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CMS RVU26D · Effective 2026-10-01

64553 in El Centro

Office / nonfacility

$5243.75

Base rate per service

Facility setting

$431.71

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 64553: Percutaneous cranial nerve stimulation lead placement

Reports percutaneous placement of a neurostimulator electrode array at a cranial nerve for a patient receiving cranial nerve stimulation.

A neurosurgeon or pain specialist uses a percutaneous approach to place a neurostimulator electrode array at a cranial nerve. The service may be performed in a surgical or procedure setting when cranial nerve stimulation is planned, including cases involving a targeted branch of the trigeminal nerve. This code identifies electrode-array placement, not an open implantation approach that includes a pulse generator.

Select the code based on the nerve targeted and the percutaneous technique documented. The operative or procedure note should identify the cranial nerve, describe the percutaneous placement, and document the array implanted. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this descriptor or anatomy. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 64553

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.98 · 4%
  • Practice expense (office) RVU136.45 · 94%
  • Malpractice RVU2.52 · 2%

63

Medicare services in 2024 · #5215 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.

64553 compared with similar codes

Office rates for El Centro, from the same CMS release.

64555

Nerve stimulation

Percutaneous peripheral nerve

$2,411.37

Choose 64553 for percutaneous electrode-array placement at a cranial nerve; choose 64555 when the documented target is a peripheral nerve.

64568

Nerve stimulator

Electrode array and pulse generator

No office rate

64568 describes open cranial nerve implantation and includes a pulse generator. 64553 describes percutaneous placement of the electrode array.

64569

Vagus nerve electrode

Revision or replacement

No office rate

64569 is for revision or replacement of a vagus nerve electrode. 64553 is for initial percutaneous electrode-array placement at a cranial nerve.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 64553 is $5249.87—$6.12 higher than the $5243.75 rate in El Centro. Both use the same code, release and participation basis.

64553 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $5243.75

  2. Bakersfield

    $5249.87

    $6.12 higher than El Centro

  3. Chico

    $5243.33

    $0.42 lower than El Centro

  4. Fresno

    $5243.33

    $0.42 lower than El Centro

  5. Hanford-Corcoran

    $5243.33

    $0.42 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $5655.40

    $411.65 higher than El Centro

  7. Madera

    $5243.33

    $0.42 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 64553 ranges from $4158.02 in Arkansas to $6838.81 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Merced

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Modesto

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Napa

    California · 64553

    Office

    $6261.93

    Facility

    $475.19

    $1018.18 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64553

    Office

    $5644.80

    Facility

    $455.17

    $401.05 higher than El Centro for the office setting.

  • Redding

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Rest Of California

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64553

    Office

    $5270.21

    Facility

    $458.17

    $26.46 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64553

    Office

    $5552.48

    Facility

    $446.27

    $308.73 higher than El Centro for the office setting.

  • Salinas

    California · 64553

    Office

    $5533.25

    Facility

    $444.60

    $289.50 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64553

    Office

    $5702.18

    Facility

    $451.09

    $458.43 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64553

    Office

    $6683.50

    Facility

    $492.82

    $1439.75 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 64553

    Office

    $6680.63

    Facility

    $489.96

    $1436.88 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 64553

    Office

    $6838.81

    Facility

    $507.64

    $1595.06 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 64553

    Office

    $6827.12

    Facility

    $495.94

    $1583.37 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64553

    Office

    $5439.30

    Facility

    $438.47

    $195.55 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 64553

    Office

    $5786.47

    Facility

    $451.96

    $542.72 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 64553

    Office

    $5564.55

    Facility

    $445.17

    $320.80 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 64553

    Office

    $5847.52

    Facility

    $455.93

    $603.77 higher than El Centro for the office setting.

  • Stockton

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Vallejo

    California · 64553

    Office

    $6257.81

    Facility

    $471.07

    $1014.06 higher than El Centro for the office setting.

  • Visalia

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Yuba City

    California · 64553

    Office

    $5243.33

    Facility

    $431.29

    $0.42 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64553

    Office

    $5673.00

    Facility

    $500.94

    $429.25 higher than El Centro for the office setting.

