Billing code 64555: Nerve stimulationMedicare rate & RVUs
Percutaneous peripheral nerve stimulation lead placement is reported when an electrode array is implanted near a peripheral nerve for neuromodulation, excluding sacral nerve targets.
Medicare pays $2,223.50 for 64555 nationally in the office and $293.93 in a hospital or facility. Local office rates run $1,929.79–$3,126.41.
Medicare rate · 64555
Nerve stimulation
- Work RVUs
- 5.62
- Total RVUs
- 66.57
- Global days
- 010
National rate · 2026
$2,223.50
Office setting, before claim adjustments.
See every locality for 64555 →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
What 64555 covers
This service places a neurostimulation electrode array through the skin near a peripheral nerve, rather than exposing the nerve through an open incision. It is commonly performed by pain physicians, anesthesiologists, or other physicians treating chronic nerve-related pain; an occipital nerve target is one example. The code distinguishes peripheral nerve placement from cranial and sacral nerve electrode procedures.
Select the code based on the percutaneous approach and the nerve being targeted. The operative or procedure note should identify the target nerve, describe the percutaneous lead placement, and document the clinical reason for neuromodulation. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 64555 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1929.79 to $3126.41
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,963.04 | $274.66 |
| Alaska* | $2,439.72 | $384.73 |
| Arizona | $2,158.20 | $288.45 |
| Arkansas | $1,929.79 | $272.29 |
| Atlanta | $2,260.22 | $299.77 |
| Austin | $2,338.62 | $297.13 |
| Bakersfield | $2,413.07 | $298.26 |
| Baltimore/Surr. Cntys | $2,378.29 | $307.86 |
| Beaumont | $2,040.65 | $284.74 |
| Brazoria | $2,202.59 | $290.39 |
| Chicago | $2,259.98 | $320.76 |
| Chico | $2,411.28 | $296.47 |
| Colorado | $2,350.56 | $297.50 |
| Connecticut | $2,386.58 | $308.44 |
| Dallas | $2,214.37 | $292.52 |
| Dc + Md/Va Suburbs | $2,594.74 | $321.71 |
| Delaware | $2,198.28 | $291.87 |
| Detroit | $2,166.21 | $304.18 |
| East St. Louis | $2,081.83 | $306.62 |
| El Centro | $2,411.37 | $296.56 |
| Fort Lauderdale | $2,265.36 | $310.71 |
| Fort Worth | $2,194.46 | $291.90 |
| Fresno | $2,411.28 | $296.47 |
| Galveston | $2,207.55 | $291.49 |
| Hanford-Corcoran | $2,411.28 | $296.47 |
| Hawaii, Guam | $2,491.59 | $297.67 |
| Houston | $2,218.17 | $302.11 |
| Idaho | $2,051.98 | $276.77 |
| Indiana | $2,066.34 | $277.63 |
| Iowa | $2,040.42 | $274.86 |
| Kansas | $2,020.31 | $275.98 |
| Kentucky | $1,998.03 | $282.64 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $2,593.69 | $311.01 |
| Madera | $2,411.28 | $296.47 |
| Manhattan | $2,573.52 | $331.36 |
| Merced | $2,411.28 | $296.47 |
| Metropolitan Boston | $2,620.25 | $316.34 |
| Metropolitan Kansas City | $2,100.05 | $288.18 |
| Metropolitan Philadelphia | $2,313.29 | $304.61 |
| Metropolitan St. Louis | $2,126.75 | $289.80 |
