CPT code 64580: Neurostimulator implant, neuromuscular target2026 Medicare rate & RVUs in Florida
Open surgical placement of a neurostimulator electrode array at a neuromuscular target, including diaphragm pacing electrode implantation when clinically indicated.
CMS doesn’t publish an office rate for 64580 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $346.50 |
| Miami, FL | Unavailable | $376.95 |
| Rest of Florida | Unavailable | $327.22 |
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.
How the rate is built · 64580
RVUs × geographic indexes × conversion factor
Work4.09
4.09 RVUs× 1.000 GPCI
Practice expense4.24
4.24 RVUs× 1.000 GPCI
Malpractice1.10
1.10 RVUs× 1.000 GPCI
Adjusted RVUs
9.4300
Conversion factor
$33.4009
Medicare rate
$314.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64580
64580 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64580
Neurostimulator implant, neuromuscular target
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64580
Neurostimulator implant, neuromuscular target
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64580 without 51 · national facility
$314.97
Neurostimulator implant, neuromuscular target
64580-51 · Second procedure: 50%
$157.49
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%).
64580 compared with similar codes
Compare codes · National
5 codes, side by side
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.
64580 billing questions
How does this differ from 64575?
64580 is for an electrode array placed at a neuromuscular target, such as for diaphragm pacing. 64575 describes open electrode-array implantation at a peripheral nerve.
Can 64580 be reported with a pulse-generator code?
When a separate pulse generator or receiver is implanted, 64590 may also be relevant. The operative documentation should distinguish the electrode-array work from generator placement.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Should modifier 50 be used for bilateral placement?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor or anatomy.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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
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