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CMS RVU26D · Effective 2026-10-01

64555 in Merced

Office / nonfacility

$2411.28

Base rate per service

Facility setting

$296.47

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 64555: Percutaneous peripheral nerve electrode implantation

Percutaneous peripheral nerve stimulation lead placement is reported when an electrode array is implanted near a peripheral nerve for neuromodulation, excluding sacral nerve targets.

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.

CMS billing rules for 64555

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.62 · 8%
  • Practice expense (office) RVU60.37 · 91%
  • Malpractice RVU0.58 · 1%

26.2K

Medicare services in 2024 · #1030 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.

64555 compared with similar codes

Office rates for Merced, from the same CMS release.

64553

Neurostimulator lead

Percutaneous, cranial nerve

$5,243.33

64553 is for percutaneous electrode-array placement targeting a cranial nerve; 64555 targets a peripheral nerve.

64561

Sacral nerve lead

Percutaneous approach

$786.13

64561 is the percutaneous electrode-array code for a sacral nerve. Use 64555 for a peripheral nerve target outside that category.

64575

Nerve stimulation

Open peripheral nerve placement

No office rate

Both involve peripheral nerve electrode implantation, but 64575 describes an open approach and 64555 a percutaneous approach.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 64555 is $2413.07—$1.79 higher than the $2411.28 rate in Merced. Both use the same code, release and participation basis.

64555 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $2411.28

  2. Bakersfield

    $2413.07

    $1.79 higher than Merced

  3. Chico

    $2411.28

    The same base rate than Merced

  4. El Centro

    $2411.37

    $0.09 higher than Merced

  5. Fresno

    $2411.28

    The same base rate than Merced

  6. Hanford-Corcoran

    $2411.28

    The same base rate than Merced

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

    $2593.69

    $182.41 higher than Merced

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, 64555 ranges from $1929.79 in Arkansas to $3126.41 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

  • Madera

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Modesto

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Napa

    California · 64555

    Office

    $2867.01

    Facility

    $323.84

    $455.73 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64555

    Office

    $2588.44

    Facility

    $307.69

    $177.16 higher than Merced for the office setting.

  • Redding

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64555

    Office

    $2417.60

    Facility

    $302.80

    $6.32 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64555

    Office

    $2549.94

    Facility

    $305.85

    $138.66 higher than Merced for the office setting.

  • Salinas

    California · 64555

    Office

    $2540.94

    Facility

    $304.57

    $129.66 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64555

    Office

    $2615.47

    Facility

    $307.71

    $204.19 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64555

    Office

    $3057.58

    Facility

    $336.89

    $646.30 higher than Merced for the office setting.

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

    California · 64555

    Office

    $3056.92

    Facility

    $336.23

    $645.64 higher than Merced for the office setting.

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

    California · 64555

    Office

    $3126.41

    Facility

    $343.97

    $715.13 higher than Merced for the office setting.

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

    California · 64555

    Office

    $3123.72

    Facility

    $341.28

    $712.44 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64555

    Office

    $2497.98

    Facility

    $300.20

    $86.70 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 64555

    Office

    $2651.98

    Facility

    $307.55

    $240.70 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 64555

    Office

    $2554.49

    Facility

    $304.61

    $143.21 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 64555

    Office

    $2679.88

    Facility

    $310.37

    $268.60 higher than Merced for the office setting.

  • Stockton

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 64555

    Office

    $2866.06

    Facility

    $322.89

    $454.78 higher than Merced for the office setting.

  • Visalia

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 64555

    Office

    $2411.28

    Facility

    $296.47

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64555

    Office

    $2594.74

    Facility

    $321.71

    $183.46 higher than Merced for the office setting.

  • Miami

    Florida · 64555

    Office

    $2335.79

    Facility

    $327.11

    $75.49 lower than Merced for the office setting.

  • Chicago

    Illinois · 64555

    Office

    $2259.98

    Facility

    $320.76

    $151.30 lower than Merced for the office setting.

