$2,361.45
63650 covers percutaneous implantation of spinal stimulation electrodes. Use 63685 for the generator or receiver placed in a pocket.
On this page
CMS RVU26D · Effective 2026-10-01
63685 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$314.57
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.
Neurostimulation
About 63685: Spinal neurostimulator generator placement
Placement or replacement of an implanted spinal neurostimulator generator or receiver in a pocket, commonly paired with epidural stimulation-lead implantation.
This service places or replaces the implanted pulse generator or receiver that powers a spinal cord neurostimulator. The surgeon creates or accesses a pocket, commonly in the flank or buttock, and connects the generator to the stimulation leads. Neurosurgeons and pain physicians commonly perform the procedure in an operating room, including after a successful temporary stimulation trial or when an implanted generator needs replacement.
Report the generator or receiver service for the implanted power unit; lead implantation is a separate service when performed and coded. Operative documentation should identify whether the unit was newly implanted or replaced, the pocket work, and its connection to the stimulation system. Related postoperative visits for 10 days are included. 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% reduction. Modifier 50 is inappropriate for this descriptor and anatomy. Medicare may pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63685
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.06 · 53%
- Practice expense (office) RVU3.43 · 36%
- Malpractice RVU1.05 · 11%
47.1K
Medicare services in 2024 · #804 by national volume
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.
63685 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
63655 covers open implantation of spinal stimulation electrodes. It is distinct from placing or replacing the generator or receiver under 63685.
No office rate
63688 describes revision or removal of the implanted generator or receiver; 63685 describes insertion or replacement.
The same code, a different location
How does Delaware compare?
63685 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 63685
Office
Unavailable
Facility
$289.10
No comparable office rate is available.
Arkansas
Arkansas · 63685
Office
Unavailable
Facility
$285.48
No comparable office rate is available.
Arizona
Arizona · 63685
Office
Unavailable
Facility
$310.04
No comparable office rate is available.
Bakersfield
California · 63685
Office
Unavailable
Facility
$319.14
No comparable office rate is available.
Chico
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
El Centro
California · 63685
Office
Unavailable
Facility
$316.42
No comparable office rate is available.
Fresno
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Hanford-Corcoran
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Madera
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Merced
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Modesto
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Napa
California · 63685
Office
Unavailable
Facility
$348.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63685
Office
Unavailable
Facility
$331.01
No comparable office rate is available.
Redding
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Rest Of California
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63685
Office
Unavailable
Facility
$327.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63685
Office
Unavailable
Facility
$327.13
No comparable office rate is available.
Salinas
California · 63685
Office
Unavailable
Facility
$325.83
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63685
Office
Unavailable
Facility
$330.11
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63685
Office
Unavailable
Facility
$362.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63685
Office
Unavailable
Facility
$361.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63685
Office
Unavailable
Facility
$371.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63685
Office
Unavailable
Facility
$366.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63685
Office
Unavailable
Facility
$321.17
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63685
Office
Unavailable
Facility
$330.55
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63685
Office
Unavailable
Facility
$326.12
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63685
Office
Unavailable
Facility
$333.56
No comparable office rate is available.
Stockton
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Vallejo
California · 63685
Office
Unavailable
Facility
$346.75
No comparable office rate is available.
Visalia
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Yuba City
California · 63685
Office
Unavailable
Facility
$316.24
No comparable office rate is available.
Colorado
Colorado · 63685
Office
Unavailable
Facility
$320.32
No comparable office rate is available.
Connecticut
Connecticut · 63685
Office
Unavailable
Facility
$338.21
No comparable office rate is available.
Fort Lauderdale
Florida · 63685
Office
Unavailable
Facility
$348.47
No comparable office rate is available.
Rest Of Florida
Florida · 63685
Office
Unavailable
Facility
$331.24
No comparable office rate is available.
Atlanta
Georgia · 63685
Office
Unavailable
Facility
$328.03
No comparable office rate is available.
Rest Of Georgia
Georgia · 63685
Office
Unavailable
Facility
$313.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63685
Office
Unavailable
Facility
$319.58
No comparable office rate is available.
Iowa
Iowa · 63685
Office
Unavailable
Facility
$287.76
No comparable office rate is available.
Idaho
Idaho · 63685
Office
Unavailable
Facility
$291.00
No comparable office rate is available.
East St. Louis
Illinois · 63685
Office
Unavailable
Facility
$345.04
No comparable office rate is available.
