CPT code 64583: Stimulator revision, hypoglossal array and generator2026 Medicare rate & RVUs in Minnesota
Revision or replacement of an implanted hypoglossal nerve stimulation array and pulse generator, generally performed to address a problem with an existing system.
In Minnesota, Medicare pays $702.65 for 64583 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64583 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 64583 covers
This operating-room service revises or replaces an implanted hypoglossal nerve stimulation array and pulse generator. It is typically performed by an otolaryngologist or another surgeon experienced with hypoglossal nerve stimulation for obstructive sleep apnea. The work concerns an existing system, rather than the initial implantation used to treat a patient with sleep-disordered breathing.
Report 64583 when the operative work revises or replaces the hypoglossal array and pulse generator; document the existing device, the reason for the procedure, and the components addressed. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery, co-surgeon, and team-surgery payment requires supporting documentation; an assistant also requires documentation of medical necessity.
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 Minnesota compares for 64583
Across 109 of 109 payment localities, the facility rate for 64583 runs from $683.03 in Arkansas to $963.69 in Alaska. Minnesota pays $702.65. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$702.65
- Los Angeles, CA · California$778.77+$76.12
- Washington, DC area · District of Columbia$814.78+$112.13
- Miami, FL · Florida$858.75+$156.10
- Chicago, IL · Illinois$838.60+$135.95
- Manhattan, NY · New York$848.78+$146.13
- Alaska · Alaska$963.69+$261.04
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $689.80 |
| ArkansasArkansas | — | $683.03 |
| ArizonaArizona | — | $728.94 |
| Bakersfield, CACalifornia | — | $746.84 |
| Chico, CACalifornia | — | $740.87 |
| El Centro, CACalifornia | — | $741.21 |
| Fresno, CACalifornia | — | $740.87 |
| Hanford, CACalifornia | — | $740.87 |
| Madera, CACalifornia | — | $740.87 |
| Merced, CACalifornia | — | $740.87 |
| Modesto, CACalifornia | — | $740.87 |
| Napa, CACalifornia | — | $805.97 |
| Oxnard, CACalifornia | — | $769.60 |
| Redding, CACalifornia | — | $740.87 |
| Rest of CaliforniaCalifornia | — | $740.87 |
| Riverside, CACalifornia | — | $763.15 |
| Sacramento, CACalifornia | — | $763.52 |
| Salinas, CACalifornia | — | $760.34 |
| San Diego, CACalifornia | — | $767.83 |
| Marin County, CACalifornia | — | $836.49 |
| San Francisco, CACalifornia | — | $834.15 |
| San Benito County, CACalifornia | — | $855.40 |
| Santa Clara County, CACalifornia | — | $845.84 |
| San Luis Obispo, CACalifornia | — | $749.64 |
| Santa Cruz, CACalifornia | — | $767.04 |
| Santa Maria, CACalifornia | — | $760.35 |
| Santa Rosa, CACalifornia | — | $773.95 |
| Stockton, CACalifornia | — | $740.87 |
| Vallejo, CACalifornia | — | $802.60 |
| Visalia, CACalifornia | — | $740.87 |
| Yuba City, CACalifornia | — | $740.87 |
| ColoradoColorado | — | $748.83 |
| ConnecticutConnecticut | — | $784.78 |
| DelawareDelaware | — | $738.14 |
| Fort Lauderdale, FLFlorida | — | $803.42 |
| Rest of FloridaFlorida | — | $770.80 |
| Atlanta, GAGeorgia | — | $763.69 |
| Rest of GeorgiaGeorgia | — | $736.34 |
| Hawaii, Guam, HIHawaii | — | $744.17 |
| IowaIowa | — | $686.34 |
| IdahoIdaho | — | $692.59 |
| East St. Louis, ILIllinois | — | $798.62 |
| Rest of IllinoisIllinois | — | $766.16 |
| Suburban Chicago, ILIllinois | — | $807.11 |
| IndianaIndiana | — | $694.91 |
| KansasKansas | — | $691.45 |
| KentuckyKentucky | — | $716.67 |
| New Orleans, LALouisiana | — | $742.49 |
| Rest of LouisianaLouisiana | — | $718.82 |
| Metropolitan Boston, MAMassachusetts | — | $796.56 |
| Rest of MassachusettsMassachusetts | — | $749.58 |
| Baltimore area, MDMaryland | — | $783.94 |
| Rest of MarylandMaryland | — | $746.70 |
| Rest of MaineMaine | — | $702.84 |
| Southern Maine, MEMaine | — | $717.95 |
| Detroit, MIMichigan | — | $785.23 |
| Rest of MichiganMichigan | — | $736.30 |
| Metropolitan Kansas City, MOMissouri | — | $731.14 |
| Metropolitan St. Louis, MOMissouri | — | $735.52 |
| Rest of MissouriMissouri | — | $715.22 |
| MississippiMississippi | — | $698.85 |
| MontanaMontana | — | $745.04 |
| North CarolinaNorth Carolina | — | $706.66 |
| North DakotaNorth Dakota | — | $704.30 |
| NebraskaNebraska | — | $686.66 |
| New HampshireNew Hampshire | — | $744.94 |
| Northern New JerseyNew Jersey | — | $812.26 |
| Rest of New JerseyNew Jersey | — | $789.52 |
| New MexicoNew Mexico | — | $742.07 |
| NevadaNevada | — | $733.89 |
| NYC suburbs and Long Island, NYNew York | — | $872.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $800.26 |
| Queens, NYNew York | — | $842.96 |
| Rest of New YorkNew York | — | $714.53 |
| OhioOhio | — | $727.97 |
| OklahomaOklahoma | — | $707.99 |
| Portland, OROregon | — | $757.77 |
| Rest of OregonOregon | — | $723.92 |
