$2,350.56
Choose 64553 for percutaneous electrode-array placement at a cranial nerve; choose 64555 when the documented target is a peripheral nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64553 Neurostimulator lead Medicare reimbursement rates in Colorado
Reports percutaneous placement of a neurostimulator electrode array at a cranial nerve for a patient receiving cranial nerve stimulation. Compare 64553 office and facility rates across CMS payment localities in Colorado.
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 64553 in Colorado?
Colorado 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
$5117.11
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$445.56
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
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 Colorado, from the same CMS release.
No office rate
64568 describes open cranial nerve implantation and includes a pulse generator. 64553 describes percutaneous placement of the electrode array.
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.
Compare 64553 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
Colorado →
Office / nonfacility
$5117.11
Facility
$445.56
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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 Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,145
- Code
- 64553
- Physician work
- 5.98
- Practice expense
- 136.45
- Malpractice
- 2.52
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.98 | × 1.012 | 6.0518 |
| Practice expense | 136.45 | × 1.064 | 145.1828 |
| Malpractice | 2.52 | × 0.781 | 1.9681 |
| Total RVUs | 153.2027 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$5117.11
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.98 | 1.012 |
| Practice expense | 136.45 | 1.064 |
| Malpractice | 2.52 | 0.781 |
(5.98 × 1.012 + 136.45 × 1.064 + 2.52 × 0.781) × $33.4009 = $5117.11
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.98 | 1.012 |
| Practice expense | 5 | 1.064 |
| Malpractice | 2.52 | 0.781 |
(5.98 × 1.012 + 5 × 1.064 + 2.52 × 0.781) × $33.4009 = $445.56
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.
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.
7,14264517,,N block inj hypogas plxs,A,,2.15,3.72,,1.06,,0.20,6.07,3.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14364520,,N block lumbar/thoracic,A,,1.32,5.81,,0.86,,0.12,7.25,2.30,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14464530,,N block inj celiac pelus,A,,1.54,5.37,,0.87,,0.15,7.06,2.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14564553,,Implant neuroelectrodes,A,,5.98,136.45,,5.00,,2.52,144.95,13.50,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14664555,,Implant neuroelectrodes,A,,5.62,60.37,,2.60,,0.58,66.57,8.80,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899