  • Manhattan

    New York · 64555

    Office

    $2573.52

    Facility

    $331.36

    $162.24 higher than Merced for the office setting.

  • Alaska*

    Alaska · 64555

    Office

    $2439.72

    Facility

    $384.73

    $28.44 higher than Merced for the office setting.

  • Alabama

    Alabama · 64555

    Office

    $1963.04

    Facility

    $274.66

    $448.24 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 64555

    Office

    $1929.79

    Facility

    $272.29

    $481.49 lower than Merced for the office setting.

  • Arizona

    Arizona · 64555

    Office

    $2158.20

    Facility

    $288.45

    $253.08 lower than Merced for the office setting.

  • Colorado

    Colorado · 64555

    Office

    $2350.56

    Facility

    $297.50

    $60.72 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 64555

    Office

    $2386.58

    Facility

    $308.44

    $24.70 lower than Merced for the office setting.

  • Delaware

    Delaware · 64555

    Office

    $2198.28

    Facility

    $291.87

    $213.00 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 64555

    Office

    $2265.36

    Facility

    $310.71

    $145.92 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 64555

    Office

    $2144.52

    Facility

    $299.85

    $266.76 lower than Merced for the office setting.

  • Atlanta

    Georgia · 64555

    Office

    $2260.22

    Facility

    $299.77

    $151.06 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 64555

    Office

    $2009.44

    Facility

    $288.27

    $401.84 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 64555

    Office

    $2491.59

    Facility

    $297.67

    $80.31 higher than Merced for the office setting.

  • Iowa

    Iowa · 64555

    Office

    $2040.42

    Facility

    $274.86

    $370.86 lower than Merced for the office setting.

  • Idaho

    Idaho · 64555

    Office

    $2051.98

    Facility

    $276.77

    $359.30 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 64555

    Office

    $2081.83

    Facility

    $306.62

    $329.45 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 64555

    Office

    $2058.98

    Facility

    $297.28

    $352.30 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 64555

    Office

    $2294.21

    Facility

    $312.54

    $117.07 lower than Merced for the office setting.

  • Indiana

    Indiana · 64555

    Office

    $2066.34

    Facility

    $277.63

    $344.94 lower than Merced for the office setting.

  • Kansas

    Kansas · 64555

    Office

    $2020.31

    Facility

    $275.98

    $390.97 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 64555

    Office

    $1998.03

    Facility

    $282.64

    $413.25 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 64555

    Office

    $2107.16

    Facility

    $291.44

    $304.12 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 64555

    Office

    $1990.80

    Facility

    $283.13

    $420.48 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 64555

    Office

    $2620.25

    Facility

    $316.34

    $208.97 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64555

    Office

    $2329.44

    Facility

    $297.60

    $81.84 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64555

    Office

    $2378.29

    Facility

    $307.86

    $32.99 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 64555

    Office

    $2247.98

    Facility

    $295.26

    $163.30 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 64555

    Office

    $2054.86

    Facility

    $279.66

    $356.42 lower than Merced for the office setting.

  • Southern Maine

    Maine · 64555

    Office

    $2198.20

    Facility

    $286.00

    $213.08 lower than Merced for the office setting.

  • Detroit

    Michigan · 64555

    Office

    $2166.21

    Facility

    $304.18

    $245.07 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 64555

    Office

    $2050.57

    Facility

    $288.87

    $360.71 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 64555

    Office

    $2268.34

    Facility

    $282.81

    $142.94 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 64555

    Office

    $2100.05

    Facility

    $288.18

    $311.23 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 64555

    Office

    $2126.75

    Facility

    $289.80

    $284.53 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 64555

    Office

    $1944.73

    Facility

    $281.44

    $466.55 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 64555

    Office

    $1938.16

    Facility

    $276.80

    $473.12 lower than Merced for the office setting.