  • Miami

    Florida · 64553

    Office

    $5157.02

    Facility

    $586.46

    $86.73 lower than El Centro for the office setting.

  • Chicago

    Illinois · 64553

    Office

    $4974.65

    Facility

    $562.15

    $269.10 lower than El Centro for the office setting.

  • Manhattan

    New York · 64553

    Office

    $5641.89

    Facility

    $540.07

    $398.14 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 64553

    Office

    $5199.78

    Facility

    $523.84

    $43.97 lower than El Centro for the office setting.

  • Alabama

    Alabama · 64553

    Office

    $4235.24

    Facility

    $393.51

    $1008.51 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 64553

    Office

    $4158.02

    Facility

    $386.54

    $1085.73 lower than El Centro for the office setting.

  • Arizona

    Arizona · 64553

    Office

    $4688.06

    Facility

    $433.61

    $555.69 lower than El Centro for the office setting.

  • Colorado

    Colorado · 64553

    Office

    $5117.11

    Facility

    $445.56

    $126.64 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 64553

    Office

    $5214.06

    Facility

    $485.44

    $29.69 lower than El Centro for the office setting.

  • Delaware

    Delaware · 64553

    Office

    $4779.27

    Facility

    $441.41

    $464.48 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 64553

    Office

    $4968.72

    Facility

    $521.09

    $275.03 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 64553

    Office

    $4683.27

    Facility

    $485.90

    $560.48 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 64553

    Office

    $4931.90

    Facility

    $471.10

    $311.85 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 64553

    Office

    $4365.41

    Facility

    $449.04

    $878.34 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 64553

    Office

    $5430.41

    Facility

    $438.36

    $186.66 higher than El Centro for the office setting.

  • Iowa

    Iowa · 64553

    Office

    $4403.31

    Facility

    $385.96

    $840.44 lower than El Centro for the office setting.

  • Idaho

    Idaho · 64553

    Office

    $4432.50

    Facility

    $393.19

    $811.25 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 64553

    Office

    $4562.20

    Facility

    $522.90

    $681.55 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 64553

    Office

    $4492.34

    Facility

    $483.77

    $751.41 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 64553

    Office

    $5030.89

    Facility

    $521.80

    $212.86 lower than El Centro for the office setting.

  • Indiana

    Indiana · 64553

    Office

    $4465.50

    Facility

    $395.46

    $778.25 lower than El Centro for the office setting.

  • Kansas

    Kansas · 64553

    Office

    $4362.19

    Facility

    $393.13

    $881.56 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 64553

    Office

    $4328.42

    Facility

    $425.22

    $915.33 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 64553

    Office

    $4584.01

    Facility

    $452.51

    $659.74 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 64553

    Office

    $4313.81

    Facility

    $428.17

    $929.94 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 64553

    Office

    $5724.56

    Facility

    $482.24

    $480.81 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64553

    Office

    $5069.12

    Facility

    $445.87

    $174.63 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64553

    Office

    $5197.31

    Facility

    $486.25

    $46.44 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 64553

    Office

    $4891.25

    Facility

    $448.01

    $352.50 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 64553

    Office

    $4445.04

    Facility

    $405.74

    $798.71 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 64553

    Office

    $4769.38

    Facility

    $418.35

    $474.37 lower than El Centro for the office setting.

  • Detroit

    Michigan · 64553

    Office

    $4739.69

    Facility

    $502.81

    $504.06 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 64553

    Office

    $4455.81

    Facility

    $447.24

    $787.94 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 64553

    Office

    $4914.37

    Facility

    $396.50

    $329.38 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 64553

    Office

    $4561.51

    Facility

    $438.79

    $682.24 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 64553

    Office

    $4622.87

    Facility

    $443.06

    $620.88 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 64553

    Office

    $4210.33

    Facility

    $425.68

    $1033.42 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 64553

    Office

    $4185.99

    Facility

    $405.73

    $1057.76 lower than El Centro for the office setting.

  • Montana**

    Montana · 64553

    Office

    $4841.29

    Facility

    $450.74

    $402.46 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 64553

    Office

    $4505.72

    Facility

    $409.34

    $738.03 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 64553

    Office

    $4791.46

    Facility

    $400.92

    $452.29 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 64553

    Office

    $4438.17

    Facility

    $385.70

    $805.58 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 64553

    Office

    $5017.80

    Facility

    $447.24

    $225.95 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 64553

    Office

    $5588.98

    Facility

    $495.94

    $345.23 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 64553

    Office

    $5276.91

    Facility

    $482.43

    $33.16 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 64553

    Office

    $4480.10

    Facility

    $453.97

    $763.65 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 64553

    Office

    $4831.96

    Facility

    $437.02

    $411.79 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64553

    Office

    $5787.76

    Facility

    $567.39

    $544.01 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64553

    Office

    $5301.09

    Facility

    $493.44

    $57.34 higher than El Centro for the office setting.

  • Queens

    New York · 64553

    Office

    $5720.92

    Facility

    $531.29

    $477.17 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 64553

    Office

    $4588.58

    Facility

    $417.56

    $655.17 lower than El Centro for the office setting.

  • Ohio

    Ohio · 64553

    Office

    $4445.63

    Facility

    $437.06

    $798.12 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 64553

    Office

    $4335.03

    Facility

    $414.27

    $908.72 lower than El Centro for the office setting.

  • Portland

    Oregon · 64553

    Office

    $5329.00

    Facility

    $451.10

    $85.25 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 64553

    Office

    $4798.23

    Facility

    $425.25

    $445.52 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64553

    Office

    $5048.16

    Facility

    $477.60

    $195.59 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64553

    Office

    $4463.11

    Facility

    $432.59

    $780.64 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 64553

    Office

    $4890.33

    Facility

    $451.49

    $353.42 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 64553

    Office

    $4986.56

    Facility

    $451.13

    $257.19 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 64553

    Office

    $4482.46

    Facility

    $425.59

    $761.29 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 64553

    Office

    $4785.57

    Facility

    $395.02

    $458.18 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 64553

    Office

    $4387.75

    Facility

    $396.74

    $856.00 lower than El Centro for the office setting.

  • Austin

    Texas · 64553

    Office

    $5096.60

    Facility

    $451.40

    $147.15 lower than El Centro for the office setting.

  • Beaumont

    Texas · 64553

    Office

    $4425.30

    Facility

    $429.91

    $818.45 lower than El Centro for the office setting.

  • Brazoria

    Texas · 64553

    Office

    $4783.52

    Facility

    $432.49

    $460.23 lower than El Centro for the office setting.

  • Dallas

    Texas · 64553

    Office

    $4813.08

    Facility

    $440.09

    $430.67 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 64553

    Office

    $4768.59

    Facility

    $439.51

    $475.16 lower than El Centro for the office setting.

  • Galveston

    Texas · 64553

    Office

    $4796.68

    Facility

    $436.86

    $447.07 lower than El Centro for the office setting.

  • Houston

    Texas · 64553

    Office

    $4842.80

    Facility

    $482.99

    $400.95 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 64553

    Office

    $4600.86

    Facility

    $434.23

    $642.89 lower than El Centro for the office setting.

  • Utah

    Utah · 64553

    Office

    $4559.42

    Facility

    $432.31

    $684.33 lower than El Centro for the office setting.

  • Virginia

    Virginia · 64553

    Office

    $4739.24

    Facility

    $423.33

    $504.51 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64553

    Office

    $4890.33

    Facility

    $451.49

    $353.42 lower than El Centro for the office setting.

  • Vermont

    Vermont · 64553

    Office

    $4754.30

    Facility

    $407.66

    $489.45 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 64553

    Office

    $5065.49

    Facility

    $442.24

    $178.26 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 64553

    Office

    $5870.61

    Facility

    $483.41

    $626.86 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 64553

    Office

    $4591.80

    Facility

    $385.65

    $651.95 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 64553

    Office

    $4280.70

    Facility

    $465.31

    $963.05 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 64553

    Office

    $4819.58

    Facility

    $429.03

    $424.17 lower than El Centro for the office setting.

