CPT code 64598: Stimulator revision/removal, integrated neurostimulator2026 Medicare rate & RVUs in Washington, DC area

CMS doesn’t publish a rate for 64598 in Washington, DC area.

Check a contract rate as a % of Medicare · 64598 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 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.

How Washington, DC area compares for 64598

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64598 rates by state

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

See 64598 in every payment locality

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.

Payment rules and modifiers for 64598

64598 has a 10-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 64598

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

How 64598 has changed in Washington, DC area

Price 64598 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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