Billing code 64575: Nerve stimulationMedicare rate & RVUs in Georgia
Reports open surgical placement of a neurostimulator electrode array at a peripheral nerve, excluding sacral nerve placement.
CMS doesn’t publish an office rate for 64575 in Georgia.
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 64575 covers
The surgeon places a neurostimulator electrode array at a selected peripheral nerve through an open incision. The service may be used for peripheral nerve stimulation in a patient with chronic pain when the treatment plan calls for surgically placed electrodes. Neurosurgeons, pain physicians with surgical privileges, and other qualified surgeons typically perform the procedure in a facility setting. The sacral nerve and neuromuscular implantation services are represented by separate codes.
Report 64575 when the operative note supports open placement at a peripheral nerve and identifies the target and electrode-array placement. If a peripheral neurostimulator pulse generator or receiver is also implanted, that work may be reported separately with 64590. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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 is restricted, and 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.
Where 64575 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $300.68 |
| Rest Of Georgia | Unavailable | $284.35 |
How the 64575 rate is calculated
Each of 64575’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 · 64575
RVUs × geographic indexes × conversion factor
Work4.31
4.31 RVUs× 1.000 GPCI
Practice expense3.79
3.79 RVUs× 1.000 GPCI
Malpractice0.69
0.69 RVUs× 1.000 GPCI
Adjusted RVUs
8.7900
Conversion factor
$33.4009
Medicare rate
$293.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64575
64575 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64575
Nerve stimulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64575
Nerve stimulation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64575 without 51 · national facility
$293.59
Nerve stimulation
64575-51 · Second procedure: 50%
$146.80
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%).
64575 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64555Nerve stimulation
- Use 64575 for open electrode-array placement at a peripheral nerve; 64555 describes percutaneous placement at that site.
- 64580Neurostimulator implant
- 64580 is for open electrode-array placement at a neuromuscular site, not the peripheral nerve placement represented by 64575.
- 64581Sacral nerve lead
- 64581 represents open electrode-array placement for a sacral nerve; 64575 is for a peripheral nerve and excludes sacral placement.
64575 billing questions
How is 64575 different from 64555?
64575 describes open placement of the electrode array at a peripheral nerve. 64555 is for percutaneous placement at a peripheral nerve.
Can the pulse generator be reported separately?
Yes. When a peripheral neurostimulator pulse generator or receiver is implanted, report that service separately with 64590 when supported by the operative work.
Does 64575 include postoperative visits?
Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can modifier 50 be used for bilateral placement?
No. CMS identifies bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction and paid at 50%.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.
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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