| Miami | $2,335.79 | $327.11 |
| Minnesota | $2,268.34 | $282.81 |
| Mississippi | $1,938.16 | $276.80 |
| Modesto | $2,411.28 | $296.47 |
| Montana** | $2,223.46 | $293.89 |
| Napa | $2,867.01 | $323.84 |
| Nebraska | $2,056.18 | $275.19 |
| Nevada** | $2,222.28 | $290.78 |
| New Hampshire | $2,303.75 | $295.07 |
| New Mexico | $2,060.03 | $290.61 |
| New Orleans | $2,107.16 | $291.44 |
| North Carolina | $2,081.40 | $281.12 |
| North Dakota** | $2,211.99 | $282.42 |
| Northern Nj | $2,559.27 | $320.97 |
| Nyc Suburbs/Long Island | $2,633.22 | $338.96 |
| Ohio | $2,048.23 | $286.53 |
| Oklahoma | $2,003.42 | $280.32 |
| Oxnard-Thousand Oaks-Ventura | $2,588.44 | $307.69 |
| Portland | $2,445.36 | $301.61 |
| Poughkpsie/N Nyc Suburbs | $2,427.57 | $314.69 |
| Puerto Rico | $2,245.39 | $294.59 |
| Queens | $2,611.06 | $330.31 |
| Redding | $2,411.28 | $296.47 |
| Rest Of California | $2,411.28 | $296.47 |
| Rest Of Florida | $2,144.52 | $299.85 |
| Rest Of Georgia | $2,009.44 | $288.27 |
| Rest Of Illinois | $2,058.98 | $297.28 |
| Rest Of Louisiana | $1,990.80 | $283.13 |
| Rest Of Maine | $2,054.86 | $279.66 |
| Rest Of Maryland | $2,247.98 | $295.26 |
| Rest Of Massachusetts | $2,329.44 | $297.60 |
| Rest Of Michigan | $2,050.57 | $288.87 |
| Rest Of Missouri | $1,944.73 | $281.44 |
| Rest Of New Jersey | $2,418.40 | $311.31 |
| Rest Of New York | $2,116.92 | $283.83 |
| Rest Of Oregon | $2,209.68 | $287.83 |
| Rest Of Pennsylvania | $2,057.09 | $285.74 |
| Rest Of Texas | $2,118.78 | $287.62 |
| Rest Of Washington | $2,328.18 | $296.34 |
| Rhode Island | $2,291.51 | $298.27 |
| Riverside-San Bernardino-Ontario | $2,417.60 | $302.80 |
| Sacramento-Roseville-Folsom | $2,549.94 | $305.85 |
| Salinas | $2,540.94 | $304.57 |
| San Diego-Chula Vista-Carlsbad | $2,615.47 | $307.71 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $3,057.58 | $336.89 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $3,056.92 | $336.23 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $3,126.41 | $343.97 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $3,123.72 | $341.28 |
| San Luis Obispo-Paso Robles | $2,497.98 | $300.20 |
| Santa Cruz-Watsonville | $2,651.98 | $307.55 |
| Santa Maria-Santa Barbara | $2,554.49 | $304.61 |
| Santa Rosa-Petaluma | $2,679.88 | $310.37 |
| Seattle (King Cnty) | $2,687.06 | $319.48 |
| South Carolina | $2,067.34 | $284.42 |
| South Dakota** | $2,210.63 | $281.06 |
| Southern Maine | $2,198.20 | $286.00 |
| Stockton | $2,411.28 | $296.47 |
| Suburban Chicago | $2,294.21 | $312.54 |
| Tennessee | $2,031.03 | $277.06 |
| Utah | $2,100.54 | $286.74 |
| Vallejo | $2,866.06 | $322.89 |
| Vermont | $2,193.76 | $283.49 |
| Virgin Islands | $2,245.39 | $294.59 |
| Virginia | $2,183.52 | $286.76 |
| Visalia | $2,411.28 | $296.47 |
| West Virginia | $1,967.70 | $290.90 |
| Wisconsin | $2,125.40 | $276.87 |
| Wyoming** | $2,218.46 | $288.89 |
| Yuba City | $2,411.28 | $296.47 |
64555 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.
