Billing code 64567: Nerve field stimulationMedicare rate & RVUs
Reports percutaneous electrical nerve field stimulation at cranial nerve sites, commonly delivered through auricular electrodes for functional abdominal pain.
Medicare pays $1,239.51 for 64567 nationally in the office and $66.47 in a hospital or facility. Local office rates run $1,069.96–$1,765.89.
Medicare rate · 64567
Nerve field stimulation
Swap in your local Medicare rate.
- Work RVUs
- 1.5
- Total RVUs
- 37.11
- Global days
- XXX
National rate · 2026
$1,239.51
Office setting, before claim adjustments.
See every locality for 64567 → · 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 64567 covers
This service uses fine percutaneous electrodes at external-ear sites to deliver electrical stimulation to cranial nerve branches. A typical use is treatment of functional abdominal pain associated with irritable bowel syndrome, including in adolescents. The treating clinician places the electrodes and activates the stimulation device; the service is distinct from surgically implanting a permanent cranial nerve stimulator. It may be furnished in an outpatient clinic by a clinician managing the patient’s pain or gastrointestinal condition.
Report the code for the cranial nerve field stimulation service, not separately for each electrode. Documentation should identify the clinical indication, the treatment performed, electrode placement, and device activation. The supplied CMS facts list no special payment rules for this code. Select a different code when the service instead involves posterior tibial nerve stimulation or surgical implantation of a cranial nerve electrode and pulse generator.
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 64567 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
$1069.96 to $1765.89
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,089.18 | $62.77 |
| Alaska* | $1,339.12 | $89.84 |
| Arizona | $1,202.03 | $65.36 |
| Arkansas | $1,069.96 | $62.32 |
| Atlanta | $1,259.68 | $67.87 |
| Austin | $1,307.67 | $66.60 |
| Bakersfield | $1,352.04 | $66.39 |
| Baltimore/Surr. Cntys | $1,328.01 | $69.34 |
| Beaumont | $1,132.56 | $65.10 |
| Brazoria | $1,228.08 | $65.59 |
| Chicago | $1,252.70 | $73.79 |
| Chico | $1,351.55 | $65.90 |
| Colorado | $1,314.72 | $66.60 |
| Connecticut | $1,332.80 | $69.44 |
| Dallas | $1,234.46 | $66.12 |
| Dc + Md/Va Suburbs | $1,453.58 | $71.74 |
| Delaware | $1,225.01 | $66.05 |
| Detroit | $1,201.73 | $69.75 |
| East St. Louis | $1,150.20 | $71.00 |
| El Centro | $1,351.58 | $65.92 |
| Fort Lauderdale | $1,259.22 | $70.93 |
| Fort Worth | $1,222.69 | $66.07 |
| Fresno | $1,351.55 | $65.90 |
| Galveston | $1,230.70 | $65.87 |
| Hanford-Corcoran | $1,351.55 | $65.90 |
| Hawaii, Guam | $1,399.47 | $65.73 |
| Houston | $1,233.63 | $68.80 |
| Idaho | $1,141.97 | $62.77 |
| Indiana | $1,150.32 | $62.92 |
| Iowa | $1,135.64 | $62.31 |
| Kansas | $1,123.19 | $62.76 |
| Kentucky | $1,107.62 | $64.79 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,456.45 | $68.74 |
| Madera | $1,351.55 | $65.90 |
| Manhattan | $1,437.66 | $74.59 |
| Merced | $1,351.55 | $65.90 |
