CPT 64570
Global 090 ActiveRemove vagus n eltrd
CPT 64570 Billing & Documentation Guide
CPT code 64570 (Remove vagus n eltrd) 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 8.87, a non-facility practice expense RVU of 10.33, and a malpractice RVU of 3.74, a total non-facility RVU of 22.94 and facility RVU of 22.94. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $769.33, though rates vary from $656.98 to $971.36 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64570, 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 64570 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 64570 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 64570
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.87 | 8.87 |
| Practice Expense RVU | 10.33 | 10.33 |
| Malpractice RVU | 3.74 | 3.74 |
| Total RVU | 22.94 | 22.94 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64570
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 | $782.9 | $782.9 | $746.41 - $893.35 | 29 |
| Florida | $885.62 | $885.62 | $813.87 - $971.36 | 3 |
| Georgia | $775.34 | $775.34 | $752.94 - $797.73 | 2 |
| Illinois | $869.41 | $869.41 | $806.53 - $931.79 | 4 |
| Michigan | $796.08 | $796.08 | $752.31 - $839.84 | 2 |
| North Carolina | $698 | $698 | $698 - $698 | 1 |
| New York | $865.07 | $865.07 | $711.86 - $957.44 | 5 |
| Ohio | $737.2 | $737.2 | $737.2 - $737.2 | 1 |
| Pennsylvania | $770.43 | $770.43 | $731.05 - $809.81 | 2 |
| Texas | $753.61 | $753.61 | $726.29 - $813.14 | 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 64570
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64570 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0282T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0283T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0284T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0285T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0333T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0464T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0466T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0589T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0590T | Column 1 (primary), can be billed with modifier | No | 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 64570
What does CPT code 64570 mean? +
CPT code 64570 represents: Remove vagus n eltrd. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 64570? +
The 2026 Medicare national average non-facility payment for CPT 64570 is $769.33. Rates range from $656.98 to $971.36 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64570? +
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 64570? +
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 May 31, 2026.
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