$1,929.79
$2,768.85
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,439.72 | 1 |
| AL | $1,963.04 | 1 |
| AR | $1,929.79 | 1 |
| AZ | $2,158.20 | 1 |
| CA | $2,411.28–$3,126.41 | 29 |
| CO | $2,350.56 | 1 |
| CT | $2,386.58 | 1 |
| DC | $2,594.74 | 1 |
| DE | $2,198.28 | 1 |
| FL | $2,144.52–$2,335.79 | 3 |
| GA | $2,009.44–$2,260.22 | 2 |
| GU | $2,491.59 | 1 |
| HI | $2,491.59 | 1 |
| IA | $2,040.42 | 1 |
| ID | $2,051.98 | 1 |
| IL | $2,058.98–$2,294.21 | 4 |
| IN | $2,066.34 | 1 |
| KS | $2,020.31 | 1 |
| KY | $1,998.03 | 1 |
| LA | $1,990.80–$2,107.16 | 2 |
| MA | $2,329.44–$2,620.25 | 2 |
| MD | $2,247.98–$2,594.74 | 3 |
| ME | $2,054.86–$2,198.20 | 2 |
| MI | $2,050.57–$2,166.21 | 2 |
| MN | $2,268.34 | 1 |
| MO | $1,944.73–$2,126.75 | 3 |
| MS | $1,938.16 | 1 |
| MT | $2,223.46 | 1 |
| NC | $2,081.40 | 1 |
| ND | $2,211.99 | 1 |
| NE | $2,056.18 | 1 |
| NH | $2,303.75 | 1 |
| NJ | $2,418.40–$2,559.27 | 2 |
| NM | $2,060.03 | 1 |
| NV | $2,222.28 | 1 |
| NY | $2,116.92–$2,633.22 | 5 |
| OH | $2,048.23 | 1 |
| OK | $2,003.42 | 1 |
| OR | $2,209.68–$2,445.36 | 2 |
| PA | $2,057.09–$2,313.29 | 2 |
| PR | $2,245.39 | 1 |
| RI | $2,291.51 | 1 |
| SC | $2,067.34 | 1 |
| SD | $2,210.63 | 1 |
| TN | $2,031.03 | 1 |
| TX | $2,040.65–$2,338.62 | 8 |
| UT | $2,100.54 | 1 |
| VA | $2,183.52–$2,594.74 | 2 |
| VI | $2,245.39 | 1 |
| VT | $2,193.76 | 1 |
| WA | $2,328.18–$2,687.06 | 2 |
| WI | $2,125.40 | 1 |
| WV | $1,967.70 | 1 |
| WY | $2,218.46 | 1 |
How the 64555 rate is calculated
Each of 64555’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 · 64555
RVUs × geographic indexes × conversion factor
Work5.62
5.62 RVUs× 1.000 GPCI
Practice expense60.37
60.37 RVUs× 1.000 GPCI
Malpractice0.58
0.58 RVUs× 1.000 GPCI
Adjusted RVUs
66.5700
Conversion factor
$33.4009
Medicare rate
$2,223.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64555
64555 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64555
Nerve stimulation
| 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 · 64555
Nerve stimulation
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
64555 without 51 · national office
$2,223.50
Nerve stimulation
64555-51 · Second procedure: 50%
$1,111.75
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%).
64555 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64553Neurostimulator lead
- 64553 is for percutaneous electrode-array placement targeting a cranial nerve; 64555 targets a peripheral nerve.
- 64561Sacral nerve lead
- 64561 is the percutaneous electrode-array code for a sacral nerve. Use 64555 for a peripheral nerve target outside that category.
- 64575Nerve stimulation
- Both involve peripheral nerve electrode implantation, but 64575 describes an open approach and 64555 a percutaneous approach.
64555 billing questions
How does this differ from 64575?
64555 describes percutaneous electrode-array placement near a peripheral nerve. 64575 is used when the peripheral nerve electrode is implanted through an open approach.
Can 64555 be used for sacral nerve lead placement?
No. Sacral nerve electrode placement is represented by 64561 when performed percutaneously.
Is the pulse generator included?
64555 reports electrode-array placement. When a pulse generator or receiver is also implanted or replaced, 64590 may be reported for that separate service.
Should modifier 50 be appended for bilateral placement?
No. CMS identifies bilateral adjustment as inappropriate for 64555; modifier 50 should not be used.
What documentation supports reporting 64555?
Document the targeted peripheral nerve, the percutaneous implantation of the electrode array, and the clinical indication for neuromodulation.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% multiple-procedure reduction.
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
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