CPT code 64567: Nerve field stimulation2026 Medicare rate & RVUs in Illinois
Reports percutaneous electrical nerve field stimulation at cranial nerve sites, commonly delivered through auricular electrodes for functional abdominal pain.
Medicare pays $1,139.50–$1,275.95 for 64567 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. Which amount applies depends on the service address.
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 64567 covers
This service uses fine percutaneous electrodes at external-ear sites to deliver electrical stimulation to cranial nerve branches. A typical use is treatment of functional abdominal pain associated with irritable bowel syndrome, including in adolescents. The treating clinician places the electrodes and activates the stimulation device; the service is distinct from surgically implanting a permanent cranial nerve stimulator. It may be furnished in an outpatient clinic by a clinician managing the patient’s pain or gastrointestinal condition.
Report the code for the cranial nerve field stimulation service, not separately for each electrode. Documentation should identify the clinical indication, the treatment performed, electrode placement, and device activation. The supplied CMS facts list no special payment rules for this code. Select a different code when the service instead involves posterior tibial nerve stimulation or surgical implantation of a cranial nerve electrode and pulse generator.
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 64567 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$1139.50 to $1275.95
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $1,252.70 | $73.79 |
| East St. Louis | $1,150.20 | $71.00 |
| Rest Of Illinois | $1,139.50 | $68.52 |
| Suburban Chicago | $1,275.95 | $71.24 |
How the 64567 rate is calculated
Each of 64567’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 · 64567
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense35.45
35.45 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
37.1100
Conversion factor
$33.4009
Medicare rate
$1,239.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64567
64567 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 64567
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$1,239.51
- Non-facility (office)
- $1,239.51
- Facility
- $66.47
Higher because the practice carries its own overhead.
64567 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64566Tibial nerve stimulation
- 64566 is for percutaneous posterior tibial nerve stimulation. Use 64567 for cranial nerve field stimulation, such as stimulation delivered through auricular electrode sites.
- 64568Nerve stimulator
- 64568 describes open surgical implantation of a cranial nerve electrode array and pulse generator. 64567 describes percutaneous electrical nerve field stimulation, not permanent open implantation.
- 64555Nerve stimulation
- 64555 concerns percutaneous implantation of a neurostimulator electrode array for a peripheral nerve. 64567 describes cranial nerve field stimulation.
64567 billing questions
Does this code represent each electrode placed?
No. It represents the cranial nerve field stimulation service, rather than a separate service for each auricular electrode.
What should the record document?
Document the indication, the stimulation treatment performed, electrode placement, and device activation.
How is this different from 64566?
64567 describes cranial nerve field stimulation, commonly using auricular sites. 64566 is for percutaneous stimulation of the posterior tibial nerve.
Is this the code for permanent vagus nerve stimulator implantation?
No. 64567 describes percutaneous electrical nerve field stimulation. Open implantation of a cranial nerve electrode array and pulse generator is represented by 64568.
Is this code reported for functional abdominal pain treatment?
It may describe cranial nerve field stimulation used for functional abdominal pain associated with irritable bowel syndrome. The record should support the patient’s indication and the treatment performed.
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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