See how rates vary across the country

64553 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$4,158.02

$6,041.07

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$5,199.781
AL$4,235.241
AR$4,158.021
AZ$4,688.061
CA$5,243.33–$6,838.8129
CO$5,117.111
CT$5,214.061
DC$5,673.001
DE$4,779.271
FL$4,683.27–$5,157.023
GA$4,365.41–$4,931.902
GU$5,430.411
HI$5,430.411
IA$4,403.311
ID$4,432.501
IL$4,492.34–$5,030.894
IN$4,465.501
KS$4,362.191
KY$4,328.421
LA$4,313.81–$4,584.012
MA$5,069.12–$5,724.562
MD$4,891.25–$5,673.003
ME$4,445.04–$4,769.382
MI$4,455.81–$4,739.692
MN$4,914.371
MO$4,210.33–$4,622.873
MS$4,185.991
MT$4,841.291
NC$4,505.721
ND$4,791.461
NE$4,438.171
NH$5,017.801
NJ$5,276.91–$5,588.982
NM$4,480.101
NV$4,831.961
NY$4,588.58–$5,787.765
OH$4,445.631
OK$4,335.031
OR$4,798.23–$5,329.002
PA$4,463.11–$5,048.162
PR$4,890.331
RI$4,986.561
SC$4,482.461
SD$4,785.571
TN$4,387.751
TX$4,425.30–$5,096.608
UT$4,559.421
VA$4,739.24–$5,673.002
VI$4,890.331
VT$4,754.301
WA$5,065.49–$5,870.612
WI$4,591.801
WV$4,280.701
WY$4,819.581

Explore 64553 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 64553 in El Centro, the physician’s office rate is $5243.75 and the facility-setting rate is $431.71: a difference of $4812.04.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 64553 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$5768.13

$5243.75 × 110% = $5768.13

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

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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 64553 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

7,145

Code
64553
Physician work
5.98
Practice expense
136.45
Malpractice
2.52

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 64553 in El Centro
ComponentRVULocality factorAdjusted
Physician work5.98× 1.0176.0817
Practice expense136.45× 1.096149.5492
Malpractice2.52× 0.5411.3633
Total RVUs156.9942
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$5243.75

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 64553 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.981.017
Practice expense136.451.096
Malpractice2.520.541

(5.98 × 1.017 + 136.45 × 1.096 + 2.52 × 0.541) × $33.4009 = $5243.75

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.981.017
Practice expense51.096
Malpractice2.520.541

(5.98 × 1.017 + 5 × 1.096 + 2.52 × 0.541) × $33.4009 = $431.71

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

64553 · Office / nonfacility

$5243.75

Effective 2026-10-01

The base rate is $1351.69 higher than on 2025-10-01, moving from $3892.06 to $5243.75 (34.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $3892.06changed to$5243.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.13 changed to 5.98
    • Practice expense RVU 103.09 changed to 136.45
    • Malpractice RVU 2.51 changed to 2.52
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $3892.06

    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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$5243.75$431.71RVU26D
2026-07-01$5243.75$431.71RVU26C
2026-04-01$5243.75$431.71RVU26B
2026-01-01$5243.75$431.71RVU26A
2025-10-01$3892.06$429.41RVU25D
2025-07-01$3892.06$429.41RVU25C
2025-04-01$3892.06$429.41RVU25B
2025-01-01$3892.06$429.41RVU25A

64553 billing questions

How is 64553 distinguished from 64555?

64553 is for percutaneous electrode-array placement at a cranial nerve. 64555 is for a peripheral nerve, so the documented target nerve determines the choice.

When would 64568 be considered instead?

64568 describes an open cranial nerve implantation approach that includes an electrode array and pulse generator. Use 64553 when the documented service is percutaneous electrode-array placement.

Can modifier 50 be appended for bilateral placement?

CMS identifies modifier 50 as inappropriate for this descriptor or anatomy. Report the service according to the documented cranial nerve procedure rather than treating it as a bilateral service.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure payment.

What documentation supports 64553?

The record should identify the cranial nerve targeted and describe the percutaneous approach and electrode-array placement. It should distinguish this service from peripheral-nerve placement or open implantation.

How are other procedures in the same session paid?

Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% 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 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.

RVUs for 64553PPRRVU2026_Oct_nonQPP.csv, line 7,145 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet