CPT code 64595: Generator revision, sacral or gastric system2026 Medicare rate & RVUs in Kansas

Reports revision or removal of an implanted pulse generator or receiver for sacral neuromodulation or gastric electrical stimulation, rather than work on its electrode array.

CMS RVU26DEffective Oct 1, 2026One payment locality3.9K Medicare services in 2024

In Kansas, Medicare pays $319.14 for 64595 in the office and $194.14 when it’s performed in a hospital or facility.

$319.14Office (non-facility)
$194.14Hospital or facility
−8.3%vs the national office rate ($348.04)

Check a contract rate as a % of Medicare · 64595 nationwide

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

We’ll open 64595 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 64595 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64595 covers

This service addresses the implanted pulse generator or receiver for a sacral neuromodulation system or a gastric electrical stimulation system. The surgeon may revise the generator or remove it; the work concerns the generator or receiver, not the electrode array. Typical cases include correcting a generator pocket problem or removing a failed or no-longer-needed generator. Urologic, colorectal, or foregut surgeons commonly perform these procedures in a procedural or operating-room setting. Device analysis, programming, and imaging are included when performed as part of the service.

Choose this code when the operative work is revision or removal, rather than insertion or replacement of the generator. Document the device type and site, the reason for surgery, and the generator work performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 Kansas compares for 64595

Across 109 of 109 payment localities, the office rate for 64595 runs from $310.07 in Arkansas to $444.20 in San Benito County, CA. Kansas pays $319.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

64595 in Kansas vs other payment areas
  1. Kansas · this page$319.14
  2. Los Angeles, CA · California$384.65+$65.51
  3. Washington, DC area · District of Columbia$393.47+$74.33
  4. Miami, FL · Florida$384.58+$65.44
  5. Chicago, IL · Illinois$373.72+$54.58
  6. Manhattan, NY · New York$400.10+$80.96
  7. Alaska · Alaska$414.98+$95.84

Other areas in Kansas first, then benchmark localities. Bars start at $0.

Every other payment area

64595 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$314.30$193.31
ArkansasArkansas$310.07$191.29
ArizonaArizona$339.00$205.01
Bakersfield, CACalifornia$362.99$211.43
Chico, CACalifornia$361.40$209.84
El Centro, CACalifornia$361.49$209.94
Fresno, CACalifornia$361.40$209.84
Hanford, CACalifornia$361.40$209.84

64595 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.

$310.07

$414.98

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
64595 office rate range by state
State / territoryOffice rate rangeLocalities
AK$414.981
AL$314.301
AR$310.071
AZ$339.001
CA$361.40–$444.2029
CO$358.691
CT$370.241
DC$393.471
DE$344.331
FL$348.21–$384.583
GA$329.31–$355.402
GU$368.541
HI$368.541
IA$319.441
ID$321.871
IL$340.45–$373.724
IN$323.551
KS$319.141
KY$323.601
LA$323.57–$338.382
MA$357.21–$391.062
MD$350.24–$393.473
ME$324.61–$339.402
MI$332.48–$353.432
MN$341.081
MO$319.12–$338.183
MS$314.601
MT$348.001
NC$327.601
ND$337.131
NE$320.741
NH$354.191
NJ$373.72–$390.052
NM$334.621
NV$345.181
NY$332.28–$410.645
OH$330.261
OK$321.891
OR$341.76–$368.192
PA$330.13–$362.262
PR$350.031
RI$355.201
SC$329.621
SD$335.841
TN$320.781
TX$328.19–$358.148
UT$333.801
VA$339.13–$393.472
VI$350.031
VT$336.901
WA$356.18–$397.642
WI$326.671
WV$328.961
WY$343.261

See 64595 in every payment locality

How the 64595 rate is calculated

Each of 64595’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 · 64595

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.70

3.70 RVUs× 1.000 GPCI

Practice expense6.17

6.17 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

10.4200

Conversion factor

$33.4009

Medicare rate

$348.04

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,161

Code
64595
Physician work
3.70
Practice expense
6.17
Malpractice
0.55

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 64595 in Kansas
ComponentRVULocality factorAdjusted
Physician work3.70× 1.0003.7000
Practice expense6.17× 0.9045.5777
Malpractice0.55× 0.5040.2772
Total RVUs9.5549
Conversion factor× 33.4009

Office rate, Kansas$319.14

Office: (3.7 × 1 + 6.17 × 0.904 + 0.55 × 0.504) × $33.4009 = $319.14

Facility: (3.7 × 1 + 2.03 × 0.904 + 0.55 × 0.504) × $33.4009 = $194.14

Open 64595 in the RVU calculator

Payment rules and modifiers for 64595

64595 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64595

Generator revision, sacral or gastric system

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64595

Generator revision, sacral or gastric system

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64595 without 51 · national office

$348.04

Generator revision, sacral or gastric system

64595-51 · Second procedure: 50%

$174.02

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%).

When to use modifier 51

How 64595 has changed in Kansas

64595 · Office / nonfacility

$319.14

Effective 2026-10-01

The base rate is $17.84 higher than on 2025-10-01, moving from $301.30 to $319.14 (5.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $301.30changed to$319.14

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.79 changed to 3.70
    • Practice expense RVU 5.77 changed to 6.17
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $334.97changed to$301.30

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.59 changed to 5.77
    • Malpractice RVU 0.56 changed to 0.55

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $329.50changed to$334.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $215.46changed to$329.50

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 1.78 changed to 3.79
    • Practice expense RVU 4.91 changed to 6.59
    • Malpractice RVU 0.25 changed to 0.56
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540
  5. January 1, 2023

    RVU23A

    $220.47changed to$215.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.93 changed to 4.91
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $228.96changed to$220.47

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.14 changed to 4.93

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $225.73changed to$228.96

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.77 changed to 5.14
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $229.47changed to$225.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.88 changed to 4.77
    • Malpractice RVU 0.23 changed to 0.25
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $233.81changed to$229.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.02 changed to 4.88

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $231.59changed to$233.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.99 changed to 5.02
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $229.87changed to$231.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.97 changed to 4.99
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $230.94changed to$229.87

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $229.79changed to$230.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $227.66changed to$229.79

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.90 changed to 4.97
    • Malpractice RVU 0.21 changed to 0.24
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $233.49changed to$227.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.45 changed to 4.90
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $233.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$319.14$194.14RVU26D
2026-07-01$319.14$194.14RVU26C
2026-04-01$319.14$194.14RVU26B
2026-01-01$319.14$194.14RVU26A
2025-10-01$301.30$208.40RVU25D
2025-07-01$301.30$208.40RVU25C
2025-04-01$301.30$208.40RVU25B
2025-01-01$301.30$208.40RVU25A
2024-10-01$334.97$212.83RVU24D
2024-07-01$334.97$212.83RVU24C
2024-04-01$334.97$212.83RVU24B
2024-03-09$334.97$212.83RVU24AR
2024-01-01$329.50$209.35RVU24A
2023-10-01$215.46$118.64RVU23D
2023-07-01$215.46$118.64RVU23C
2023-04-01$215.46$118.64RVU23B
2023-01-01$215.46$118.64RVU23A
2022-10-01$220.47$118.98RVU22D
2022-07-01$220.47$118.98RVU22C
2022-04-01$220.47$118.98RVU22B
2022-01-01$220.47$118.98RVU22A
2021-10-01$228.96$119.65RVU21D
2021-07-01$228.96$119.65RVU21C
2021-04-01$228.96$119.65RVU21B
2021-01-01$228.96$119.65RVU21A
2020-10-01$225.73$121.95RVU20D
2020-07-01$225.73$121.95RVU20C
2020-04-01$225.73$121.95RVU20B
2020-01-01$225.73$121.95RVU20A
2019-10-01$229.47$122.43RVU19D
2019-07-01$229.47$122.43RVU19C
2019-04-01$229.47$122.43RVU19B
2019-01-01$229.47$122.43RVU19A
2018-10-01$233.81$122.96RVU18D
2018-07-01$233.81$122.96RVU18C
2018-04-01$233.81$122.96RVU18B
2018-01-01$233.81$122.96RVU18AR1
2017-10-01$231.59$121.89RVU17D
2017-07-01$231.59$121.89RVU17C
2017-04-01$231.59$121.89RVU17B
2017-01-01$231.59$121.89RVU17A
2016-10-01$229.87$121.56RVU16D
2016-07-01$229.87$121.56RVU16C
2016-04-01$229.87$121.56RVU16B
2016-01-01$229.87$121.56RVU16A
2015-10-01$230.94$122.24RVU15D
2015-07-01$230.94$122.24RVU15C
2015-04-01$229.79$121.63RVU15B
2015-01-01$229.79$121.63RVU15A
2014-10-01$227.66$121.71RVU14D
2014-07-01$227.66$121.71RVU14C
2014-04-01$227.66$121.71RVU14B
2014-01-01$227.66$121.71RVU14A
2013-10-01$233.49$121.26RVU13D
2013-07-01$233.49$121.26RVU13C
2013-04-01$233.49$121.26RVU13B
2013-01-01$233.49$121.26RVU13AR

Price 64595 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

64595 billing questions

When should I report 64595 instead of 64590?

Report 64595 for revision or removal of the sacral or gastric system’s generator or receiver. Report 64590 when the generator or receiver is inserted or replaced.

Does this code cover work on the electrode array?

No. The service concerns the generator or receiver. If the operative work revises or removes a separate peripheral neurostimulator electrode array, consider 64585 instead.

Can device analysis, programming, or imaging be billed separately?

Analysis, programming, and imaging are included when performed as part of this generator revision or removal service.

Should I append modifier 50 for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

Are an assistant surgeon or co-surgeons payable?

Medicare does not pay an assistant at surgery for 64595. Co-surgeons and team surgery are not permitted.

How does the global period affect postoperative visits?

The code has a 10-day global period. Related postoperative visits during those 10 days are included.

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
RVUs for 64595PPRRVU2026_Oct_nonQPP.csv, line 7,161 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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