CPT code 64580: Neurostimulator implant, neuromuscular target2026 Medicare rate & RVUs in Mississippi
Open surgical placement of a neurostimulator electrode array at a neuromuscular target, including diaphragm pacing electrode implantation when clinically indicated.
In Mississippi, Medicare pays $285.70 for 64580 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64580 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How Mississippi compares for 64580
Across 109 of 109 payment localities, the facility rate for 64580 runs from $277.18 in Arkansas to $381.97 in NYC suburbs and Long Island, NY. Mississippi pays $285.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$285.70
- Los Angeles, CA · California$334.14+$48.44
- Washington, DC area · District of Columbia$351.71+$66.01
- Miami, FL · Florida$376.95+$91.25
- Chicago, IL · Illinois$364.21+$78.51
- Manhattan, NY · New York$368.19+$82.49
- Alaska · Alaska$375.98+$90.28
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $281.32 |
| ArkansasArkansas | — | $277.18 |
| ArizonaArizona | — | $305.29 |
| Bakersfield, CACalifornia | — | $316.80 |
| Chico, CACalifornia | — | $313.84 |
| El Centro, CACalifornia | — | $314.02 |
| Fresno, CACalifornia | — | $313.84 |
| Hanford, CACalifornia | — | $313.84 |
| Madera, CACalifornia | — | $313.84 |
| Merced, CACalifornia | — | $313.84 |
| Modesto, CACalifornia | — | $313.84 |
| Napa, CACalifornia | — | $350.54 |
| Oxnard, CACalifornia | — | $330.72 |
| Redding, CACalifornia | — | $313.84 |
| Rest of CaliforniaCalifornia | — | $313.84 |
| Riverside, CACalifornia | — | $325.62 |
| Sacramento, CACalifornia | — | $325.92 |
| Salinas, CACalifornia | — | $324.68 |
| San Diego, CACalifornia | — | $330.00 |
| Marin County, CACalifornia | — | $366.14 |
| San Francisco, CACalifornia | — | $364.89 |
| San Benito County, CACalifornia | — | $375.55 |
| Santa Clara County, CACalifornia | — | $370.44 |
| San Luis Obispo, CACalifornia | — | $319.93 |
| Santa Cruz, CACalifornia | — | $331.24 |
| Santa Maria, CACalifornia | — | $325.26 |
| Santa Rosa, CACalifornia | — | $334.31 |
| Stockton, CACalifornia | — | $313.84 |
| Vallejo, CACalifornia | — | $348.74 |
| Visalia, CACalifornia | — | $313.84 |
| Yuba City, CACalifornia | — | $313.84 |
| ColoradoColorado | — | $317.63 |
| ConnecticutConnecticut | — | $336.32 |
| DelawareDelaware | — | $310.24 |
| Fort Lauderdale, FLFlorida | — | $346.50 |
| Rest of FloridaFlorida | — | $327.22 |
| Atlanta, GAGeorgia | — | $325.03 |
| Rest of GeorgiaGeorgia | — | $306.73 |
| Hawaii, Guam, HIHawaii | — | $318.90 |
| IowaIowa | — | $280.78 |
| IdahoIdaho | — | $284.28 |
| East St. Louis, ILIllinois | — | $340.90 |
| Rest of IllinoisIllinois | — | $323.33 |
| Suburban Chicago, ILIllinois | — | $348.11 |
| IndianaIndiana | — | $285.75 |
| KansasKansas | — | $283.15 |
| KentuckyKentucky | — | $296.13 |
| New Orleans, LALouisiana | — | $311.61 |
| Rest of LouisianaLouisiana | — | $297.14 |
| Metropolitan Boston, MAMassachusetts | — | $344.00 |
| Rest of MassachusettsMassachusetts | — | $317.20 |
| Baltimore area, MDMaryland | — | $336.20 |
| Rest of MarylandMaryland | — | $315.02 |
| Rest of MaineMaine | — | $289.75 |
| Southern Maine, MEMaine | — | $300.14 |
| Detroit, MIMichigan | — | $335.22 |
| Rest of MichiganMichigan | — | $307.39 |
| MinnesotaMinnesota | — | $293.21 |
| Metropolitan Kansas City, MOMissouri | — | $305.49 |
| Metropolitan St. Louis, MOMissouri | — | $308.25 |
| Rest of MissouriMissouri | — | $294.47 |
| MontanaMontana | — | $314.90 |
| North CarolinaNorth Carolina | — | $292.22 |
| North DakotaNorth Dakota | — | $293.15 |
| NebraskaNebraska | — | $281.21 |
| New HampshireNew Hampshire | — | $316.18 |
| Northern New JerseyNew Jersey | — | $348.73 |
| Rest of New JerseyNew Jersey | — | $337.03 |
| New MexicoNew Mexico | — | $310.60 |
| NevadaNevada | — | $308.98 |
| NYC suburbs and Long Island, NYNew York | — | $381.97 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $342.29 |
| Queens, NYNew York | — | $365.73 |
| Rest of New YorkNew York | — | $296.98 |
| OhioOhio | — | $302.94 |
| OklahomaOklahoma | — | $291.62 |
| Portland, OROregon | — | $323.47 |
| Rest of OregonOregon | — | $303.49 |
| Metropolitan Philadelphia, PAPennsylvania | — | $330.33 |
| Rest of PennsylvaniaPennsylvania | — | $301.34 |
| Puerto RicoPuerto Rico | — | $315.98 |
| Rhode IslandRhode Island | — | $318.27 |
| South CarolinaSouth Carolina | — | $298.70 |
| South DakotaSouth Dakota | — | $290.57 |
| TennesseeTennessee | — | $285.07 |
| Austin, TXTexas | — | $319.27 |
| Beaumont, TXTexas | — | $299.62 |
| Brazoria, TXTexas | — | $306.71 |
| Dallas, TXTexas | — | $310.42 |
| Fort Worth, TXTexas | — | $309.48 |
| Galveston, TXTexas | — | $308.75 |
| Houston, TXTexas | — | $328.89 |
