Billing code 64585: Lead revision/removalMedicare rate & RVUs in Ohio
Reports surgical revision or removal of an implanted peripheral nerve neurostimulator electrode array, such as when a lead requires repositioning or explantation.
Medicare pays $236.84 for 64585 in the office in Ohio (Ohio). 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 64585 covers
This service addresses an implanted electrode array that delivers neurostimulation to a peripheral nerve. A surgeon may revise the array to correct its position or resolve a lead problem, or remove it when stimulation is no longer needed or the device requires explantation. It is distinct from work on the pulse generator or receiver. The procedure is generally performed by a surgeon experienced in peripheral nerve or neuromodulation procedures, such as a neurosurgeon or pain specialist, in an operative setting.
Report the service for the electrode array work, not simply for programming or checking the system. The operative report should identify the peripheral nerve and implanted array, explain whether the array was revised or removed, and describe the work performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. 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 for this code. Medicare does not pay an assistant at surgery for this service; 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.
64585 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $236.84 | $131.02 |
How the 64585 rate is calculated
Each of 64585’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 · 64585
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.06Practice expense 5.19Malpractice 0.29
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64585
64585 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64585
Lead revision/removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64585
Lead revision/removal
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64585 without 51 · national office
$251.84
Lead revision/removal
64585-51 · Second procedure: 50%
$125.92
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%).
64585 compared with similar codes
Compare codes
64585 vs 64575 vs 64595 vs 64598 vs 64570: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64575Nerve stimulation
- 64575 is for open implantation of a peripheral nerve electrode array. Choose 64585 for revision or removal of an array already in place.
- 64595Generator revision
- 64595 applies to revision or removal of the peripheral neurostimulator pulse generator or receiver; 64585 applies to the electrode array.
- 64598Revj/rmvl nea pn w/int nstim
- 64598 is for revision or removal of a percutaneous peripheral electrode array with an integrated neurostimulator. 64585 describes the peripheral nerve electrode-array service outside that specific percutaneous integrated-device context.
- 64570Vagus stimulator removal
- 64570 is specific to removal of a vagus nerve electrode array. 64585 is used for peripheral nerve electrode-array revision or removal outside that vagus-specific service.
64585 billing questions
Is this code for the electrode array or the pulse generator?
64585 describes revision or removal of the peripheral nerve electrode array. Use the separate generator or receiver code when that component is also revised, removed, inserted, or replaced.
How is 64585 different from 64575?
64575 describes open implantation of a peripheral nerve electrode array. Use 64585 when the service is revision or removal of an array that is already implanted.
Can the generator service be reported on the same date?
A separate generator or receiver procedure may be reported when it is actually performed during the encounter. The operative documentation should distinguish the work on the electrode array from the work on the generator.
Can modifier 50 be used for bilateral electrode arrays?
No. CMS identifies modifier 50 as inappropriate for this code; do not use it to represent bilateral service.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are 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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