$1,351.55
64568 is the open cranial nerve implantation that includes the array and pulse generator; 64567 is the percutaneous cranial nerve electrode-array approach.
On this page
CMS RVU26D · Effective 2026-10-01
64568 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$642.21
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.
Neurostimulator implantation
About 64568: Open cranial nerve stimulator implantation
Reports open implantation of a cranial nerve stimulation system, commonly a vagus nerve electrode array and pulse generator for refractory epilepsy.
A surgeon implants a stimulation lead on a cranial nerve and places the pulse generator, typically in a subcutaneous chest pocket. Vagus nerve stimulation for medically refractory epilepsy is a common example. The operation generally involves a neck incision to expose the nerve and a separate site for the generator, and is performed in an operating room by a neurosurgeon or another surgeon experienced with the implant.
Report 64568 for the initial open implantation of the cranial nerve electrode array and pulse generator. The operative report should identify the nerve targeted, the open implantation approach, and placement of both the lead and generator. Medicare 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64568
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.78 · 44%
- Practice expense (office) RVU7.88 · 40%
- Malpractice RVU3.10 · 16%
210
Medicare services in 2024 · #4280 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.
64568 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
64568 describes initial implantation. Use 64569 for revision or replacement of an existing cranial nerve array and pulse generator.
No office rate
64570 is for removal of a cranial nerve stimulation array and pulse generator, not initial placement.
No office rate
64582 is specific to open implantation of a hypoglossal nerve stimulation system; 64568 covers other cranial nerve stimulation implantation, such as vagus nerve stimulation.
The same code, a different location
How does Redding compare?
64568 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Merced
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Modesto
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Napa
California · 64568
Office
Unavailable
Facility
$711.23
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64568
Office
Unavailable
Facility
$677.08
No comparable office rate is available.
Rest Of California
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64568
Office
Unavailable
Facility
$675.33
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64568
Office
Unavailable
Facility
$665.42
No comparable office rate is available.
Salinas
California · 64568
Office
Unavailable
Facility
$662.90
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64568
Office
Unavailable
Facility
$672.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64568
Office
Unavailable
Facility
$739.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64568
Office
Unavailable
Facility
$736.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64568
Office
Unavailable
Facility
$760.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64568
Office
Unavailable
Facility
$746.16
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64568
Office
Unavailable
Facility
$653.53
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64568
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64568
Office
Unavailable
Facility
$663.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64568
Office
Unavailable
Facility
$680.77
No comparable office rate is available.
Stockton
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Vallejo
California · 64568
Office
Unavailable
Facility
$706.16
No comparable office rate is available.
Visalia
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Yuba City
California · 64568
Office
Unavailable
Facility
$642.21
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64568
Office
Unavailable
Facility
$734.39
No comparable office rate is available.
Miami
Florida · 64568
Office
Unavailable
Facility
$829.11
No comparable office rate is available.
Chicago
Illinois · 64568
Office
Unavailable
Facility
$797.46
No comparable office rate is available.
Manhattan
New York · 64568
Office
Unavailable
Facility
$782.08
No comparable office rate is available.
Alaska*
Alaska · 64568
Office
Unavailable
Facility
$777.25
No comparable office rate is available.
Alabama
Alabama · 64568
Office
Unavailable
Facility
$582.16
No comparable office rate is available.
Arkansas
Arkansas · 64568
Office
Unavailable
Facility
$572.67
No comparable office rate is available.
Arizona
Arizona · 64568
Office
Unavailable
Facility
$636.93
No comparable office rate is available.
Colorado
Colorado · 64568
Office
Unavailable
Facility
$657.69
No comparable office rate is available.
Connecticut
Connecticut · 64568
Office
Unavailable
Facility
$707.88
No comparable office rate is available.
Delaware
Delaware · 64568
Office
Unavailable
Facility
$647.85
No comparable office rate is available.
Fort Lauderdale
Florida · 64568
Office
Unavailable
Facility
$747.09
No comparable office rate is available.
Rest Of Florida
Florida · 64568
Office
Unavailable
Facility
$700.50
No comparable office rate is available.
Atlanta
Georgia · 64568
Office
Unavailable
Facility
$685.90
No comparable office rate is available.
Rest Of Georgia
Georgia · 64568
Office
Unavailable
Facility
$651.46
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64568
Office
Unavailable
Facility
$652.47
No comparable office rate is available.
