CPT code 64598: Stimulator revision/removal, integrated neurostimulator2026 Medicare rate & RVUs in Florida
Reports revision or removal of a percutaneous peripheral nerve electrode array used with an integrated neurostimulator.
CMS doesn’t publish an office rate for 64598 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
64598 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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