodes for functional abdominal pain.
In Iowa, Medicare pays $1,135.64 for 64567 in the office and $62.31 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64567 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64567 covers
This service uses fine percutaneous electrodes at external-ear sites to deliver electrical stimulation to cranial nerve branches. A typical use is treatment of functional abdominal pain associated with irritable bowel syndrome, including in adolescents. The treating clinician places the electrodes and activates the stimulation device; the service is distinct from surgically implanting a permanent cranial nerve stimulator. It may be furnished in an outpatient clinic by a clinician managing the patient’s pain or gastrointestinal condition.
Report the code for the cranial nerve field stimulation service, not separately for each electrode. Documentation should identify the clinical indication, the treatment performed, electrode placement, and device activation. Select a different code when the service instead involves posterior tibial nerve stimulation or surgical implantation of a cranial nerve electrode and pulse generator.
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 Iowa compares for 64567
Across 109 of 109 payment localities, the office rate for 64567 runs from $1,069.96 in Arkansas to $1,765.89 in San Benito County, CA. Iowa pays $1,135.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$1,135.64
- Los Angeles, CA · California$1,456.45+$320.81
- Washington, DC area · District of Columbia$1,453.58+$317.94
- Miami, FL · Florida$1,296.23+$160.59
- Chicago, IL · Illinois$1,252.70+$117.06
- Manhattan, NY · New York$1,437.66+$302.02
- Alaska · Alaska$1,339.12+$203.48
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,089.18 | $62.77 |
| ArkansasArkansas | $1,069.96 | $62.32 |
| ArizonaArizona | $1,202.03 | $65.36 |
| Bakersfield, CACalifornia | $1,352.04 | $66.39 |
| Chico, CACalifornia | $1,351.55 | $65.90 |
| El Centro, CACalifornia | $1,351.58 | $65.92 |
| Fresno, CACalifornia | $1,351.55 | $65.90 |
| Hanford, CACalifornia | $1,351.55 | $65.90 |
| Madera, CACalifornia | $1,351.55 | $65.90 |
| Merced, CACalifornia | $1,351.55 | $65.90 |
| Modesto, CACalifornia | $1,351.55 | $65.90 |
| Napa, CACalifornia | $1,616.57 | $70.50 |
| Oxnard, CACalifornia | $1,454.39 | $67.86 |
| Redding, CACalifornia | $1,351.55 | $65.90 |
| Rest of CaliforniaCalifornia | $1,351.55 | $65.90 |
| Riverside, CACalifornia | $1,353.29 | $67.64 |
| Sacramento, CACalifornia | $1,431.83 | $67.59 |
| Salinas, CACalifornia | $1,426.85 | $67.29 |
| San Diego, CACalifornia | $1,470.64 | $67.68 |
| Marin County, CACalifornia | $1,726.84 | $72.86 |
| San Francisco, CACalifornia | $1,726.66 | $72.67 |
| San Benito County, CACalifornia | $1,765.89 | $74.37 |
| Santa Clara County, CACalifornia | $1,765.15 | $73.63 |
| San Luis Obispo, CACalifornia | $1,402.46 | $66.37 |
| Santa Cruz, CACalifornia | $1,492.65 | $67.41 |
| Santa Maria, CACalifornia | $1,434.98 | $67.22 |
| Santa Rosa, CACalifornia | $1,508.50 | $68.00 |
| Stockton, CACalifornia | $1,351.55 | $65.90 |
| Vallejo, CACalifornia | $1,616.30 | $70.24 |
| Visalia, CACalifornia | $1,351.55 | $65.90 |
| Yuba City, CACalifornia | $1,351.55 | $65.90 |
| ColoradoColorado | $1,314.72 | $66.60 |
| ConnecticutConnecticut | $1,332.80 | $69.44 |
| DelawareDelaware | $1,225.01 | $66.05 |
| Fort Lauderdale, FLFlorida | $1,259.22 | $70.93 |
| Rest of FloridaFlorida | $1,190.10 | $68.67 |
| Atlanta, GAGeorgia | $1,259.68 | $67.87 |
| Rest of GeorgiaGeorgia | $1,112.65 | $66.30 |
| Hawaii, Guam, HIHawaii | $1,399.47 | $65.73 |
