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CPT code 64575: Nerve stimulation, open peripheral nerve placement2026 Medicare rate & RVUs

Reports open surgical placement of a neurostimulator electrode array at a peripheral nerve, excluding sacral nerve placement.

CMS RVU26DEffective Oct 1, 2026109 payment localities316 Medicare services in 2024

Medicare pays $293.59 for 64575 nationally in a facility.

Medicare rate · 64575

Nerve stimulation, open peripheral nerve placement

Office or facility?

Work RVUs
4.31
Total RVUs
8.79
Global days
090

National rate · 2026

$293.59

Facility setting, before claim adjustments.

See every locality for 64575 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64575 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64575 covers

The surgeon places a neurostimulator electrode array at a selected peripheral nerve through an open incision. The service may be used for peripheral nerve stimulation in a patient with chronic pain when the treatment plan calls for surgically placed electrodes. Neurosurgeons, pain physicians with surgical privileges, and other qualified surgeons typically perform the procedure in a facility setting. The sacral nerve and neuromuscular implantation services are represented by separate codes.

Report 64575 when the operative note supports open placement at a peripheral nerve and identifies the target and electrode-array placement. If a peripheral neurostimulator pulse generator or receiver is also implanted, that work may be reported separately with 64590. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When 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% multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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.

Where 64575 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64575 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$267.77
AlaskaUnavailable$363.45
ArizonaUnavailable$286.35
ArkansasUnavailable$264.57
Atlanta, GAUnavailable$300.68
Austin, TXUnavailable$298.60
Bakersfield, CAUnavailable$299.47
Baltimore area, MDUnavailable$310.60
Beaumont, TXUnavailable$280.56
Brazoria, TXUnavailable$288.54

64575 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
64575 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 64575 rate is calculated

Each of 64575’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 · 64575

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.31

4.31 RVUs× 1.000 GPCI

Practice expense3.79

3.79 RVUs× 1.000 GPCI

Malpractice0.69

0.69 RVUs× 1.000 GPCI

Adjusted RVUs

8.7900

Conversion factor

$33.4009

Medicare rate

$293.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 64575

64575 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64575

Nerve stimulation, open peripheral nerve placement

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64575

Nerve stimulation, open peripheral nerve placement

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64575 without 51 · national facility

$293.59

Nerve stimulation, open peripheral nerve placement

64575-51 · Second procedure: 50%

$146.80

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

64575 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64575

    Nerve stimulation, open peripheral nerve placement4.31 wRVU

    Not priced

  • 64555

    Nerve stimulation, percutaneous peripheral nerve5.62 wRVU

    $2,223.50

  • 64580

    Neurostimulator implant, neuromuscular target4.09 wRVU

    Not priced

  • 64581

    Sacral nerve lead, open approach11.9 wRVU

    Not priced

How to choose

64555Nerve stimulationPercutaneous peripheral nerve
Use 64575 for open electrode-array placement at a peripheral nerve; 64555 describes percutaneous placement at that site.
64580Neurostimulator implantNeuromuscular target
64580 is for open electrode-array placement at a neuromuscular site, not the peripheral nerve placement represented by 64575.
64581Sacral nerve leadOpen approach
64581 represents open electrode-array placement for a sacral nerve; 64575 is for a peripheral nerve and excludes sacral placement.

Codes related to 64575

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

Codes related to 64575
CodeHow it relatesNational office range
Used instead
64555Nerve stimulation, percutaneous peripheral nervePercutaneous rather than open placement of a peripheral nerve electrode array.$1,929.79–$3,126.41
Same family
64580Neurostimulator implant, neuromuscular targetOpen electrode-array implantation at a neuromuscular site rather than a peripheral nerve.No office rate
64581Sacral nerve lead, open approachOpen electrode-array implantation for a sacral nerve rather than a peripheral nerve.No office rate
Often billed with
64590Neurostimulator generator, pulse generator or receiverReports placement of a peripheral neurostimulator pulse generator or receiver when performed.$382.84–$540.26

64575 billing questions

How is 64575 different from 64555?

64575 describes open placement of the electrode array at a peripheral nerve. 64555 is for percutaneous placement at a peripheral nerve.

Can the pulse generator be reported separately?

Yes. When a peripheral neurostimulator pulse generator or receiver is implanted, report that service separately with 64590 when supported by the operative work.

Does 64575 include postoperative visits?

Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can modifier 50 be used for bilateral placement?

No. CMS identifies bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction and paid at 50%.

Can an assistant or co-surgeon be reported?

CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.

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 64575PPRRVU2026_Oct_nonQPP.csv, line 7,153 (RVU26D)

Open CMS sourceHow we calculate rates

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