CPT code 64569: Vagus nerve electrode, revision or replacement2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $690.27 for 64569 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64569 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 64569 covers

This service covers an operation to revise or replace the electrode array attached to the vagus nerve in a patient with an implanted vagus nerve stimulation system. The surgeon may address a displaced, damaged, or malfunctioning electrode and reconnect the revised or replacement array to the existing pulse generator. It is typically performed in an operating room by a surgeon experienced with implanted neurostimulation systems, often for a patient receiving vagus nerve stimulation for epilepsy or another established indication.

Report the code when the electrode array itself is revised or replaced, rather than for initial system implantation, generator-only work, or electrode removal alone. The operative report should identify the electrode work performed and document the existing system and connection. The service has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 reports bilateral surgery and is paid at 150%. Assistant-at-surgery, co-surgeon, and team-surgery payment requires the applicable medical-necessity or supporting documentation.

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 Oklahoma compares for 64569

Across 109 of 109 payment localities, the facility rate for 64569 runs from $648.60 in Nebraska to $946.96 in Miami, FL. Oklahoma pays $690.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64569 rates by state

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

See 64569 in every payment locality

How the 64569 rate is calculated

Each of 64569’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 64569

64569 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 64569

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

How 64569 has changed in Oklahoma

Price 64569 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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