$661.12
63661 describes removal of a percutaneous electrode array. Choose 63663 when the existing array is revised or replaced rather than simply removed.
On this page
CMS RVU26D · Effective 2026-10-01
63663 Lead revision Medicare reimbursement rates in Alabama
Report this service when a surgeon revises or replaces an existing percutaneous spinal cord stimulator electrode array, such as to address lead displacement or coverage problems. Compare 63663 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 63663 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$854.52
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$378.73
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurosurgery
About 63663: Percutaneous spinal stimulator lead revision
Report this service when a surgeon revises or replaces an existing percutaneous spinal cord stimulator electrode array, such as to address lead displacement or coverage problems.
A surgeon revises an existing percutaneous electrode array used for spinal cord neuromodulation, repositioning or adjusting the lead and replacing it when needed. This work may be considered when a patient’s stimulation coverage changes or the array has shifted. Neurosurgeons and physicians specializing in pain procedures commonly perform the revision in an operating room or other procedural setting. Fluoroscopic guidance, when used, is included in the service.
Select this code for revision of a percutaneously placed array, not for removal alone, initial array placement, or revision of a surgically placed paddle array. The operative report should identify the existing array and describe the revision or replacement performed. 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63663
- 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 RVU7.56 · 26%
- Practice expense (office) RVU19.90 · 70%
- Malpractice RVU1.08 · 4%
2.8K
Medicare services in 2024 · #2214 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.
63663 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
Both codes describe electrode-array revision, but 63664 applies to a surgically placed paddle array; 63663 applies to a percutaneous array.
$2,110.88
63650 is for percutaneous electrode-array placement, while 63663 is for revision of an array already in place.
No office rate
63685 describes work on the generator or receiver pocket, not revision of the spinal electrode array.
Compare 63663 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$854.52
Facility
$378.73
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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 63663 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
7,081
- Code
- 63663
- Physician work
- 7.56
- Practice expense
- 19.90
- Malpractice
- 1.08
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.56 | × 1.000 | 7.5600 |
| Practice expense | 19.90 | × 0.875 | 17.4125 |
| Malpractice | 1.08 | × 0.566 | 0.6113 |
| Total RVUs | 25.5838 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$854.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.56 | 1 |
| Practice expense | 19.9 | 0.875 |
| Malpractice | 1.08 | 0.566 |
(7.56 × 1 + 19.9 × 0.875 + 1.08 × 0.566) × $33.4009 = $854.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.56 | 1 |
| Practice expense | 3.62 | 0.875 |
| Malpractice | 1.08 | 0.566 |
(7.56 × 1 + 3.62 × 0.875 + 1.08 × 0.566) × $33.4009 = $378.73
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.
63663 billing questions
When should 63663 be used instead of 63661?
Use 63663 when the percutaneous electrode array is revised or replaced. Use 63661 when the array is removed without revision.
How does 63663 differ from 63664?
63663 is for revision of a percutaneous electrode array. 63664 is for revision of a surgically placed paddle array.
Is fluoroscopic guidance separately reported?
Fluoroscopy used for the electrode-array revision is included in 63663.
Can modifier 50 be appended for bilateral work?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 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.
7,07863655,,Implant neuroelectrodes,A,,10.65,10.63,NA,10.63,,3.83,25.11,25.11,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07963661,,Remove spine eltrd perq aray,A,,4.95,16.33,,3.32,,0.98,22.26,9.25,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08063662,,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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515