CPT code 64581: Sacral nerve lead, open approach2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $574.01 for 64581 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64581 nationwide

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

What 64581 covers

This code covers an open surgical approach to place a neurostimulator electrode array at a sacral nerve, including placement of a sacral nerve stimulation test lead. Urologists, urogynecologists, and colorectal surgeons may perform the procedure for conditions such as urinary urgency incontinence, nonobstructive urinary retention, or fecal incontinence. It is typically performed in an operating room or other surgical setting.

Report the code when the documented approach is open and the electrode array is placed at a sacral nerve; a percutaneous approach is coded differently. The operative note should identify the approach, target nerve, and electrode placement. If a pulse generator is also implanted, that generator service is reported separately. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Utah compares for 64581

Across 109 of 109 payment localities, the facility rate for 64581 runs from $541.13 in Arkansas to $769.27 in Alaska. Utah pays $574.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64581 rates by state

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

See 64581 in every payment locality

How the 64581 rate is calculated

Each of 64581’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 64581

64581 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

Codes related to 64581

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

How 64581 has changed in Utah

Price 64581 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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