  • Montana**

    Montana · 64555

    Office

    $2223.46

    Facility

    $293.89

    $187.82 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 64555

    Office

    $2081.40

    Facility

    $281.12

    $329.88 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 64555

    Office

    $2211.99

    Facility

    $282.42

    $199.29 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 64555

    Office

    $2056.18

    Facility

    $275.19

    $355.10 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 64555

    Office

    $2303.75

    Facility

    $295.07

    $107.53 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 64555

    Office

    $2559.27

    Facility

    $320.97

    $147.99 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 64555

    Office

    $2418.40

    Facility

    $311.31

    $7.12 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 64555

    Office

    $2060.03

    Facility

    $290.61

    $351.25 lower than Merced for the office setting.

  • Nevada**

    Nevada · 64555

    Office

    $2222.28

    Facility

    $290.78

    $189.00 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64555

    Office

    $2633.22

    Facility

    $338.96

    $221.94 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64555

    Office

    $2427.57

    Facility

    $314.69

    $16.29 higher than Merced for the office setting.

  • Queens

    New York · 64555

    Office

    $2611.06

    Facility

    $330.31

    $199.78 higher than Merced for the office setting.

  • Rest Of New York

    New York · 64555

    Office

    $2116.92

    Facility

    $283.83

    $294.36 lower than Merced for the office setting.

  • Ohio

    Ohio · 64555

    Office

    $2048.23

    Facility

    $286.53

    $363.05 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 64555

    Office

    $2003.42

    Facility

    $280.32

    $407.86 lower than Merced for the office setting.

  • Portland

    Oregon · 64555

    Office

    $2445.36

    Facility

    $301.61

    $34.08 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 64555

    Office

    $2209.68

    Facility

    $287.83

    $201.60 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64555

    Office

    $2313.29

    Facility

    $304.61

    $97.99 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64555

    Office

    $2057.09

    Facility

    $285.74

    $354.19 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 64555

    Office

    $2245.39

    Facility

    $294.59

    $165.89 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 64555

    Office

    $2291.51

    Facility

    $298.27

    $119.77 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 64555

    Office

    $2067.34

    Facility

    $284.42

    $343.94 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 64555

    Office

    $2210.63

    Facility

    $281.06

    $200.65 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 64555

    Office

    $2031.03

    Facility

    $277.06

    $380.25 lower than Merced for the office setting.

  • Austin

    Texas · 64555

    Office

    $2338.62

    Facility

    $297.13

    $72.66 lower than Merced for the office setting.

  • Beaumont

    Texas · 64555

    Office

    $2040.65

    Facility

    $284.74

    $370.63 lower than Merced for the office setting.

  • Brazoria

    Texas · 64555

    Office

    $2202.59

    Facility

    $290.39

    $208.69 lower than Merced for the office setting.

  • Dallas

    Texas · 64555

    Office

    $2214.37

    Facility

    $292.52

    $196.91 lower than Merced for the office setting.

  • Fort Worth

    Texas · 64555

    Office

    $2194.46

    Facility

    $291.90

    $216.82 lower than Merced for the office setting.

  • Galveston

    Texas · 64555

    Office

    $2207.55

    Facility

    $291.49

    $203.73 lower than Merced for the office setting.

  • Houston

    Texas · 64555

    Office

    $2218.17

    Facility

    $302.11

    $193.11 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 64555

    Office

    $2118.78

    Facility

    $287.62

    $292.50 lower than Merced for the office setting.

  • Utah

    Utah · 64555

    Office

    $2100.54

    Facility

    $286.74

    $310.74 lower than Merced for the office setting.

  • Virginia

    Virginia · 64555

    Office

    $2183.52

    Facility

    $286.76

    $227.76 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64555

    Office

    $2245.39

    Facility

    $294.59

    $165.89 lower than Merced for the office setting.

