{
    "code": "64555",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64555/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/64555/2021/D",
    "description": "Placement of a stimulator electrode next to a peripheral nerve through the skin, using a needle rather than an open incision, usually with ultrasound or x-ray to find the nerve. Once in place the electrode delivers mild electrical pulses to that specific nerve to dampen pain signals. This covers peripheral nerves out in the limbs, trunk, or head - the sacral nerves have their own separate code - and it is the lead-placement step, not implantation of the generator that powers it.",
    "answer": {
        "question": "How much did Medicare pay for CPT 64555 in Q4 2021?",
        "text": "Medicare paid $2,274.33 for CPT 64555 in the office (non-facility) setting and $347.19 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 18.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 2274.33,
        "facility": 347.19,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 5.76,
        "practice_expense_non_facility": 58.65,
        "practice_expense_facility": 3.42,
        "malpractice": 0.77
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 11601,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}