CPT code 64580: Neurostimulator implant, neuromuscular target2026 Medicare rate & RVUs

Medicare pays $314.97 for 64580 nationally in a facility.

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

What 64580 covers

This service involves surgically placing a neurostimulator electrode array at a neuromuscular target so electrical stimulation can activate muscle function. A familiar application is electrode placement for diaphragm pacing in selected patients with impaired breathing. The procedure is performed by a surgeon in an operative setting; the operative report should identify the target and describe the array placement.

Report the code for the open electrode-array implantation, not for a percutaneous approach or for implantation at a different named nerve site. Documentation should support the neuromuscular target, surgical approach, and work performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Bilateral adjustment is inappropriate for this code.

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 64580 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

64580 rates by state

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

How the 64580 rate is calculated

Each of 64580’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 64580

64580 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 51

64580 compared with similar codes

How to choose

64575Nerve stimulationOpen peripheral nerve placement

Choose 64580 for electrode-array implantation at a neuromuscular target, such as for diaphragm pacing. Choose 64575 for open implantation at a peripheral nerve.

64581Sacral nerve leadOpen approach

64581 identifies open electrode-array implantation at the sacral nerve; 64580 is for a neuromuscular target.

64555Nerve stimulationPercutaneous peripheral nerve

64555 is the percutaneous peripheral-nerve electrode-array option. 64580 describes open implantation at a neuromuscular target.

64590Neurostimulator generatorPulse generator or receiver

64590 covers insertion or replacement of a neurostimulator generator or receiver, rather than the neuromuscular electrode-array implantation reported with 64580.

Codes related to 64580

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

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