Rest Of Illinois
Illinois · 63685
Office
Unavailable
Facility
$328.42
No comparable office rate is available.
Suburban Chicago
Illinois · 63685
Office
Unavailable
Facility
$350.00
No comparable office rate is available.
Indiana
Indiana · 63685
Office
Unavailable
Facility
$292.25
No comparable office rate is available.
Kansas
Kansas · 63685
Office
Unavailable
Facility
$290.25
No comparable office rate is available.
Kentucky
Kentucky · 63685
Office
Unavailable
Facility
$302.95
No comparable office rate is available.
New Orleans
Louisiana · 63685
Office
Unavailable
Facility
$316.65
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63685
Office
Unavailable
Facility
$304.00
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63685
Office
Unavailable
Facility
$343.94
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63685
Office
Unavailable
Facility
$320.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63685
Office
Unavailable
Facility
$338.02
No comparable office rate is available.
Rest Of Maryland
Maryland · 63685
Office
Unavailable
Facility
$318.83
No comparable office rate is available.
Rest Of Maine
Maine · 63685
Office
Unavailable
Facility
$296.22
No comparable office rate is available.
Southern Maine
Maine · 63685
Office
Unavailable
Facility
$304.67
No comparable office rate is available.
Detroit
Michigan · 63685
Office
Unavailable
Facility
$338.69
No comparable office rate is available.
Rest Of Michigan
Michigan · 63685
Office
Unavailable
Facility
$313.20
No comparable office rate is available.
Minnesota
Minnesota · 63685
Office
Unavailable
Facility
$297.28
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63685
Office
Unavailable
Facility
$310.85
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63685
Office
Unavailable
Facility
$313.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 63685
Office
Unavailable
Facility
$301.92
No comparable office rate is available.
Mississippi
Mississippi · 63685
Office
Unavailable
Facility
$293.57
No comparable office rate is available.
Montana**
Montana · 63685
Office
Unavailable
Facility
$318.57
No comparable office rate is available.
North Carolina
North Carolina · 63685
Office
Unavailable
Facility
$298.31
No comparable office rate is available.
North Dakota**
North Dakota · 63685
Office
Unavailable
Facility
$297.81
No comparable office rate is available.
Nebraska
Nebraska · 63685
Office
Unavailable
Facility
$288.01
No comparable office rate is available.
New Hampshire
New Hampshire · 63685
Office
Unavailable
Facility
$318.96
No comparable office rate is available.
Northern Nj
New Jersey · 63685
Office
Unavailable
Facility
$350.01
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63685
Office
Unavailable
Facility
$339.35
No comparable office rate is available.
New Mexico
New Mexico · 63685
Office
Unavailable
Facility
$316.18
No comparable office rate is available.
Nevada**
Nevada · 63685
Office
Unavailable
Facility
$312.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63685
Office
Unavailable
Facility
$381.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63685
Office
Unavailable
Facility
$344.50
No comparable office rate is available.
Queens
New York · 63685
Office
Unavailable
Facility
$365.81
No comparable office rate is available.
Rest Of New York
New York · 63685
Office
Unavailable
Facility
$302.50
No comparable office rate is available.
Ohio
Ohio · 63685
Office
Unavailable
Facility
$308.96
No comparable office rate is available.
Oklahoma
Oklahoma · 63685
Office
Unavailable
Facility
$298.57
No comparable office rate is available.
Portland
Oregon · 63685
Office
Unavailable
Facility
$325.09
No comparable office rate is available.
Rest Of Oregon
Oregon · 63685
Office
Unavailable
Facility
$307.77
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63685
Office
Unavailable
Facility
$333.15
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63685
Office
Unavailable
Facility
$307.32
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63685
Office
Unavailable
Facility
$319.38
No comparable office rate is available.
Rhode Island
Rhode Island · 63685
Office
Unavailable
Facility
$321.85
No comparable office rate is available.
South Carolina
South Carolina · 63685
Office
Unavailable
Facility
$304.68
No comparable office rate is available.
South Dakota**
South Dakota · 63685
Office
Unavailable
Facility
$295.36
No comparable office rate is available.
Tennessee
Tennessee · 63685
Office
Unavailable
Facility
$291.98
No comparable office rate is available.
Austin
Texas · 63685
Office
Unavailable
Facility
$321.63
No comparable office rate is available.
Beaumont
Texas · 63685
Office
Unavailable
Facility
$305.84
No comparable office rate is available.
