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

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

CMS RVU26DEffective Oct 1, 2026One payment locality316 Medicare services in 2024

In Montana, Medicare pays $293.55 for 64575 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$293.55Hospital or facility

Check a contract rate as a % of Medicare · 64575 nationwide

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

We’ll open 64575 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 64575 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Montana compares for 64575

Across 109 of 109 payment localities, the facility rate for 64575 runs from $264.57 in Arkansas to $363.45 in Alaska. Montana pays $293.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

64575 in Montana vs other payment areas
  1. Montana · this page$293.55
  2. Los Angeles, CA · California$314.92+$21.37
  3. Washington, DC area · District of Columbia$326.50+$32.95
  4. Miami, FL · Florida$334.02+$40.47
  5. Chicago, IL · Illinois$325.08+$31.53
  6. Manhattan, NY · New York$336.82+$43.27
  7. Alaska · Alaska$363.45+$69.90

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

64575 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$267.77
ArkansasArkansas—$264.57
ArizonaArizona—$286.35
Bakersfield, CACalifornia—$299.47
Chico, CACalifornia—$297.50
El Centro, CACalifornia—$297.62
Fresno, CACalifornia—$297.50
Hanford, CACalifornia—$297.50

64575 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.

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

See 64575 in every payment locality

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,153

Code
64575
Physician work
4.31
Practice expense
3.79
Malpractice
0.69

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 64575 in Montana
ComponentRVULocality factorAdjusted
Physician work4.31× 1.0004.3100
Practice expense3.79× 1.0003.7900
Malpractice0.69× 0.9980.6886
Total RVUs8.7886
Conversion factor× 33.4009

Facility rate, Montana$293.55

Facility: (4.31 × 1 + 3.79 × 1 + 0.69 × 0.998) × $33.4009 = $293.55

Open 64575 in the RVU calculator

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

How 64575 has changed in Montana

64575 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$293.55RVU26D
2026-07-01Not available in this setting$293.55RVU26C
2026-04-01Not available in this setting$293.55RVU26B
2026-01-01Not available in this setting$293.55RVU26A
2025-10-01Not available in this setting$307.71RVU25D
2025-07-01Not available in this setting$307.71RVU25C
2025-04-01Not available in this setting$307.71RVU25B
2025-01-01Not available in this setting$307.71RVU25A
2024-10-01Not available in this setting$315.01RVU24D
2024-07-01Not available in this setting$315.01RVU24C
2024-04-01Not available in this setting$315.01RVU24B
2024-03-09Not available in this setting$315.01RVU24AR
2024-01-01Not available in this setting$309.87RVU24A
2023-10-01Not available in this setting$309.86RVU23D
2023-07-01Not available in this setting$309.86RVU23C
2023-04-01Not available in this setting$309.86RVU23B
2023-01-01Not available in this setting$309.86RVU23A
2022-10-01Not available in this setting$328.41RVU22D
2022-07-01Not available in this setting$328.41RVU22C
2022-04-01Not available in this setting$328.41RVU22B
2022-01-01Not available in this setting$328.41RVU22A
2021-10-01Not available in this setting$343.23RVU21D
2021-07-01Not available in this setting$343.23RVU21C
2021-04-01Not available in this setting$343.23RVU21B
2021-01-01Not available in this setting$343.23RVU21A
2020-10-01Not available in this setting$365.42RVU20D
2020-07-01Not available in this setting$365.42RVU20C
2020-04-01Not available in this setting$365.42RVU20B
2020-01-01Not available in this setting$365.42RVU20A
2019-10-01Not available in this setting$370.31RVU19D
2019-07-01Not available in this setting$370.31RVU19C
2019-04-01Not available in this setting$370.31RVU19B
2019-01-01Not available in this setting$370.31RVU19A
2018-10-01Not available in this setting$355.20RVU18D
2018-07-01Not available in this setting$355.20RVU18C
2018-04-01Not available in this setting$355.20RVU18B
2018-01-01Not available in this setting$355.20RVU18AR1
2017-10-01Not available in this setting$344.90RVU17D
2017-07-01Not available in this setting$344.90RVU17C
2017-04-01Not available in this setting$344.90RVU17B
2017-01-01Not available in this setting$344.90RVU17A
2016-10-01Not available in this setting$336.00RVU16D
2016-07-01Not available in this setting$336.00RVU16C
2016-04-01Not available in this setting$336.00RVU16B
2016-01-01Not available in this setting$336.00RVU16A
2015-10-01Not available in this setting$338.14RVU15D
2015-07-01Not available in this setting$338.14RVU15C
2015-04-01Not available in this setting$336.46RVU15B
2015-01-01Not available in this setting$336.46RVU15A
2014-10-01Not available in this setting$317.36RVU14D
2014-07-01Not available in this setting$317.36RVU14C
2014-04-01Not available in this setting$317.36RVU14B
2014-01-01Not available in this setting$317.36RVU14A
2013-10-01Not available in this setting$321.02RVU13D
2013-07-01Not available in this setting$321.02RVU13C
2013-04-01Not available in this setting$321.02RVU13B
2013-01-01Not available in this setting$321.02RVU13AR

Price 64575 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 64575 pays in Montana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 64575 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet