CPT code 63610: Spinal cord stimulation2026 Medicare rate & RVUs in Alaska
Reports percutaneous electrical stimulation of the spinal cord, commonly used in neuromodulation care for selected patients with persistent neuropathic pain.
CMS doesn’t publish an office rate for 63610 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 63610 covers
This service delivers electrical stimulation to the spinal cord through a percutaneous approach. It is used in neuromodulation care, often by an interventional pain physician or another physician experienced in spinal cord stimulation, to assess or provide stimulation for selected patients with persistent neuropathic pain. The service is distinct from surgically implanting an epidural electrode array or placing a permanent pulse generator.
Report the code for the spinal cord stimulation service itself, rather than for electrode-array implantation, revision, or generator work. The record should identify the indication, percutaneous stimulation performed, and relevant procedural details. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
63610 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $646.49 |
How the 63610 rate is calculated
Each of 63610’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 63610
RVUs × geographic indexes × conversion factor
Work8.50
8.50 RVUs× 1.000 GPCI
Practice expense4.35
4.35 RVUs× 1.000 GPCI
Malpractice3.58
3.58 RVUs× 1.000 GPCI
Adjusted RVUs
16.4300
Conversion factor
$33.4009
Medicare rate
$548.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63610
The CMS indicators that decide how 63610 is paid alongside other services.
CMS payment indicators · 63610
Spinal cord stimulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63610 without 51 · national facility
$548.78
Spinal cord stimulation
63610-51 · Second procedure: 50%
$274.39
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
63610 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 63650Neurostimulator lead
- Choose 63610 for percutaneous spinal cord stimulation; choose 63650 when the service is percutaneous implantation of an epidural electrode array.
- 63655Paddle lead implant
- Code 63655 describes surgical electrode-array implantation. It is not a substitute for reporting the percutaneous stimulation service represented by 63610.
- 63620Spinal radiosurgery
- Code 63620 is for stereotactic radiosurgery of a spinal lesion. It treats a lesion with radiation rather than delivering spinal cord stimulation.
63610 billing questions
How is this different from 63650?
63610 reports percutaneous electrical stimulation of the spinal cord. Code 63650 reports percutaneous implantation of an epidural neurostimulator electrode array.
Is this the code for a permanent spinal cord stimulator implant?
No. This code represents spinal cord stimulation, not implantation of an electrode array or pulse generator. Use the applicable implantation code when those services are performed.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
What documentation supports assistant-at-surgery payment?
The record must document medical necessity for the assistant. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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