# CPT 63685: Insertion/replacement of spinal neurostimulator pulse generator

Medicare CPT 63685 pays $318.64 in a non-facility setting and $318.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $285.48 in Arkansas to $394.85 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/63685-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $318.64 |
| National facility | $318.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $394.85 | $394.85 |
| New York | $352.51 | $352.51 |
| Florida | $352.23 | $352.23 |
| District of Columbia | $352.13 | $352.13 |
| Illinois | $347.32 | $347.32 |
| New Jersey | $344.68 | $344.68 |
| Connecticut | $338.21 | $338.21 |
| Washington | $332.61 | $332.61 |
| Massachusetts | $332.12 | $332.12 |
| California | $329.65 | $329.65 |
| Maryland | $328.42 | $328.42 |
| Michigan | $325.95 | $325.95 |
| Rhode Island | $321.85 | $321.85 |
| Georgia | $320.52 | $320.52 |
| Colorado | $320.32 | $320.32 |
| Pennsylvania | $320.24 | $320.24 |
| Hawaii | $319.58 | $319.58 |
| Puerto Rico | $319.38 | $319.38 |
| Virgin Islands | $319.38 | $319.38 |
| New Hampshire | $318.96 | $318.96 |
| West Virginia | $318.75 | $318.75 |
| Montana | $318.57 | $318.57 |
| Oregon | $316.43 | $316.43 |
| New Mexico | $316.18 | $316.18 |
| Texas | $315.30 | $315.30 |
| Delaware | $314.57 | $314.57 |
| Nevada | $312.90 | $312.90 |
| Louisiana | $310.33 | $310.33 |
| Arizona | $310.04 | $310.04 |
| Wyoming | $309.53 | $309.53 |
| Ohio | $308.96 | $308.96 |
| Missouri | $308.66 | $308.66 |
| Utah | $308.19 | $308.19 |
| Virginia | $306.39 | $306.39 |
| South Carolina | $304.68 | $304.68 |
| Kentucky | $302.95 | $302.95 |
| Maine | $300.45 | $300.45 |
| Vermont | $300.17 | $300.17 |
| Oklahoma | $298.57 | $298.57 |
| North Carolina | $298.31 | $298.31 |
| North Dakota | $297.81 | $297.81 |
| Minnesota | $297.28 | $297.28 |
| South Dakota | $295.36 | $295.36 |
| Mississippi | $293.57 | $293.57 |
| Indiana | $292.25 | $292.25 |
| Tennessee | $291.98 | $291.98 |
| Idaho | $291.00 | $291.00 |
| Kansas | $290.25 | $290.25 |
| Wisconsin | $289.56 | $289.56 |
| Alabama | $289.10 | $289.10 |
| Nebraska | $288.01 | $288.01 |
| Iowa | $287.76 | $287.76 |
| Arkansas | $285.48 | $285.48 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 63685 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules