CPT 63655
Global 090 ActiveImplant neuroelectrodes
CPT 63655 Billing & Documentation Guide
CPT code 63655 (Implant neuroelectrodes) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.65, a non-facility practice expense RVU of 10.63, and a malpractice RVU of 3.83, a total non-facility RVU of 25.11 and facility RVU of 25.11. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $843.03, though rates vary from $726.59 to $1048.85 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 63655, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 63655 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 63655 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 63655
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.65 | 10.65 |
| Practice Expense RVU | 10.63 | 10.63 |
| Malpractice RVU | 3.83 | 3.83 |
| Total RVU | 25.11 | 25.11 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 63655
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $857.97 | $857.97 | $819.47 - $975.4 | 29 |
| Florida | $960.98 | $960.98 | $887.42 - $1048.85 | 3 |
| Georgia | $848.04 | $848.04 | $824.91 - $871.16 | 2 |
| Illinois | $944.5 | $944.5 | $879.83 - $1008.63 | 4 |
| Michigan | $869.17 | $869.17 | $824.31 - $914.03 | 2 |
| North Carolina | $768.73 | $768.73 | $768.73 - $768.73 | 1 |
| New York | $942.61 | $942.61 | $782.95 - $1038.2 | 5 |
| Ohio | $808.83 | $808.83 | $808.83 - $808.83 | 1 |
| Pennsylvania | $843.45 | $843.45 | $802.55 - $884.35 | 2 |
| Texas | $826.05 | $826.05 | $797.66 - $887.16 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 63655
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 63655 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0230T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0333T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0464T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0565T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0589T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0590T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 63655
What does CPT code 63655 mean? +
CPT code 63655 represents: Implant neuroelectrodes. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 63655? +
The 2026 Medicare national average non-facility payment for CPT 63655 is $843.03. Rates range from $726.59 to $1048.85 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 63655? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 63655? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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