CPT code 64582: Nerve stimulator implant, hypoglossal nerve system2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $686.53 for 64582 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64582 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 64582 covers

A surgeon implants a stimulation lead at the hypoglossal nerve, a respiratory sensing lead, and a pulse generator, generally during an operating-room procedure for a patient selected for hypoglossal nerve stimulation to treat obstructive sleep apnea. System testing and programming performed during implantation, and imaging guidance when used, are part of the service. Otolaryngologists and surgeons specializing in sleep-disordered breathing commonly perform the operation.

Report this code for the initial open implantation of the system, not for later revision, replacement, or removal. The operative report should identify the implanted components and document the procedure performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. CMS pays a bilateral procedure reported with modifier 50 at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Oklahoma compares for 64582

Across 109 of 109 payment localities, the facility rate for 64582 runs from $662.30 in Arkansas to $933.94 in Alaska. Oklahoma pays $686.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64582 rates by state

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

See 64582 in every payment locality

How the 64582 rate is calculated

Each of 64582’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 64582

64582 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 50

Codes related to 64582

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

How 64582 has changed in Oklahoma

Price 64582 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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