$5,214.06
64553 is for percutaneous electrode-array placement targeting a cranial nerve; 64555 targets a peripheral nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64555 Nerve stimulation Medicare reimbursement rates in Connecticut
Percutaneous peripheral nerve stimulation lead placement is reported when an electrode array is implanted near a peripheral nerve for neuromodulation, excluding sacral nerve targets. Compare 64555 office and facility rates across CMS payment localities in Connecticut.
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 64555 in Connecticut?
Connecticut 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
$2386.58
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$308.44
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 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 Connecticut, from the same CMS release.
$793.28
64561 is the percutaneous electrode-array code for a sacral nerve. Use 64555 for a peripheral nerve target outside that category.
No office rate
Both involve peripheral nerve electrode implantation, but 64575 describes an open approach and 64555 a percutaneous approach.
Compare 64555 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
Connecticut →
Office / nonfacility
$2386.58
Facility
$308.44
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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 64555 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,146
- Code
- 64555
- Physician work
- 5.62
- Practice expense
- 60.37
- Malpractice
- 0.58
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.62 | × 1.020 | 5.7324 |
| Practice expense | 60.37 | × 1.077 | 65.0185 |
| Malpractice | 0.58 | × 1.210 | 0.7018 |
| Total RVUs | 71.4527 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$2386.58
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.62 | 1.02 |
| Practice expense | 60.37 | 1.077 |
| Malpractice | 0.58 | 1.21 |
(5.62 × 1.02 + 60.37 × 1.077 + 0.58 × 1.21) × $33.4009 = $2386.58
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.62 | 1.02 |
| Practice expense | 2.6 | 1.077 |
| Malpractice | 0.58 | 1.21 |
(5.62 × 1.02 + 2.6 × 1.077 + 0.58 × 1.21) × $33.4009 = $308.44
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.
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.
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
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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808