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Billing code 63662: Paddle lead removalMedicare rate & RVUs

Reports surgical removal of a spinal cord stimulator paddle lead placed through a laminotomy or laminectomy, rather than a percutaneous electrode array.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.2K Medicare services in 2024

Medicare pays $849.72 for 63662 nationally in a facility.

Medicare rate · 63662

Paddle lead removal

Swap in your local Medicare rate.

Work RVUs
10.73
Total RVUs
25.44
Global days
090

National rate · 2026

$849.72

Facility setting, before claim adjustments.

See every locality for 63662 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 63662 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 63662 covers

This service removes a paddle-shaped spinal cord stimulation lead that was placed through a laminotomy or laminectomy. A neurosurgeon or spine surgeon typically performs the operation in a hospital or ambulatory surgical setting when the lead must be explanted, such as for device complications or a change in treatment. Fluoroscopy, when used, is included in the lead-removal service. This code describes paddle-lead removal, not removal of a percutaneous electrode array or the implanted pulse generator.

Choose the code based on the lead and original placement approach; document the lead type, surgical exposure, reason for removal, and work performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 63662 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

63662 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$748.36
Alaska*Unavailable$994.41
ArizonaUnavailable$819.88
ArkansasUnavailable$735.98
AtlantaUnavailable$882.57
AustinUnavailable$856.70
BakersfieldUnavailable$840.75
Baltimore/Surr. CntysUnavailable$912.52
BeaumontUnavailable$807.96
BrazoriaUnavailable$820.89

63662 rates by state

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

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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
63662 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 63662 rate is calculated

Each of 63662’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 · 63662

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.73Practice expense 10.84Malpractice 3.87

25.4400 adjusted RVUs×$33.4009 conversion factor=$849.72

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 63662

63662 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63662

Paddle lead removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63662

Paddle lead removal

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63662 without 51 · national facility

$849.72

Paddle lead removal

63662-51 · Second procedure: 50%

$424.86

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

63662 compared with similar codes

Compare codes

63662 vs 63661 vs 63664 vs 63688: national Medicare rates

Swap in your local Medicare rate.

  • 63662
    Paddle lead removal · 10.73 wRVU
    —
  • 63661
    Lead removal · 4.95 wRVU
    $743.50
  • 63664
    Paddle lead revision · 11.23 wRVU
    —
  • 63688
    Spinal stimulator · 4.24 wRVU
    —

How to choose

63661Lead removal
This code is for removal of a percutaneous electrode array. Choose 63662 when the lead is a paddle placed through a laminotomy or laminectomy.
63664Paddle lead revision
63664 addresses revision of a surgically placed paddle lead; 63662 reports its removal.
63688Spinal stimulator
63688 describes work on the implanted pulse generator or receiver. It does not describe removal of the spinal paddle lead.

Codes related to 63662

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

Codes related to 63662
CodeHow it relatesNational office range
Used instead
63661Lead removalRemoval of a percutaneous spinal neurostimulator electrode array rather than a surgically placed paddle lead.$650.72–$987.59
Same family
63664Paddle lead revisionRevision of a paddle lead placed through a laminotomy or laminectomy, rather than removal alone.No office rate
Often billed with
63688Spinal stimulatorMay accompany paddle-lead explant when separate implanted pulse generator or receiver work is performed.No office rate

63662 billing questions

How does this differ from 63661?

Use 63662 for a paddle lead placed through a laminotomy or laminectomy. Code 63661 describes removal of a percutaneous electrode array.

Is fluoroscopy separately reported?

Fluoroscopy performed for this lead removal is included in the service.

Can the generator removal also be reported?

Code 63662 covers the paddle lead, not the implanted pulse generator. Code 63688 describes generator or receiver-related revision or removal when that work is also performed; document each service.

What supports selection of this code?

Document that the removed lead is a paddle type, its placement through a laminotomy or laminectomy, the reason for removal, and the operative work performed.

Which payment rules affect this service?

It has a 90-day global period, and the standard multiple-procedure reduction applies when other procedures are performed in the same session. Modifier 50 is inappropriate; assistant-at-surgery payment may be allowed, co-surgeon payment requires supporting documentation, and team surgery is 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

Show the CMS file lines behind this rate
RVUs for 63662PPRRVU2026_Oct_nonQPP.csv, line 7,080 (RVU26D)

Open CMS sourceHow we calculate rates

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