| IdahoIdaho | $1,141.97 | $62.77 |
| East St. Louis, ILIllinois | $1,150.20 | $71.00 |
| Rest of IllinoisIllinois | $1,139.50 | $68.52 |
| Suburban Chicago, ILIllinois | $1,275.95 | $71.24 |
| IndianaIndiana | $1,150.32 | $62.92 |
| KansasKansas | $1,123.19 | $62.76 |
| KentuckyKentucky | $1,107.62 | $64.79 |
| New Orleans, LALouisiana | $1,170.37 | $66.54 |
| Rest of LouisianaLouisiana | $1,103.12 | $64.98 |
| Metropolitan Boston, MAMassachusetts | $1,470.68 | $70.07 |
| Rest of MassachusettsMassachusetts | $1,301.98 | $66.77 |
| Baltimore area, MDMaryland | $1,328.01 | $69.34 |
| Rest of MarylandMaryland | $1,253.78 | $66.66 |
| Rest of MaineMaine | $1,142.76 | $63.57 |
| Southern Maine, MEMaine | $1,226.88 | $64.40 |
| Detroit, MIMichigan | $1,201.73 | $69.75 |
| Rest of MichiganMichigan | $1,137.18 | $66.20 |
| MinnesotaMinnesota | $1,270.08 | $63.03 |
| Metropolitan Kansas City, MOMissouri | $1,167.16 | $65.67 |
| Metropolitan St. Louis, MOMissouri | $1,182.68 | $65.95 |
| Rest of MissouriMissouri | $1,075.97 | $64.81 |
| MississippiMississippi | $1,073.53 | $63.54 |
| MontanaMontana | $1,239.50 | $66.46 |
| North CarolinaNorth Carolina | $1,158.25 | $63.80 |
| North DakotaNorth Dakota | $1,236.33 | $63.29 |
| NebraskaNebraska | $1,145.01 | $62.30 |
| New HampshireNew Hampshire | $1,287.39 | $66.25 |
| Northern New JerseyNew Jersey | $1,432.48 | $71.75 |
| Rest of New JerseyNew Jersey | $1,350.96 | $70.00 |
| New MexicoNew Mexico | $1,142.30 | $66.63 |
| NevadaNevada | $1,239.80 | $65.59 |
| NYC suburbs and Long Island, NYNew York | $1,471.08 | $76.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,355.37 | $70.89 |
| Queens, NYNew York | $1,460.58 | $74.04 |
| Rest of New YorkNew York | $1,178.72 | $64.33 |
| OhioOhio | $1,136.54 | $65.55 |
| OklahomaOklahoma | $1,111.62 | $64.10 |
| Portland, OROregon | $1,370.37 | $67.12 |
| Rest of OregonOregon | $1,233.18 | $64.84 |
| Metropolitan Philadelphia, PAPennsylvania | $1,289.99 | $68.85 |
| Rest of PennsylvaniaPennsylvania | $1,142.12 | $65.27 |
| Puerto RicoPuerto Rico | $1,252.45 | $66.51 |
| Rhode IslandRhode Island | $1,278.96 | $67.21 |
| South CarolinaSouth Carolina | $1,148.72 | $64.83 |
| South DakotaSouth Dakota | $1,235.96 | $62.92 |
| TennesseeTennessee | $1,129.28 | $62.99 |
| Austin, TXTexas | $1,307.67 | $66.60 |
| Beaumont, TXTexas | $1,132.56 | $65.10 |
| Brazoria, TXTexas | $1,228.08 | $65.59 |
| Dallas, TXTexas | $1,234.46 | $66.12 |
| Fort Worth, TXTexas | $1,222.69 | $66.07 |
| Galveston, TXTexas | $1,230.70 | $65.87 |
| Houston, TXTexas | $1,233.63 | $68.80 |
| Rest of TexasTexas | $1,178.60 | $65.39 |
| UtahUtah | $1,167.92 | $65.26 |
| VirginiaVirginia | $1,217.81 | $64.71 |
| Virgin Islands, VIUnited States Virgin Islands | $1,252.45 | $66.51 |
| VermontVermont | $1,225.03 | $63.72 |
| Rest of WashingtonWashington | $1,301.64 | $66.43 |
| King County, WAWashington | $1,509.82 | $70.50 |
| WisconsinWisconsin | $1,186.08 | $62.31 |
| West VirginiaWest Virginia | $1,086.70 | $67.33 |
| WyomingWyoming | $1,238.12 | $65.08 |
64567 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$1,069.96
$1,558.72
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,339.12 | 1 |
| AL | $1,089.18 | 1 |
| AR | $1,069.96 | 1 |
| AZ | $1,202.03 | 1 |
| CA | $1,351.55–$1,765.89 | 29 |
| CO | $1,314.72 | 1 |
| CT | $1,332.80 | 1 |
| DC | $1,453.58 | 1 |
| DE | $1,225.01 | 1 |
| FL | $1,190.10–$1,296.23 | 3 |
| GA | $1,112.65–$1,259.68 | 2 |
| GU | $1,399.47 | 1 |
| HI | $1,399.47 | 1 |
| IA | $1,135.64 | 1 |
| ID | $1,141.97 | 1 |
| IL | $1,139.50–$1,275.95 | 4 |
| IN | $1,150.32 | 1 |
| KS | $1,123.19 | 1 |
| KY | $1,107.62 | 1 |
| LA | $1,103.12–$1,170.37 | 2 |
| MA | $1,301.98–$1,470.68 | 2 |
| MD | $1,253.78–$1,453.58 | 3 |
| ME | $1,142.76–$1,226.88 | 2 |
| MI | $1,137.18–$1,201.73 | 2 |
| MN | $1,270.08 | 1 |
| MO | $1,075.97–$1,182.68 | 3 |
| MS | $1,073.53 | 1 |
| MT | $1,239.50 | 1 |
| NC | $1,158.25 | 1 |
| ND | $1,236.33 | 1 |
| NE | $1,145.01 | 1 |
| NH | $1,287.39 | 1 |
| NJ | $1,350.96–$1,432.48 | 2 |
| NM | $1,142.30 | 1 |
| NV | $1,239.80 | 1 |
| NY | $1,178.72–$1,471.08 | 5 |
| OH | $1,136.54 | 1 |
| OK | $1,111.62 | 1 |
| OR | $1,233.18–$1,370.37 | 2 |
| PA | $1,142.12–$1,289.99 | 2 |
| PR | $1,252.45 | 1 |
| RI | $1,278.96 | 1 |
| SC | $1,148.72 | 1 |
| SD | $1,235.96 | 1 |
| TN | $1,129.28 | 1 |
| TX | $1,132.56–$1,307.67 | 8 |
| UT | $1,167.92 | 1 |
| VA | $1,217.81–$1,453.58 | 2 |
| VI | $1,252.45 | 1 |
| VT | $1,225.03 | 1 |
| WA | $1,301.64–$1,509.82 | 2 |
| WI | $1,186.08 | 1 |
| WV | $1,086.70 | 1 |
| WY | $1,238.12 | 1 |
How the 64567 rate is calculated
Each of 64567’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 · 64567
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense35.45
35.45 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
37.1100
Conversion factor
$33.4009
Medicare rate
$1,239.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,149
- Code
- 64567
- Physician work
- 1.50
- Practice expense
- 35.45
- Malpractice
- 0.16
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.50 | × 1.000 | 1.5000 |
| Practice expense | 35.45 | × 0.915 | 32.4368 |
| Malpractice | 0.16 | × 0.397 | 0.0635 |
| Total RVUs | 34.0003 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$1135.64
Office: (1.5 × 1 + 35.45 × 0.915 + 0.16 × 0.397) × $33.4009 = $1135.64
Facility: (1.5 × 1 + 0.33 × 0.915 + 0.16 × 0.397) × $33.4009 = $62.31
Payment rules and modifiers for 64567
64567 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 64567
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$1,239.51
- Non-facility (office)
- $1,239.51
- Facility
- $66.47
Higher because the practice carries its own overhead.
How 64567 has changed in Iowa
64567 · Office / nonfacility
$1135.64
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
No ratechanged to$1135.64
Held through RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,135.64 | $62.31 | RVU26D |
| 2026-07-01 | $1,135.64 | $62.31 | RVU26C |
| 2026-04-01 | $1,135.64 | $62.31 | RVU26B |
| 2026-01-01 | $1,135.64 | $62.31 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
64567 billing questions
Does this code represent each electrode placed?
No. It represents the cranial nerve field stimulation service, rather than a separate service for each auricular electrode.
What should the record document?
Document the indication, the stimulation treatment performed, electrode placement, and device activation.
How is this different from 64566?
64567 describes cranial nerve field stimulation, commonly using auricular sites. 64566 is for percutaneous stimulation of the posterior tibial nerve.
Is this the code for permanent vagus nerve stimulator implantation?
No. 64567 describes percutaneous electrical nerve field stimulation. Open implantation of a cranial nerve electrode array and pulse generator is represented by 64568.
Is this code reported for functional abdominal pain treatment?
It may describe cranial nerve field stimulation used for functional abdominal pain associated with irritable bowel syndrome. The record should support the patient’s indication and the treatment performed.
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
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