Brazoria
Texas · 63685
Office
Unavailable
Facility
$311.25
No comparable office rate is available.
Dallas
Texas · 63685
Office
Unavailable
Facility
$314.73
No comparable office rate is available.
Fort Worth
Texas · 63685
Office
Unavailable
Facility
$314.04
No comparable office rate is available.
Galveston
Texas · 63685
Office
Unavailable
Facility
$313.16
No comparable office rate is available.
Houston
Texas · 63685
Office
Unavailable
Facility
$332.38
No comparable office rate is available.
Rest Of Texas
Texas · 63685
Office
Unavailable
Facility
$309.40
No comparable office rate is available.
Utah
Utah · 63685
Office
Unavailable
Facility
$308.19
No comparable office rate is available.
Virginia
Virginia · 63685
Office
Unavailable
Facility
$306.39
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63685
Office
Unavailable
Facility
$319.38
No comparable office rate is available.
Vermont
Vermont · 63685
Office
Unavailable
Facility
$300.17
No comparable office rate is available.
Rest Of Washington
Washington · 63685
Office
Unavailable
Facility
$318.53
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63685
Office
Unavailable
Facility
$346.68
No comparable office rate is available.
Wisconsin
Wisconsin · 63685
Office
Unavailable
Facility
$289.56
No comparable office rate is available.
West Virginia
West Virginia · 63685
Office
Unavailable
Facility
$318.75
No comparable office rate is available.
Wyoming**
Wyoming · 63685
Office
Unavailable
Facility
$309.53
No comparable office rate is available.
See how rates vary across the country
63685 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 63685 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$346.03
$314.57 × 110% = $346.03
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 63685 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,083
- Code
- 63685
- Physician work
- 5.06
- Practice expense
- 3.43
- Malpractice
- 1.05
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.06 | × 1.005 | 5.0853 |
| Practice expense | 3.43 | × 0.988 | 3.3888 |
| Malpractice | 1.05 | × 0.899 | 0.9440 |
| Total RVUs | 9.4181 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$314.57
Open 63685 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.06 | 1.005 |
| Practice expense | 3.43 | 0.988 |
| Malpractice | 1.05 | 0.899 |
(5.06 × 1.005 + 3.43 × 0.988 + 1.05 × 0.899) × $33.4009 = $314.57
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
63685 · 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
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 | $314.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $314.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $314.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $314.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $331.26 | RVU25D |
| 2025-07-01 | Not available in this setting | $331.26 | RVU25C |
| 2025-04-01 | Not available in this setting | $331.26 | RVU25B |
| 2025-01-01 | Not available in this setting | $331.26 | RVU25A |
63685 billing questions
How is this different from spinal electrode implantation?
This code covers the implanted generator or receiver in its pocket. Codes 63650 and 63655 describe spinal electrode implantation, not the generator.
Can the generator and lead procedures be reported together?
Yes, when both the generator or receiver and spinal electrodes are implanted during the encounter, report the applicable code for each service, subject to applicable edits.
When should 63688 be considered instead?
Use 63685 for insertion or replacement of the generator or receiver. Code 63688 describes revision or removal of that implanted component.
Should modifier 50 be appended for a generator on each side?
No. CMS identifies modifier 50 as inappropriate for this descriptor and anatomy; report the generator service without bilateral reporting.
What documentation supports reporting this code?
Document whether the generator or receiver was newly placed or replaced, the pocket procedure, and its connection to the spinal stimulation system.
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.
7,08063662,,Remove spine eltrd plate,A,,10.73,10.84,NA,10.84,,3.87,25.44,25.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08163663,,Revise spine eltrd perq aray,A,,7.56,19.90,,3.62,,1.08,28.54,12.26,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08263664,,Revise spine eltrd plate,A,,11.23,11.20,NA,11.20,,4.11,26.54,26.54,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08363685,,Ins/rplc spi npg/rcvr pocket,A,,5.06,3.43,NA,3.43,,1.05,9.54,9.54,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08463688,,Rev/rmv imp sp npg/r dtch cn,A,,4.24,3.85,NA,3.85,,1.06,9.15,9.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08563700,,Repair of spinal herniation,A,,17.03,15.40,NA,15.40,,7.19,39.62,39.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08663702,,Repair of spinal herniation,A,,18.92,16.06,NA,16.06,,7.98,42.96,42.96,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503