64590 Ins/rpl prph sacral/gstr npg/r
Also known as: peripheral pulse generator implant, peripheral implantable pulse generator
Insertion or replacement of a peripheral pulse generator or receiver for a peripheral nerve stimulation or gastric system.
In Plain Language
peripheral nerve pain device surgery
Clinical Context
Used for neuromodulation therapy requiring an implantable pulse generator for sacral or gastric nerve systems.
RVU Breakdown
| Work RVU | 4.97 |
| Total RVU | 4.97 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.97, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64590?
CPT 64590 (Ins/rpl prph sacral/gstr npg/r) is a Surgery code. Insertion or replacement of a peripheral pulse generator or receiver for a peripheral nerve stimulation or gastric system.
What is the wRVU value for CPT 64590?
The work RVU for CPT 64590 is 4.97. This code is primarily used by Neurosurgery, Pain Management, Gastroenterology. It has a 10-day global period.
When is CPT 64590 used?
Used for neuromodulation therapy requiring an implantable pulse generator for sacral or gastric nerve systems.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.