| Metropolitan Boston | $1,470.68 | $70.07 |
| Metropolitan Kansas City | $1,167.16 | $65.67 |
| Metropolitan Philadelphia | $1,289.99 | $68.85 |
| Metropolitan St. Louis | $1,182.68 | $65.95 |
| Miami | $1,296.23 | $75.09 |
| Minnesota | $1,270.08 | $63.03 |
| Mississippi | $1,073.53 | $63.54 |
| Modesto | $1,351.55 | $65.90 |
| Montana** | $1,239.50 | $66.46 |
| Napa | $1,616.57 | $70.50 |
| Nebraska | $1,145.01 | $62.30 |
| Nevada** | $1,239.80 | $65.59 |
| New Hampshire | $1,287.39 | $66.25 |
| New Mexico | $1,142.30 | $66.63 |
| New Orleans | $1,170.37 | $66.54 |
| North Carolina | $1,158.25 | $63.80 |
| North Dakota** | $1,236.33 | $63.29 |
| Northern Nj | $1,432.48 | $71.75 |
| Nyc Suburbs/Long Island | $1,471.08 | $76.34 |
| Ohio | $1,136.54 | $65.55 |
| Oklahoma | $1,111.62 | $64.10 |
| Oxnard-Thousand Oaks-Ventura | $1,454.39 | $67.86 |
| Portland | $1,370.37 | $67.12 |
| Poughkpsie/N Nyc Suburbs | $1,355.37 | $70.89 |
| Puerto Rico | $1,252.45 | $66.51 |
| Queens | $1,460.58 | $74.04 |
| Redding | $1,351.55 | $65.90 |
| Rest Of California | $1,351.55 | $65.90 |
| Rest Of Florida | $1,190.10 | $68.67 |
| Rest Of Georgia | $1,112.65 | $66.30 |
| Rest Of Illinois | $1,139.50 | $68.52 |
| Rest Of Louisiana | $1,103.12 | $64.98 |
| Rest Of Maine | $1,142.76 | $63.57 |
| Rest Of Maryland | $1,253.78 | $66.66 |
| Rest Of Massachusetts | $1,301.98 | $66.77 |
| Rest Of Michigan | $1,137.18 | $66.20 |
| Rest Of Missouri | $1,075.97 | $64.81 |
| Rest Of New Jersey | $1,350.96 | $70.00 |
| Rest Of New York | $1,178.72 | $64.33 |
| Rest Of Oregon | $1,233.18 | $64.84 |
| Rest Of Pennsylvania | $1,142.12 | $65.27 |
| Rest Of Texas | $1,178.60 | $65.39 |
| Rest Of Washington | $1,301.64 | $66.43 |
| Rhode Island | $1,278.96 | $67.21 |
| Riverside-San Bernardino-Ontario | $1,353.29 | $67.64 |
| Sacramento-Roseville-Folsom | $1,431.83 | $67.59 |
| Salinas | $1,426.85 | $67.29 |
| San Diego-Chula Vista-Carlsbad | $1,470.64 | $67.68 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,726.84 | $72.86 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,726.66 | $72.67 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,765.89 | $74.37 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,765.15 | $73.63 |
| San Luis Obispo-Paso Robles | $1,402.46 | $66.37 |
| Santa Cruz-Watsonville | $1,492.65 | $67.41 |
| Santa Maria-Santa Barbara | $1,434.98 | $67.22 |
| Santa Rosa-Petaluma | $1,508.50 | $68.00 |
| Seattle (King Cnty) | $1,509.82 | $70.50 |
| South Carolina | $1,148.72 | $64.83 |
| South Dakota** | $1,235.96 | $62.92 |
| Southern Maine | $1,226.88 | $64.40 |
| Stockton | $1,351.55 | $65.90 |
| Suburban Chicago | $1,275.95 | $71.24 |
| Tennessee | $1,129.28 | $62.99 |
| Utah | $1,167.92 | $65.26 |
| Vallejo | $1,616.30 | $70.24 |
| Vermont | $1,225.03 | $63.72 |
| Virgin Islands | $1,252.45 | $66.51 |
| Virginia | $1,217.81 | $64.71 |
| Visalia | $1,351.55 | $65.90 |
| West Virginia | $1,086.70 | $67.33 |
| Wisconsin | $1,186.08 | $62.31 |
| Wyoming** | $1,238.12 | $65.08 |
| Yuba City | $1,351.55 | $65.90 |
64567 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.