  • Vermont

    Vermont · 64555

    Office

    $2193.76

    Facility

    $283.49

    $217.52 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 64555

    Office

    $2328.18

    Facility

    $296.34

    $83.10 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 64555

    Office

    $2687.06

    Facility

    $319.48

    $275.78 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 64555

    Office

    $2125.40

    Facility

    $276.87

    $285.88 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 64555

    Office

    $1967.70

    Facility

    $290.90

    $443.58 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 64555

    Office

    $2218.46

    Facility

    $288.89

    $192.82 lower than Merced for the office setting.

See how rates vary across the country

64555 · 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.

$1,929.79

$2,768.85

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$2,439.721
AL$1,963.041
AR$1,929.791
AZ$2,158.201
CA$2,411.28–$3,126.4129
CO$2,350.561
CT$2,386.581
DC$2,594.741
DE$2,198.281
FL$2,144.52–$2,335.793
GA$2,009.44–$2,260.222
GU$2,491.591
HI$2,491.591
IA$2,040.421
ID$2,051.981
IL$2,058.98–$2,294.214
IN$2,066.341
KS$2,020.311
KY$1,998.031
LA$1,990.80–$2,107.162
MA$2,329.44–$2,620.252
MD$2,247.98–$2,594.743
ME$2,054.86–$2,198.202
MI$2,050.57–$2,166.212
MN$2,268.341
MO$1,944.73–$2,126.753
MS$1,938.161
MT$2,223.461
NC$2,081.401
ND$2,211.991
NE$2,056.181
NH$2,303.751
NJ$2,418.40–$2,559.272
NM$2,060.031
NV$2,222.281
NY$2,116.92–$2,633.225
OH$2,048.231
OK$2,003.421
OR$2,209.68–$2,445.362
PA$2,057.09–$2,313.292
PR$2,245.391
RI$2,291.511
SC$2,067.341
SD$2,210.631
TN$2,031.031
TX$2,040.65–$2,338.628
UT$2,100.541
VA$2,183.52–$2,594.742
VI$2,245.391
VT$2,193.761
WA$2,328.18–$2,687.062
WI$2,125.401
WV$1,967.701
WY$2,218.461

Explore 64555 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 64555 in Merced, the physician’s office rate is $2411.28 and the facility-setting rate is $296.47: a difference of $2114.81.

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 64555 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2652.41

$2411.28 × 110% = $2652.41

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.

Compare your contract offer →

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 64555 in Merced.

PPRRVU2026_Oct_nonQPP.csv

7,146

Code
64555
Physician work
5.62
Practice expense
60.37
Malpractice
0.58

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64555 in Merced
ComponentRVULocality factorAdjusted
Physician work5.62× 1.0175.7155
Practice expense60.37× 1.09666.1655
Malpractice0.58× 0.5360.3109
Total RVUs72.1919
Conversion factor× 33.4009

Office / nonfacility rate, Merced$2411.28

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

Open 64555 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.621.017
Practice expense60.371.096
Malpractice0.580.536

(5.62 × 1.017 + 60.37 × 1.096 + 0.58 × 0.536) × $33.4009 = $2411.28

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.621.017
Practice expense2.61.096
Malpractice0.580.536

(5.62 × 1.017 + 2.6 × 1.096 + 0.58 × 0.536) × $33.4009 = $296.47

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

64555 · Office / nonfacility

$2411.28

Effective 2026-10-01

The base rate is $263.96 higher than on 2025-10-01, moving from $2147.32 to $2411.28 (12.3%).

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

    $2147.32changed to$2411.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.76 changed to 5.62
    • Practice expense RVU 55.07 changed to 60.37
    • Malpractice RVU 0.63 changed to 0.58
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $2147.32

    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$2411.28$296.47RVU26D
2026-07-01$2411.28$296.47RVU26C
2026-04-01$2411.28$296.47RVU26B
2026-01-01$2411.28$296.47RVU26A
2025-10-01$2147.32$321.25RVU25D
2025-07-01$2147.32$321.25RVU25C
2025-04-01$2147.32$321.25RVU25B
2025-01-01$2147.32$321.25RVU25A

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 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 64555PPRRVU2026_Oct_nonQPP.csv, line 7,146 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet