{
    "code": "64555",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64555/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/64555/2022/C",
    "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 Q3 2022?",
        "text": "Medicare paid $2,325.88 for CPT 64555 in the office (non-facility) setting and $332.57 in a facility under the Q3 2022 Physician Fee Schedule, effective July 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it increased 2.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "C",
        "label": "Q3 2022",
        "effective": "July 1 – September 30, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 2325.88,
        "facility": 332.57,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 5.76,
        "practice_expense_non_facility": 60.81,
        "practice_expense_facility": 3.21,
        "malpractice": 0.64
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q3 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/C",
        "file": "PPRRVU22_JUL.csv",
        "row": 11822,
        "sha256": "f0a493a192a21b1faa980aa71d22c8ae064e87b564f51a67e1229fcee376df41"
    },
    "modified_at": "2026-08-04T03:11:49+00:00"
}