$2,258.05
Choose 63610 for percutaneous spinal cord stimulation; choose 63650 when the service is percutaneous implantation of an epidural electrode array.
On this page
CMS RVU26D · Effective 2026-10-01
63610 Spinal cord stimulation Medicare reimbursement rates in Utah
Reports percutaneous electrical stimulation of the spinal cord, commonly used in neuromodulation care for selected patients with persistent neuropathic pain. Compare 63610 office and facility rates across CMS payment localities in Utah.
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 63610 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$527.86
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
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.
Pain management
About 63610: Percutaneous spinal cord stimulation
Reports percutaneous electrical stimulation of the spinal cord, commonly used in neuromodulation care for selected patients with persistent neuropathic pain.
This service delivers electrical stimulation to the spinal cord through a percutaneous approach. It is used in neuromodulation care, often by an interventional pain physician or another physician experienced in spinal cord stimulation, to assess or provide stimulation for selected patients with persistent neuropathic pain. The service is distinct from surgically implanting an epidural electrode array or placing a permanent pulse generator.
Report the code for the spinal cord stimulation service itself, rather than for electrode-array implantation, revision, or generator work. The record should identify the indication, percutaneous stimulation performed, and relevant procedural details. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 63610
- 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 RVU8.50 · 52%
- Practice expense (office) RVU4.35 · 26%
- Malpractice RVU3.58 · 22%
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.
63610 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Code 63655 describes surgical electrode-array implantation. It is not a substitute for reporting the percutaneous stimulation service represented by 63610.
No office rate
Code 63620 is for stereotactic radiosurgery of a spinal lesion. It treats a lesion with radiation rather than delivering spinal cord stimulation.
Compare 63610 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.
1 of 1 payment localities
Utah →
Office / nonfacility
Unavailable
Facility
$527.86
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 63610 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,074
- Code
- 63610
- Physician work
- 8.50
- Practice expense
- 4.35
- Malpractice
- 3.58
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.50 | × 1.000 | 8.5000 |
| Practice expense | 4.35 | × 0.940 | 4.0890 |
| Malpractice | 3.58 | × 0.898 | 3.2148 |
| Total RVUs | 15.8038 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$527.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.5 | 1 |
| Practice expense | 4.35 | 0.94 |
| Malpractice | 3.58 | 0.898 |
(8.5 × 1 + 4.35 × 0.94 + 3.58 × 0.898) × $33.4009 = $527.86
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
63610 billing questions
How is this different from 63650?
63610 reports percutaneous electrical stimulation of the spinal cord. Code 63650 reports percutaneous implantation of an epidural neurostimulator electrode array.
Is this the code for a permanent spinal cord stimulator implant?
No. This code represents spinal cord stimulation, not implantation of an electrode array or pulse generator. Use the applicable implantation code when those services are performed.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
What documentation supports assistant-at-surgery payment?
The record must document medical necessity for the assistant. CMS does not permit co-surgeons or team surgery 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.
7,07163307,,Remov vert idrl bdy lmbr/sac,A,,34.09,21.14,NA,21.14,,14.39,69.62,69.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07263308,,Remove vertebral body add-on,A,,5.11,1.71,NA,1.71,,1.83,8.65,8.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07363600,,Remove spinal cord lesion,A,,14.74,11.53,NA,11.53,,6.21,32.48,32.48,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07463610,,Stimulation of spinal cord,A,,8.50,4.35,NA,4.35,,3.58,16.43,16.43,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07563620,,Srs spinal lesion,A,,15.21,11.72,NA,11.72,,6.40,33.33,33.33,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07663621,,Srs spinal lesion addl,A,,3.90,1.37,NA,1.37,,1.64,6.91,6.91,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07763650,,Implant neuroelectrodes,A,,6.97,63.75,,3.48,,0.79,71.51,11.24,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985