| Rest of TexasTexas | — | $304.18 |
| UtahUtah | — | $302.73 |
| VirginiaVirginia | — | $301.76 |
| Virgin Islands, VIUnited States Virgin Islands | — | $315.98 |
| VermontVermont | — | $295.40 |
| Rest of WashingtonWashington | — | $315.47 |
| King County, WAWashington | — | $347.23 |
| WisconsinWisconsin | — | $283.60 |
| West VirginiaWest Virginia | — | $312.25 |
| WyomingWyoming | — | $305.42 |
64580 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,154
- Code
- 64580
- Physician work
- 4.09
- Practice expense
- 4.24
- Malpractice
- 1.10
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.09 | × 1.000 | 4.0900 |
| Practice expense | 4.24 | × 0.861 | 3.6506 |
| Malpractice | 1.10 | × 0.739 | 0.8129 |
| Total RVUs | 8.5535 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$285.70
Facility: (4.09 × 1 + 4.24 × 0.861 + 1.1 × 0.739) × $33.4009 = $285.70
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%).
How 64580 has changed in Mississippi
64580 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $285.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $285.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $285.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $285.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $281.72 | RVU25D |
| 2025-07-01 | Not available in this setting | $281.72 | RVU25C |
| 2025-04-01 | Not available in this setting | $281.72 | RVU25B |
| 2025-01-01 | Not available in this setting | $281.72 | RVU25A |
| 2024-10-01 | Not available in this setting | $288.16 | RVU24D |
| 2024-07-01 | Not available in this setting | $288.16 | RVU24C |
| 2024-04-01 | Not available in this setting | $288.16 | RVU24B |
| 2024-03-09 | Not available in this setting | $288.16 | RVU24AR |
| 2024-01-01 | Not available in this setting | $283.45 | RVU24A |
| 2023-10-01 | Not available in this setting | $288.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $288.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $288.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $288.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $290.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $290.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $290.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $290.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $289.31 | RVU21D |
| 2021-07-01 | Not available in this setting | $289.31 | RVU21C |
| 2021-04-01 | Not available in this setting | $289.31 | RVU21B |
| 2021-01-01 | Not available in this setting | $289.31 | RVU21A |
| 2020-10-01 | Not available in this setting | $286.55 | RVU20D |
| 2020-07-01 | Not available in this setting | $286.55 | RVU20C |
| 2020-04-01 | Not available in this setting | $286.55 | RVU20B |
| 2020-01-01 | Not available in this setting | $286.55 | RVU20A |
| 2019-10-01 | Not available in this setting | $279.67 | RVU19D |
| 2019-07-01 | Not available in this setting | $279.67 | RVU19C |
| 2019-04-01 | Not available in this setting | $279.41 | RVU19B |
| 2019-01-01 | Not available in this setting | $279.41 | RVU19A |
| 2018-10-01 | Not available in this setting | $277.36 | RVU18D |
| 2018-07-01 | Not available in this setting | $277.36 | RVU18C |
| 2018-04-01 | Not available in this setting | $277.36 | RVU18B |
| 2018-01-01 | Not available in this setting | $277.36 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $277.07 | RVU17D |
| 2017-07-01 | Not available in this setting | $277.07 | RVU17C |
| 2017-04-01 | Not available in this setting | $277.07 | RVU17B |
| 2017-01-01 | Not available in this setting | $277.07 | RVU17A |
| 2016-10-01 | Not available in this setting | $281.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $281.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $281.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $281.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $280.81 | RVU15D |
| 2015-07-01 | Not available in this setting | $280.81 | RVU15C |
| 2015-04-01 | Not available in this setting | $279.41 | RVU15B |
| 2015-01-01 | Not available in this setting | $279.41 | RVU15A |
| 2014-10-01 | Not available in this setting | $277.98 | RVU14D |
| 2014-07-01 | Not available in this setting | $277.98 | RVU14C |
| 2014-04-01 | Not available in this setting | $277.98 | RVU14B |
| 2014-01-01 | Not available in this setting | $277.98 | RVU14A |
| 2013-10-01 | Not available in this setting | $284.67 | RVU13D |
| 2013-07-01 | Not available in this setting | $284.67 | RVU13C |
| 2013-04-01 | Not available in this setting | $284.67 | RVU13B |
| 2013-01-01 | Not available in this setting | $284.67 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
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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