| Metropolitan Philadelphia, PAPennsylvania | — | $775.32 |
| Rest of PennsylvaniaPennsylvania | — | $724.66 |
| Puerto RicoPuerto Rico | — | $746.39 |
| Rhode IslandRhode Island | — | $753.45 |
| South CarolinaSouth Carolina | — | $719.34 |
| South DakotaSouth Dakota | — | $699.49 |
| TennesseeTennessee | — | $694.75 |
| Austin, TXTexas | — | $750.11 |
| Beaumont, TXTexas | — | $721.92 |
| Brazoria, TXTexas | — | $731.98 |
| Dallas, TXTexas | — | $738.84 |
| Fort Worth, TXTexas | — | $737.69 |
| Galveston, TXTexas | — | $735.69 |
| Houston, TXTexas | — | $773.39 |
| Rest of TexasTexas | — | $728.09 |
| UtahUtah | — | $725.91 |
| VirginiaVirginia | — | $721.48 |
| Virgin Islands, VIUnited States Virgin Islands | — | $746.39 |
| VermontVermont | — | $709.14 |
| Rest of WashingtonWashington | — | $745.69 |
| King County, WAWashington | — | $802.52 |
| WisconsinWisconsin | — | $688.99 |
| West VirginiaWest Virginia | — | $748.09 |
| WyomingWyoming | — | $727.28 |
64583 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 64583 rate is calculated
Each of 64583’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 · 64583
RVUs × geographic indexes × conversion factor
Work14.14
14.14 RVUs× 1.000 GPCI
Practice expense6.11
6.11 RVUs× 1.000 GPCI
Malpractice2.06
2.06 RVUs× 1.000 GPCI
Adjusted RVUs
22.3100
Conversion factor
$33.4009
Medicare rate
$745.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,157
- Code
- 64583
- Physician work
- 14.14
- Practice expense
- 6.11
- Malpractice
- 2.06
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.14 | × 1.000 | 14.1400 |
| Practice expense | 6.11 | × 1.029 | 6.2872 |
| Malpractice | 2.06 | × 0.296 | 0.6098 |
| Total RVUs | 21.0370 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$702.65
Facility: (14.14 × 1 + 6.11 × 1.029 + 2.06 × 0.296) × $33.4009 = $702.65
Payment rules and modifiers for 64583
64583 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64583
Stimulator revision, hypoglossal array and generator
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| 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 · 64583
Stimulator revision, hypoglossal array and generator
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 50 · payment effect
With and without the modifier
64583 without 50 · national facility
$745.17
Stimulator revision, hypoglossal array and generator
64583-50 · Bilateral: 150%
$1,117.76
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64583 has changed in Minnesota
64583 · 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
January 1, 2022
RVU22A
No ratechanged toNo rate
Held through RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $702.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $702.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $702.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $702.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $802.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $802.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $802.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $802.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $821.84 | RVU24D |
| 2024-07-01 | Not available in this setting | $821.84 | RVU24C |
| 2024-04-01 | Not available in this setting | $821.84 | RVU24B |
| 2024-03-09 | Not available in this setting | $821.84 | RVU24AR |
| 2024-01-01 | Not available in this setting | $808.42 | RVU24A |
| 2023-10-01 | Not available in this setting | $833.99 | RVU23D |
| 2023-07-01 | Not available in this setting | $833.99 | RVU23C |
| 2023-04-01 | Not available in this setting | $833.99 | RVU23B |
| 2023-01-01 | Not available in this setting | $833.99 | RVU23A |
| 2022-10-01 | Not available in this setting | $783.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $783.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $783.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $783.93 | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
64583 billing questions
How is 64583 different from 64582?
64583 is for revision or replacement of an existing hypoglossal stimulation array and pulse generator. 64582 is for initial implantation of the system.
When is 64584 reported instead?
64584 describes removal of the hypoglossal nerve stimulation array and pulse generator. Use 64583 when the operative service is revision or replacement rather than removal.
Does 64583 cover both the array and pulse generator?
The code describes revision or replacement of the hypoglossal array and pulse generator. Document which components were addressed; do not treat the code as a separate charge for each component.
What documentation supports 64583?
The operative report should identify the existing hypoglossal system, the reason for revision or replacement, and the work performed on the array and pulse generator.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment requires supporting documentation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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