No office rate
64654 is for initial open implantation of a BAT modulation system. Choose 64655 when the surgery revises or replaces an existing system lead.
On this page
CMS RVU26D · Effective 2026-10-01
64655 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$645.66
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiovascular surgery
About 64655: Baroreflex therapy lead revision
Surgical revision or replacement of a lead in an implanted baroreflex activation therapy system, such as when the lead requires repair or exchange.
This surgery addresses a lead in an implanted baroreflex activation therapy (BAT) system, which stimulates baroreceptors near the carotid sinus. The surgeon revises the existing lead or replaces it; this is lead work, not pulse-generator revision or removal. The system is used for baroreflex activation therapy, including treatment of hypertension. The procedure is performed in an operating room by a surgeon experienced with the implanted system and its lead placement.
Report 64655 when the operative work is revision or replacement of the BAT system lead. The operative report should identify the system component treated, describe the lead work performed, and support the medical reason for the procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery, co-surgeon, and team-surgery payment each require supporting documentation; assistant payment also requires medical necessity documentation.
CMS billing rules for 64655
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery paid only with supporting documentation.
Where the value comes from
- Work RVU11.30 · 59%
- Practice expense (office) RVU5.40 · 28%
- Malpractice RVU2.59 · 13%
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.
64655 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
64656 covers revision or replacement of the pulse generator. 64655 is for work on the lead.
No office rate
64658 describes lead removal only. 64655 is for lead revision or replacement, not removal alone.
No office rate
64659 is for removal of the pulse generator only; 64655 concerns revision or replacement of the system lead.
The same code, a different location
How does Austin compare?
64655 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 64655
Office
Unavailable
Facility
$626.71
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 64655
Office
Unavailable
Facility
$663.72
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64655
Office
Unavailable
Facility
$706.56
No comparable office rate is available.
Miami
Florida · 64655
Office
Unavailable
Facility
$783.97
No comparable office rate is available.
Chicago
Illinois · 64655
Office
Unavailable
Facility
$759.88
No comparable office rate is available.
Manhattan
New York · 64655
Office
Unavailable
Facility
$748.37
No comparable office rate is available.
Alaska*
Alaska · 64655
Office
Unavailable
Facility
$805.90
No comparable office rate is available.
Alabama
Alabama · 64655
Office
Unavailable
Facility
$584.21
No comparable office rate is available.
Arkansas
Arkansas · 64655
Office
Unavailable
Facility
$576.92
No comparable office rate is available.
Arizona
Arizona · 64655
Office
Unavailable
Facility
$626.25
No comparable office rate is available.
Bakersfield
California · 64655
Office
Unavailable
Facility
$634.96
No comparable office rate is available.
Chico
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
El Centro
California · 64655
Office
Unavailable
Facility
$628.33
No comparable office rate is available.
Fresno
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Hanford-Corcoran
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Madera
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Merced
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Modesto
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Napa
California · 64655
Office
Unavailable
Facility
$682.88
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64655
Office
Unavailable
Facility
$655.08
No comparable office rate is available.
Redding
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Rest Of California
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64655
Office
Unavailable
Facility
$655.70
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64655
Office
Unavailable
Facility
$647.15
No comparable office rate is available.
Salinas
California · 64655
Office
Unavailable
Facility
$644.54
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64655
Office
Unavailable
Facility
$651.36
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64655
Office
Unavailable
Facility
$707.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64655
Office
Unavailable
Facility
$704.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64655
Office
Unavailable
Facility
$725.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64655
Office
Unavailable
Facility
$713.38
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64655
Office
Unavailable
Facility
$635.65
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64655
Office
Unavailable
Facility
$650.87
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64655
Office
Unavailable
Facility
$644.67
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64655
Office
Unavailable
Facility
$656.61
No comparable office rate is available.
Stockton
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Vallejo
California · 64655
Office
Unavailable
Facility
$678.64
No comparable office rate is available.
Visalia
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Yuba City
California · 64655
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Colorado
Colorado · 64655
Office
Unavailable
Facility
$641.43
No comparable office rate is available.
Connecticut
Connecticut · 64655
Office
Unavailable
Facility
$683.91
No comparable office rate is available.
Delaware
Delaware · 64655
Office
Unavailable
Facility
$635.29
No comparable office rate is available.
Fort Lauderdale
Florida · 64655
Office
Unavailable
Facility
$716.55
No comparable office rate is available.
