CPT code 64570: Vagus stimulator removal, electrode array and generator2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $857.75 for 64570 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64570 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 64570 covers

This operation removes the implanted electrode array from the vagus nerve and the associated pulse generator. It is typically performed by a surgeon in a facility setting for a patient with an existing vagus nerve stimulation system, often used to treat epilepsy. Removal may involve dissection of the lead from the nerve and removal of the generator from its implant pocket.

Report the code when both the electrode array and pulse generator are removed; removal is distinct from revising or replacing the array. The operative report should identify the vagus nerve system and document the components taken out. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery, co-surgeon, and team-surgery payment requires supporting documentation as applicable.

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 Washington, DC area compares for 64570

Across 109 of 109 payment localities, the facility rate for 64570 runs from $656.98 in Arkansas to $971.36 in Miami, FL. Washington, DC area pays $857.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64570 rates by state

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

See 64570 in every payment locality

How the 64570 rate is calculated

Each of 64570’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 64570

64570 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 64570

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

How 64570 has changed in Washington, DC area

Price 64570 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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