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CPT code 64598: Stimulator revision/removal, integrated neurostimulator2026 Medicare rate & RVUs

Reports revision or removal of a percutaneous peripheral nerve electrode array used with an integrated neurostimulator.

CMS RVU26DEffective Oct 1, 2026109 payment localities15 Medicare services in 2024

Medicare rate · 64598

Stimulator revision/removal, integrated neurostimulator

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
010

National rate · 2026

—

Not priced in the facility setting.

See every locality for 64598 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64598 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64598 covers

This code describes revising or removing a percutaneously placed electrode array used to stimulate a peripheral nerve with an integrated neurostimulator. Pain management physicians and surgical specialists who treat peripheral nerve conditions may perform the procedure in a facility setting. The work concerns an existing stimulation system, rather than insertion or replacement of an array.

Medicare assigns CPT 64598 status C under the physician fee schedule: CMS publishes no national payment, and the Medicare Administrative Contractor prices each claim. The code has a 10-day global period, and standard multiple-procedure rules apply when procedures are performed in the same session. The bilateral adjustment does not apply. 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.

Where 64598 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64598 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

64598 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
64598 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 64598 rate is calculated

Each of 64598’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 · 64598

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 64598

64598 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64598

Stimulator revision/removal, integrated neurostimulator

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 · 64598

Stimulator revision/removal, integrated neurostimulator

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

64598 without 51 · national facility

$0.00

Stimulator revision/removal, integrated neurostimulator

64598-51 · Second procedure: 50%

$0.00

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

64598 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64598

    Stimulator revision/removal, integrated neurostimulator0 wRVU

    Not priced

  • 64596

    Peripheral nerve array, one integrated array0 wRVU

    Not priced

  • 64585

    Lead revision/removal, peripheral nerve electrode array2.06 wRVU

    $251.84

  • 64595

    Generator revision, sacral or gastric system3.7 wRVU

    $348.04

How to choose

64596Peripheral nerve arrayOne integrated array
Use 64596 for insertion or replacement of a percutaneous peripheral nerve array with an integrated neurostimulator; 64598 is for revising or removing the existing system.
64585Lead revision/removalPeripheral nerve electrode array
64585 describes revision or removal of a peripheral neurostimulator electrode array. Consider 64598 when the percutaneous array is used with an integrated neurostimulator.
64595Generator revisionSacral or gastric system
64595 concerns revision or removal of a separate pulse generator or receiver. 64598 concerns the percutaneous electrode array used with an integrated neurostimulator.

Codes related to 64598

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

Codes related to 64598
CodeHow it relatesNational office range
Same family
64596Peripheral nerve array, one integrated arrayInsertion or replacement of the first percutaneous peripheral nerve array with an integrated neurostimulator.No office rate
64597Peripheral nerve array, each additional arrayAdditional-array code in the integrated percutaneous peripheral nerve stimulation series.No office rate
Used instead
64585Lead revision/removal, peripheral nerve electrode arrayRevision or removal of a peripheral neurostimulator electrode array without the integrated-system distinction.$222.70–$331.54
64595Generator revision, sacral or gastric systemRevision or removal of a peripheral, sacral, or gastric neurostimulator pulse generator or receiver.$310.07–$444.20

64598 billing questions

When should 64598 be reported instead of 64596?

64598 is for revision or removal of an existing percutaneous peripheral nerve array used with an integrated neurostimulator. 64596 describes insertion or replacement of the array.

How does 64598 differ from 64585?

64598 applies to a percutaneous array used with an integrated neurostimulator. 64585 concerns revision or removal of a peripheral neurostimulator electrode array without that integrated-system distinction.

Is 64598 for revising or removing a separate pulse generator?

No. It concerns the percutaneous electrode array used with an integrated neurostimulator. Code 64595 describes revision or removal of a peripheral, sacral, or gastric neurostimulator pulse generator or receiver.

Does Medicare apply a bilateral adjustment to 64598?

No. The bilateral adjustment does not apply to this code.

How does Medicare price 64598?

It has physician fee schedule status C, so the Medicare Administrative Contractor prices each claim rather than CMS publishing a national payment.

What surgical assistance rules apply?

Medicare does not pay an assistant at surgery for 64598. Co-surgeons and team surgery are not permitted.

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

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