# CPT 64561

> Medicare paid $840.51 for CPT 64561 in the office (non-facility) setting and $313.67 in a facility under the Q4 2017 Physician Fee Schedule, effective October 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 1.1%.

## What it is

Placement of a stimulator electrode alongside a sacral nerve, threaded through one of the small openings in the sacrum at the base of the spine, done through the skin with x-ray guidance rather than open surgery. Stimulating these nerves changes the signalling between the bladder, bowel, pelvic floor, and brain. It is the sacral-specific counterpart to peripheral nerve electrode placement, and it covers the lead only, not the pulse generator.

## Selected release

- Release: Q4 2017 (2017 D)
- Effective: October 1 – December 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $840.51
- Facility national allowed amount: $313.67
- Sequestration: not applied

## RVUs and formula

- Work RVU: 5.44
- Office (non-facility) practice expense RVU: 17.36
- Facility practice expense RVU: 2.68
- Malpractice RVU: 0.62
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17d.zip
- Parsed file: PPRRVU17_OCT.csv, row 10,850
- Canonical page: https://localishealth.com/cpt/64561/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/64561/2017/D
- Last significant update: 2026-08-04T03:07:59+00:00