$1,069.96
$1,558.72
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 | $1,339.12 | 1 |
| AL | $1,089.18 | 1 |
| AR | $1,069.96 | 1 |
| AZ | $1,202.03 | 1 |
| CA | $1,351.55–$1,765.89 | 29 |
| CO | $1,314.72 | 1 |
| CT | $1,332.80 | 1 |
| DC | $1,453.58 | 1 |
| DE | $1,225.01 | 1 |
| FL | $1,190.10–$1,296.23 | 3 |
| GA | $1,112.65–$1,259.68 | 2 |
| GU | $1,399.47 | 1 |
| HI | $1,399.47 | 1 |
| IA | $1,135.64 | 1 |
| ID | $1,141.97 | 1 |
| IL | $1,139.50–$1,275.95 | 4 |
| IN | $1,150.32 | 1 |
| KS | $1,123.19 | 1 |
| KY | $1,107.62 | 1 |
| LA | $1,103.12–$1,170.37 | 2 |
| MA | $1,301.98–$1,470.68 | 2 |
| MD | $1,253.78–$1,453.58 | 3 |
| ME | $1,142.76–$1,226.88 | 2 |
| MI | $1,137.18–$1,201.73 | 2 |
| MN | $1,270.08 | 1 |
| MO | $1,075.97–$1,182.68 | 3 |
| MS | $1,073.53 | 1 |
| MT | $1,239.50 | 1 |
| NC | $1,158.25 | 1 |
| ND | $1,236.33 | 1 |
| NE | $1,145.01 | 1 |
| NH | $1,287.39 | 1 |
| NJ | $1,350.96–$1,432.48 | 2 |
| NM | $1,142.30 | 1 |
| NV | $1,239.80 | 1 |
| NY | $1,178.72–$1,471.08 | 5 |
| OH | $1,136.54 | 1 |
| OK | $1,111.62 | 1 |
| OR | $1,233.18–$1,370.37 | 2 |
| PA | $1,142.12–$1,289.99 | 2 |
| PR | $1,252.45 | 1 |
| RI | $1,278.96 | 1 |
| SC | $1,148.72 | 1 |
| SD | $1,235.96 | 1 |
| TN | $1,129.28 | 1 |
| TX | $1,132.56–$1,307.67 | 8 |
| UT | $1,167.92 | 1 |
| VA | $1,217.81–$1,453.58 | 2 |
| VI | $1,252.45 | 1 |
| VT | $1,225.03 | 1 |
| WA | $1,301.64–$1,509.82 | 2 |
| WI | $1,186.08 | 1 |
| WV | $1,086.70 | 1 |
| WY | $1,238.12 | 1 |
How the 64567 rate is calculated
Each of 64567’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 · 64567
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.50Practice expense 35.45Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64567
64567 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 64567
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$1,239.51
The facility rate would be $66.47 (+$1,173.04). In a facility, the facility bills its own costs separately.
64567 compared with similar codes
Compare codes
64567 vs 64566 vs 64568 vs 64555: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64566Tibial nerve stimulation
- 64566 is for percutaneous posterior tibial nerve stimulation. Use 64567 for cranial nerve field stimulation, such as stimulation delivered through auricular electrode sites.
- 64568Nerve stimulator
- 64568 describes open surgical implantation of a cranial nerve electrode array and pulse generator. 64567 describes percutaneous electrical nerve field stimulation, not permanent open implantation.
- 64555Nerve stimulation
- 64555 concerns percutaneous implantation of a neurostimulator electrode array for a peripheral nerve. 64567 describes cranial nerve field stimulation.
64567 billing questions
Does this code represent each electrode placed?
No. It represents the cranial nerve field stimulation service, rather than a separate service for each auricular electrode.
What should the record document?
Document the indication, the stimulation treatment performed, electrode placement, and device activation.
How is this different from 64566?
64567 describes cranial nerve field stimulation, commonly using auricular sites. 64566 is for percutaneous stimulation of the posterior tibial nerve.
Is this the code for permanent vagus nerve stimulator implantation?
No. 64567 describes percutaneous electrical nerve field stimulation. Open implantation of a cranial nerve electrode array and pulse generator is represented by 64568.
Is this code reported for functional abdominal pain treatment?
It may describe cranial nerve field stimulation used for functional abdominal pain associated with irritable bowel syndrome. The record should support the patient’s indication and the treatment performed.
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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