CPT 64585
Global 010 ActiveRev/rmv perph nstim eltrd ra
CPT 64585 Billing & Documentation Guide
CPT code 64585 (Rev/rmv perph nstim eltrd ra) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.06, a non-facility practice expense RVU of 5.19, and a malpractice RVU of 0.29, a total non-facility RVU of 7.54 and facility RVU of 4.07. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $259.42, though rates vary from $222.7 to $331.54 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64585, 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 64585 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 64585 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 64585
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.06 | 2.06 |
| Practice Expense RVU | 5.19 | 1.72 |
| Malpractice RVU | 0.29 | 0.29 |
| Total RVU | 7.54 | 4.07 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64585
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 | $281.65 | $144.5 | $265.16 - $331.54 | 29 |
| Florida | $261.59 | $145.31 | $249.09 - $273.76 | 3 |
| Georgia | $245.88 | $135.31 | $234.98 - $256.77 | 2 |
| Illinois | $255.06 | $143.07 | $242.21 - $265.73 | 4 |
| Michigan | $245.21 | $136.39 | $238.01 - $252.42 | 2 |
| North Carolina | $236.73 | $128.6 | $236.73 - $236.73 | 1 |
| New York | $278.63 | $149.33 | $240.3 - $297.31 | 5 |
| Ohio | $236.84 | $131.02 | $236.84 - $236.84 | 1 |
| Pennsylvania | $249.58 | $136.06 | $237.1 - $262.06 | 2 |
| Texas | $248.84 | $134.74 | $235.55 - $260.93 | 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 64585
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64585 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 | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 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 |
Frequently Asked Questions, CPT 64585
What does CPT code 64585 mean? +
CPT code 64585 represents: Rev/rmv perph nstim eltrd ra. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 010.
What is the Medicare reimbursement for CPT 64585? +
The 2026 Medicare national average non-facility payment for CPT 64585 is $259.42. Rates range from $222.7 to $331.54 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64585? +
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 64585? +
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 2, 2026.
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