CPT code 64568: Nerve stimulator, electrode array and pulse generator2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $633.65 for 64568 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64568 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 64568 covers

A surgeon implants a stimulation lead on a cranial nerve and places the pulse generator, typically in a subcutaneous chest pocket. Vagus nerve stimulation for medically refractory epilepsy is a common example. The operation generally involves a neck incision to expose the nerve and a separate site for the generator, and is performed in an operating room by a neurosurgeon or another surgeon experienced with the implant.

Report 64568 for the initial open implantation of the cranial nerve electrode array and pulse generator. The operative report should identify the nerve targeted, the open implantation approach, and placement of both the lead and generator. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Utah compares for 64568

Across 109 of 109 payment localities, the facility rate for 64568 runs from $572.67 in Arkansas to $829.11 in Miami, FL. Utah pays $633.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64568 rates by state

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

See 64568 in every payment locality

How the 64568 rate is calculated

Each of 64568’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 64568

64568 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 64568

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

How 64568 has changed in Utah

Price 64568 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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