Rest Of Florida
Florida · 64655
Office
Unavailable
Facility
$679.88
No comparable office rate is available.
Atlanta
Georgia · 64655
Office
Unavailable
Facility
$665.71
No comparable office rate is available.
Rest Of Georgia
Georgia · 64655
Office
Unavailable
Facility
$641.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64655
Office
Unavailable
Facility
$632.59
No comparable office rate is available.
Iowa
Iowa · 64655
Office
Unavailable
Facility
$576.81
No comparable office rate is available.
Idaho
Idaho · 64655
Office
Unavailable
Facility
$584.28
No comparable office rate is available.
East St. Louis
Illinois · 64655
Office
Unavailable
Facility
$717.59
No comparable office rate is available.
Rest Of Illinois
Illinois · 64655
Office
Unavailable
Facility
$677.32
No comparable office rate is available.
Suburban Chicago
Illinois · 64655
Office
Unavailable
Facility
$718.60
No comparable office rate is available.
Indiana
Indiana · 64655
Office
Unavailable
Facility
$586.67
No comparable office rate is available.
Kansas
Kansas · 64655
Office
Unavailable
Facility
$584.08
No comparable office rate is available.
Kentucky
Kentucky · 64655
Office
Unavailable
Facility
$616.93
No comparable office rate is available.
New Orleans
Louisiana · 64655
Office
Unavailable
Facility
$645.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64655
Office
Unavailable
Facility
$619.93
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64655
Office
Unavailable
Facility
$685.25
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64655
Office
Unavailable
Facility
$642.34
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64655
Office
Unavailable
Facility
$684.01
No comparable office rate is available.
Rest Of Maryland
Maryland · 64655
Office
Unavailable
Facility
$643.15
No comparable office rate is available.
Rest Of Maine
Maine · 64655
Office
Unavailable
Facility
$597.17
No comparable office rate is available.
Southern Maine
Maine · 64655
Office
Unavailable
Facility
$610.76
No comparable office rate is available.
Detroit
Michigan · 64655
Office
Unavailable
Facility
$697.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 64655
Office
Unavailable
Facility
$639.77
No comparable office rate is available.
Minnesota
Minnesota · 64655
Office
Unavailable
Facility
$588.63
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64655
Office
Unavailable
Facility
$631.31
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64655
Office
Unavailable
Facility
$635.82
No comparable office rate is available.
Rest Of Missouri
Missouri · 64655
Office
Unavailable
Facility
$617.16
No comparable office rate is available.
Mississippi
Mississippi · 64655
Office
Unavailable
Facility
$596.65
No comparable office rate is available.
Montana**
Montana · 64655
Office
Unavailable
Facility
$644.13
No comparable office rate is available.
North Carolina
North Carolina · 64655
Office
Unavailable
Facility
$600.99
No comparable office rate is available.
North Dakota**
North Dakota · 64655
Office
Unavailable
Facility
$592.92
No comparable office rate is available.
Nebraska
Nebraska · 64655
Office
Unavailable
Facility
$576.61
No comparable office rate is available.
New Hampshire
New Hampshire · 64655
Office
Unavailable
Facility
$640.88
No comparable office rate is available.
Northern Nj
New Jersey · 64655
Office
Unavailable
Facility
$702.82
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64655
Office
Unavailable
Facility
$684.39
No comparable office rate is available.
New Mexico
New Mexico · 64655
Office
Unavailable
Facility
$646.72
No comparable office rate is available.
Nevada**
Nevada · 64655
Office
Unavailable
Facility
$630.04
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64655
Office
Unavailable
Facility
$776.69
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64655
Office
Unavailable
Facility
$696.59
No comparable office rate is available.
Queens
New York · 64655
Office
Unavailable
Facility
$739.52
No comparable office rate is available.
Rest Of New York
New York · 64655
Office
Unavailable
Facility
$609.59
No comparable office rate is available.
Ohio
Ohio · 64655
Office
Unavailable
Facility
$629.30
No comparable office rate is available.
Oklahoma
Oklahoma · 64655
Office
Unavailable
Facility
$605.71
No comparable office rate is available.
Portland
Oregon · 64655
Office
Unavailable
Facility
$648.22
No comparable office rate is available.
Rest Of Oregon
Oregon · 64655
Office
Unavailable
Facility
$617.89
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64655
Office
Unavailable
Facility
$675.19
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64655
Office
Unavailable
Facility
$624.76
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64655
Office
Unavailable
Facility
$644.99
No comparable office rate is available.
