$769.24–$852.25
64566 describes a percutaneous tibial nerve stimulation treatment at the ankle. 64561 is for implantation of a sacral nerve electrode.
On this page
CMS RVU26D · Effective 2026-10-01
64566 Tibial nerve stimulation Medicare reimbursement rates in Massachusetts
Reports a single percutaneous posterior tibial nerve stimulation treatment, commonly used for urinary urgency, frequency, or urge incontinence associated with overactive bladder. Compare 64566 office and facility rates across CMS payment localities in Massachusetts.
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 64566 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$122.12–$136.26
2 of 2 localities have a supported rate.
Facility setting
$26.11–$27.38
2 of 2 localities have a supported rate.
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.
Neuromodulation
About 64566: Percutaneous tibial nerve stimulation treatment
Reports a single percutaneous posterior tibial nerve stimulation treatment, commonly used for urinary urgency, frequency, or urge incontinence associated with overactive bladder.
A clinician places a fine needle electrode near the posterior tibial nerve at the ankle and delivers electrical stimulation during the treatment. Urologists and urogynecologists commonly use this office-based procedure for patients with overactive bladder symptoms, including urinary urgency, frequency, and urge incontinence. The treatment stimulates the tibial nerve pathway; it does not implant a permanent lead or pulse generator.
Report 64566 for each treatment session, supported by documentation of the indication, the percutaneous stimulation performed, and the treatment date. The needle-electrode placement and stimulation are part of the service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When performed in the same session as other procedures subject to the multiple procedure rule, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64566
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.59 · 17%
- Practice expense (office) RVU2.85 · 81%
- Malpractice RVU0.07 · 2%
157.3K
Medicare services in 2024 · #438 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.
64566 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
64581 describes open implantation of a sacral nerve electrode; it is not a single-session tibial nerve stimulation treatment.
$375.48–$413.99
52287 describes cystoscopic bladder chemodenervation. Choose it for the bladder injection procedure, not percutaneous tibial nerve stimulation.
Compare 64566 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$136.26
Facility
$27.38
Rest Of Massachusetts →
Office / nonfacility
$122.12
Facility
$26.11
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64566 billing questions
When should 64566 be selected instead of sacral neuromodulation?
Use 64566 for a percutaneous tibial nerve stimulation treatment at the ankle. Sacral neuromodulation codes describe placement of an implanted electrode rather than this single treatment.
Is the needle electrode separately reported?
No. Needle-electrode placement and the electrical stimulation are components of the 64566 treatment.
How many units should be reported?
The code represents one treatment session. Document the date and the stimulation treatment performed; it is not reported by elapsed time.
Should modifier 50 be appended for both ankles?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other affected procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
7,14564553,,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
7,15064568,,Opn impltj crnl nrv nea&pg,A,,8.78,7.88,NA,7.88,,3.10,19.76,19.76,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,15164569,,Revise/repl vagus n eltrd,A,,10.73,7.89,NA,7.89,,3.72,22.34,22.34,0,090,0.11,0.76,0.13,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00