Iowa
Iowa · 64568
Office
Unavailable
Facility
$575.19
No comparable office rate is available.
Idaho
Idaho · 64568
Office
Unavailable
Facility
$584.38
No comparable office rate is available.
East St. Louis
Illinois · 64568
Office
Unavailable
Facility
$743.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 64568
Office
Unavailable
Facility
$695.40
No comparable office rate is available.
Suburban Chicago
Illinois · 64568
Office
Unavailable
Facility
$749.10
No comparable office rate is available.
Indiana
Indiana · 64568
Office
Unavailable
Facility
$587.57
No comparable office rate is available.
Kansas
Kansas · 64568
Office
Unavailable
Facility
$583.38
No comparable office rate is available.
Kentucky
Kentucky · 64568
Office
Unavailable
Facility
$621.99
No comparable office rate is available.
New Orleans
Louisiana · 64568
Office
Unavailable
Facility
$658.55
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64568
Office
Unavailable
Facility
$625.39
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64568
Office
Unavailable
Facility
$711.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64568
Office
Unavailable
Facility
$657.62
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64568
Office
Unavailable
Facility
$708.45
No comparable office rate is available.
Rest Of Maryland
Maryland · 64568
Office
Unavailable
Facility
$657.60
No comparable office rate is available.
Rest Of Maine
Maine · 64568
Office
Unavailable
Facility
$599.81
No comparable office rate is available.
Southern Maine
Maine · 64568
Office
Unavailable
Facility
$619.43
No comparable office rate is available.
Detroit
Michigan · 64568
Office
Unavailable
Facility
$721.82
No comparable office rate is available.
Rest Of Michigan
Michigan · 64568
Office
Unavailable
Facility
$650.46
No comparable office rate is available.
Minnesota
Minnesota · 64568
Office
Unavailable
Facility
$594.74
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64568
Office
Unavailable
Facility
$641.57
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64568
Office
Unavailable
Facility
$647.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 64568
Office
Unavailable
Facility
$620.99
No comparable office rate is available.
Mississippi
Mississippi · 64568
Office
Unavailable
Facility
$596.39
No comparable office rate is available.
Montana**
Montana · 64568
Office
Unavailable
Facility
$659.79
No comparable office rate is available.
North Carolina
North Carolina · 64568
Office
Unavailable
Facility
$604.99
No comparable office rate is available.
North Dakota**
North Dakota · 64568
Office
Unavailable
Facility
$598.50
No comparable office rate is available.
Nebraska
Nebraska · 64568
Office
Unavailable
Facility
$575.33
No comparable office rate is available.
New Hampshire
New Hampshire · 64568
Office
Unavailable
Facility
$657.85
No comparable office rate is available.
Northern Nj
New Jersey · 64568
Office
Unavailable
Facility
$727.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64568
Office
Unavailable
Facility
$705.99
No comparable office rate is available.
New Mexico
New Mexico · 64568
Office
Unavailable
Facility
$658.97
No comparable office rate is available.
Nevada**
Nevada · 64568
Office
Unavailable
Facility
$642.97
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64568
Office
Unavailable
Facility
$817.25
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64568
Office
Unavailable
Facility
$719.95
No comparable office rate is available.
Queens
New York · 64568
Office
Unavailable
Facility
$772.44
No comparable office rate is available.
Rest Of New York
New York · 64568
Office
Unavailable
Facility
$616.09
No comparable office rate is available.
Ohio
Ohio · 64568
Office
Unavailable
Facility
$637.93
No comparable office rate is available.
Oklahoma
Oklahoma · 64568
Office
Unavailable
Facility
$608.75
No comparable office rate is available.
Portland
Oregon · 64568
Office
Unavailable
Facility
$667.40
No comparable office rate is available.
Rest Of Oregon
Oregon · 64568
Office
Unavailable
Facility
$628.20
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64568
Office
Unavailable
Facility
$696.06
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64568
Office
Unavailable
Facility
$632.72
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64568
Office
Unavailable
Facility
$661.34
No comparable office rate is available.
Rhode Island
Rhode Island · 64568
Office
Unavailable
Facility
$663.08
No comparable office rate is available.
South Carolina
South Carolina · 64568
Office
Unavailable
Facility
$624.47
No comparable office rate is available.
