$943.88
Choose 63664 for revision of a surgically exposed paddle or plate electrode. Choose 63663 for revision of a percutaneous electrode array.
On this page
CMS RVU26D · Effective 2026-10-01
63664 Paddle lead revision Medicare reimbursement rates in Wyoming
Revision of an implanted spinal cord stimulation paddle electrode, including repositioning or replacement through surgical exposure when the existing lead requires correction. Compare 63664 office and facility rates across CMS payment localities in Wyoming.
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 63664 in Wyoming?
Wyoming 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
$850.77
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Neurostimulation surgery
About 63664: Spinal paddle electrode revision
Revision of an implanted spinal cord stimulation paddle electrode, including repositioning or replacement through surgical exposure when the existing lead requires correction.
This service revises an implanted spinal cord stimulation paddle or plate electrode when the existing lead must be repositioned or replaced. The surgeon exposes the lead through a laminotomy or laminectomy to access the electrode; intraoperative imaging may be used. Neurosurgeons and orthopedic spine surgeons commonly perform the procedure in a facility setting for patients whose implanted paddle lead requires surgical correction.
Report 63664 for revision of the paddle electrode, not removal alone or work on the pulse generator. The operative report should identify the existing paddle lead and describe the revision performed, including the surgical exposure and whether the lead was repositioned or replaced. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 not appropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63664
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.23 · 42%
- Practice expense (office) RVU11.20 · 42%
- Malpractice RVU4.11 · 15%
851
Medicare services in 2024 · #3094 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.
63664 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
63662 describes removal of a paddle electrode. 63664 describes revision, which may include repositioning or replacement.
No office rate
63655 is for surgical implantation of a paddle electrode; 63664 is for revision of an existing paddle lead.
No office rate
63685 addresses the implanted pulse generator and its pocket, not revision of the spinal paddle electrode.
Compare 63664 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$850.77
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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 63664 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,082
- Code
- 63664
- Physician work
- 11.23
- Practice expense
- 11.20
- Malpractice
- 4.11
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.23 | × 1.000 | 11.2300 |
| Practice expense | 11.20 | × 1.000 | 11.2000 |
| Malpractice | 4.11 | × 0.740 | 3.0414 |
| Total RVUs | 25.4714 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$850.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.23 | 1 |
| Practice expense | 11.2 | 1 |
| Malpractice | 4.11 | 0.74 |
(11.23 × 1 + 11.2 × 1 + 4.11 × 0.74) × $33.4009 = $850.77
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.
63664 billing questions
How is 63664 different from 63663?
63664 is for revision of a surgically exposed paddle or plate electrode. 63663 is for revision of a percutaneous electrode array.
When should 63662 be reported instead?
Use 63662 for removal of a spinal paddle or plate electrode without revision. 63664 describes revising the existing lead, including repositioning or replacement.
Does 63664 include pulse-generator work?
No. This code addresses the spinal paddle electrode. Work on the implanted pulse generator or its pocket is described by a separate generator code when performed.
Can modifier 50 be used for bilateral lead revision?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 63664?
Document the implanted paddle lead, why it required revision, the surgical exposure, and what was done to reposition or replace it.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
7,07963661,,Remove spine eltrd perq aray,A,,4.95,16.33,,3.32,,0.98,22.26,9.25,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08063662,,Remove spine eltrd plate,A,,10.73,10.84,NA,10.84,,3.87,25.44,25.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08163663,,Revise spine eltrd perq aray,A,,7.56,19.90,,3.62,,1.08,28.54,12.26,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08263664,,Revise spine eltrd plate,A,,11.23,11.20,NA,11.20,,4.11,26.54,26.54,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08363685,,Ins/rplc spi npg/rcvr pocket,A,,5.06,3.43,NA,3.43,,1.05,9.54,9.54,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08463688,,Rev/rmv imp sp npg/r dtch cn,A,,4.24,3.85,NA,3.85,,1.06,9.15,9.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08563700,,Repair of spinal herniation,A,,17.03,15.40,NA,15.40,,7.19,39.62,39.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,