CPT 64583
Global 090 ActiveRev/rplct hpglsl nstm ary pg
CPT 64583 Billing & Documentation Guide
CPT code 64583 (Rev/rplct hpglsl nstm ary pg) 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 14.14, a non-facility practice expense RVU of 6.11, and a malpractice RVU of 2.06, a total non-facility RVU of 22.31 and facility RVU of 22.31. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $753.82, though rates vary from $683.03 to $963.69 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64583, 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 64583 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 64583 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 64583
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 14.14 | 14.14 |
| Practice Expense RVU | 6.11 | 6.11 |
| Malpractice RVU | 2.06 | 2.06 |
| Total RVU | 22.31 | 22.31 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64583
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 | $768.01 | $768.01 | $740.87 - $855.4 | 29 |
| Florida | $810.99 | $810.99 | $770.8 - $858.75 | 3 |
| Georgia | $750.02 | $750.02 | $736.34 - $763.69 | 2 |
| Illinois | $802.62 | $802.62 | $766.16 - $838.6 | 4 |
| Michigan | $760.77 | $760.77 | $736.3 - $785.23 | 2 |
| North Carolina | $706.66 | $706.66 | $706.66 - $706.66 | 1 |
| New York | $815.89 | $815.89 | $714.53 - $872.94 | 5 |
| Ohio | $727.97 | $727.97 | $727.97 - $727.97 | 1 |
| Pennsylvania | $749.99 | $749.99 | $724.66 - $775.32 | 2 |
| Texas | $739.71 | $739.71 | $721.92 - $773.39 | 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 64583
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64583 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 |
| 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 |
| 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 | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0788T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0789T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 64583
What does CPT code 64583 mean? +
CPT code 64583 represents: Rev/rplct hpglsl nstm ary pg. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 64583? +
The 2026 Medicare national average non-facility payment for CPT 64583 is $753.82. Rates range from $683.03 to $963.69 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64583? +
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 64583? +
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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