South Dakota**
South Dakota · 64568
Office
Unavailable
Facility
$591.25
No comparable office rate is available.
Tennessee
Tennessee · 64568
Office
Unavailable
Facility
$588.11
No comparable office rate is available.
Austin
Texas · 64568
Office
Unavailable
Facility
$664.05
No comparable office rate is available.
Beaumont
Texas · 64568
Office
Unavailable
Facility
$628.96
No comparable office rate is available.
Brazoria
Texas · 64568
Office
Unavailable
Facility
$637.20
No comparable office rate is available.
Dallas
Texas · 64568
Office
Unavailable
Facility
$646.89
No comparable office rate is available.
Fort Worth
Texas · 64568
Office
Unavailable
Facility
$645.60
No comparable office rate is available.
Galveston
Texas · 64568
Office
Unavailable
Facility
$642.70
No comparable office rate is available.
Houston
Texas · 64568
Office
Unavailable
Facility
$699.44
No comparable office rate is available.
Rest Of Texas
Texas · 64568
Office
Unavailable
Facility
$636.53
No comparable office rate is available.
Utah
Utah · 64568
Office
Unavailable
Facility
$633.65
No comparable office rate is available.
Virginia
Virginia · 64568
Office
Unavailable
Facility
$625.09
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64568
Office
Unavailable
Facility
$661.34
No comparable office rate is available.
Vermont
Vermont · 64568
Office
Unavailable
Facility
$606.22
No comparable office rate is available.
Rest Of Washington
Washington · 64568
Office
Unavailable
Facility
$653.02
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64568
Office
Unavailable
Facility
$715.46
No comparable office rate is available.
Wisconsin
Wisconsin · 64568
Office
Unavailable
Facility
$577.30
No comparable office rate is available.
West Virginia
West Virginia · 64568
Office
Unavailable
Facility
$670.15
No comparable office rate is available.
Wyoming**
Wyoming · 64568
Office
Unavailable
Facility
$633.08
No comparable office rate is available.
See how rates vary across the country
64568 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 64568 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$706.43
$642.21 × 110% = $706.43
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 64568 in Redding.
PPRRVU2026_Oct_nonQPP.csv
7,150
- Code
- 64568
- Physician work
- 8.78
- Practice expense
- 7.88
- Malpractice
- 3.10
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.017 | 8.9293 |
| Practice expense | 7.88 | × 1.096 | 8.6365 |
| Malpractice | 3.10 | × 0.536 | 1.6616 |
| Total RVUs | 19.2273 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$642.21
Open 64568 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.78 | 1.017 |
| Practice expense | 7.88 | 1.096 |
| Malpractice | 3.1 | 0.536 |
(8.78 × 1.017 + 7.88 × 1.096 + 3.1 × 0.536) × $33.4009 = $642.21
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
64568 · 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 | $642.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $642.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $642.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $642.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $593.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $593.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $593.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $593.00 | RVU25A |
64568 billing questions
When should 64568 be chosen over 64567?
Use 64568 for open implantation of the cranial nerve electrode array and pulse generator. Code 64567 describes a percutaneous cranial nerve electrode-array approach.
Does 64568 include the pulse generator?
Yes. The service covers implantation of both the cranial nerve electrode array and the pulse generator.
How is a revision or replacement reported?
For revision or replacement of an existing cranial nerve stimulation array and pulse generator, compare 64569 rather than reporting the initial-implant code.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures and bilateral services paid?
In the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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.
7,14764561,,Implant neuroelectrodes,A,,5.30,16.19,,2.07,,0.75,22.24,8.12,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14864566,,Neuroeltrd stim post tibial,A,,0.59,2.85,,0.12,,0.07,3.51,0.78,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14964567,,Perq elec nrv field stimj cn,A,,1.50,35.45,,0.33,,0.16,37.11,1.99,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,15064568,,Opn impltj crnl nrv nea&pg,A,,8.78,7.88,NA,7.88,,3.10,19.76,19.76,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,15164569,,Revise/repl vagus n eltrd,A,,10.73,7.89,NA,7.89,,3.72,22.34,22.34,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,15264570,,Remove vagus n eltrd,A,,8.87,10.33,NA,10.33,,3.74,22.94,22.94,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,15364575,,Opn impltj nea perph nerve,A,,4.31,3.79,NA,3.79,,0.69,8.79,8.79,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536