Rhode Island
Rhode Island · 64655
Office
Unavailable
Facility
$648.08
No comparable office rate is available.
South Carolina
South Carolina · 64655
Office
Unavailable
Facility
$617.62
No comparable office rate is available.
South Dakota**
South Dakota · 64655
Office
Unavailable
Facility
$586.86
No comparable office rate is available.
Tennessee
Tennessee · 64655
Office
Unavailable
Facility
$587.84
No comparable office rate is available.
Utah
Utah · 64655
Office
Unavailable
Facility
$624.66
No comparable office rate is available.
Virginia
Virginia · 64655
Office
Unavailable
Facility
$615.80
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64655
Office
Unavailable
Facility
$644.99
No comparable office rate is available.
Vermont
Vermont · 64655
Office
Unavailable
Facility
$599.76
No comparable office rate is available.
Rest Of Washington
Washington · 64655
Office
Unavailable
Facility
$638.09
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64655
Office
Unavailable
Facility
$688.29
No comparable office rate is available.
Wisconsin
Wisconsin · 64655
Office
Unavailable
Facility
$576.86
No comparable office rate is available.
West Virginia
West Virginia · 64655
Office
Unavailable
Facility
$657.96
No comparable office rate is available.
Wyoming**
Wyoming · 64655
Office
Unavailable
Facility
$621.81
No comparable office rate is available.
See how rates vary across the country
64655 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 64655 in Austin
Multiple payment areas
- 64655 in Barton Creek
- 64655 in Bee Cave
- 64655 in Briarcliff
- 64655 in Cedar Park
Multiple payment areas
- 64655 in Creedmoor
Multiple payment areas
- 64655 in Elgin
Multiple payment areas
- 64655 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 64655 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$710.23
$645.66 × 110% = $710.23
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64655 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,194
- Code
- 64655
- Physician work
- 11.30
- Practice expense
- 5.40
- Malpractice
- 2.59
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.30 | × 1.002 | 11.3226 |
| Practice expense | 5.40 | × 1.058 | 5.7132 |
| Malpractice | 2.59 | × 0.886 | 2.2947 |
| Total RVUs | 19.3305 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$645.66
Open 64655 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.3 | 1.002 |
| Practice expense | 5.4 | 1.058 |
| Malpractice | 2.59 | 0.886 |
(11.3 × 1.002 + 5.4 × 1.058 + 2.59 × 0.886) × $33.4009 = $645.66
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
64655 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
No ratechanged toNo rate
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: No rate
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $645.66 | RVU26D |
| 2026-07-01 | Not available in this setting | $645.66 | RVU26C |
| 2026-04-01 | Not available in this setting | $645.66 | RVU26B |
| 2026-01-01 | Not available in this setting | $645.66 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
64655 billing questions
How does 64655 differ from 64656?
64655 is for revision or replacement of the BAT system lead. 64656 addresses revision or replacement of the pulse generator.
Should 64655 be used for the initial BAT system implant?
No. Use 64655 for lead revision or replacement, not initial implantation. Code 64654 describes the initial open implant procedure.
Does 64655 include pulse-generator work?
The service represented by 64655 is lead work. If the pulse generator is also revised or replaced, document that work separately and consider the applicable generator code.
How is bilateral lead work reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150% under the stated fee schedule rule.
What documentation supports assistant-at-surgery payment?
Document the assistant's role and the medical necessity for assistance. CMS payment for an assistant at surgery requires medical-necessity documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,19164650,,Chemodenerv eccrine glands,A,,0.68,1.80,,0.21,,0.11,2.59,1.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19264653,,Chemodenerv eccrine glands,A,,0.86,2.03,,0.26,,0.17,3.06,1.29,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19364654,,1st opn implt bat modulj sys,A,,11.00,2.96,NA,2.96,,2.79,16.75,16.75,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19464655,,Revj/rplcmt bat mod sys lead,A,,11.30,5.40,NA,5.40,,2.59,19.29,19.29,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19564656,,Revj/rplcmt bat mod sys pg,A,,8.01,2.80,NA,2.80,,1.98,12.79,12.79,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19664657,,Rmvl bat modulj sys tot sys,A,,12.13,3.76,NA,3.76,,3.04,18.93,18.93,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,19764658,,Rmvl bat modul sys lead only,A,,8.95,3.03,NA,3.03,,2.27,14.25,14.25,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858