CPT code 63662: Paddle lead removal2026 Medicare rate & RVUs in Guam
Reports surgical removal of a spinal cord stimulator paddle lead placed through a laminotomy or laminectomy, rather than a percutaneous electrode array.
CMS doesn’t publish an office rate for 63662 in Guam.
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 63662 covers
This service removes a paddle-shaped spinal cord stimulation lead that was placed through a laminotomy or laminectomy. A neurosurgeon or spine surgeon typically performs the operation in a hospital or ambulatory surgical setting when the lead must be explanted, such as for device complications or a change in treatment. Fluoroscopy, when used, is included in the lead-removal service. This code describes paddle-lead removal, not removal of a percutaneous electrode array or the implanted pulse generator.
Choose the code based on the lead and original placement approach; document the lead type, surgical exposure, reason for removal, and work performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
63662 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $844.90 |
How the 63662 rate is calculated
Each of 63662’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 · 63662
RVUs × geographic indexes × conversion factor
Work10.73
10.73 RVUs× 1.000 GPCI
Practice expense10.84
10.84 RVUs× 1.000 GPCI
Malpractice3.87
3.87 RVUs× 1.000 GPCI
Adjusted RVUs
25.4400
Conversion factor
$33.4009
Medicare rate
$849.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63662
63662 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63662
Paddle lead removal
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 63662
Paddle lead removal
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
63662 without 51 · national facility
$849.72
Paddle lead removal
63662-51 · Second procedure: 50%
$424.86
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%).
63662 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 63661Lead removal
- This code is for removal of a percutaneous electrode array. Choose 63662 when the lead is a paddle placed through a laminotomy or laminectomy.
- 63664Paddle lead revision
- 63664 addresses revision of a surgically placed paddle lead; 63662 reports its removal.
- 63688Spinal stimulator
- 63688 describes work on the implanted pulse generator or receiver. It does not describe removal of the spinal paddle lead.
63662 billing questions
How does this differ from 63661?
Use 63662 for a paddle lead placed through a laminotomy or laminectomy. Code 63661 describes removal of a percutaneous electrode array.
Is fluoroscopy separately reported?
Fluoroscopy performed for this lead removal is included in the service.
Can the generator removal also be reported?
Code 63662 covers the paddle lead, not the implanted pulse generator. Code 63688 describes generator or receiver-related revision or removal when that work is also performed; document each service.
What supports selection of this code?
Document that the removed lead is a paddle type, its placement through a laminotomy or laminectomy, the reason for removal, and the operative work performed.
Which payment rules affect this service?
It has a 90-day global period, and the standard multiple-procedure reduction applies when other procedures are performed in the same session. Modifier 50 is inappropriate; assistant-at-surgery payment may be allowed, co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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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