CPT 64655: Baroreflex Activation Therapy Lead Revision or Replacement

Medicare pays $651 on average nationally for this procedure.

CPT code 64655 describes revision or replacement of only the lead of a baroreflex activation therapy (BAT) system, including intraoperative interrogation and programming of the device; service type: device lead revision/replacement for neuromodulation; typical site of service: inpatient or outpatient surgical setting where BAT systems are implanted and managed, such as hospitals or ambulatory surgery centers.

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CPT 64655: Baroreflex Activation Therapy Lead Revision or Replacement

Medicare pays $651 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 64655 policy alerts

Get alerted when payer policies referencing 64655 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with resistant hypertension or heart failure previously implanted with a baroreflex activation therapy (BAT) system presents with lead malfunction evidenced by loss of capture, intermittent high impedance, or pain at the lead site. The treating clinician evaluates device interrogation data in clinic and confirms lead failure requiring revision or replacement of the lead only. The patient is scheduled for a minor operative procedure in an outpatient surgical suite or ambulatory surgery center. Intraoperative steps include preoperative device interrogation, exposure of the existing lead, removal of the malfunctioning lead segment or complete lead extraction if needed, implantation of a replacement lead segment, intraoperative interrogation and programming of the BAT system to confirm appropriate sensing and stimulation thresholds, hemostasis, and wound closure. The procedure is coded to 64655 for revision or replacement of only the lead of a baroreflex activation therapy system and includes intraoperative interrogation and programming. Typical site of service is an ambulatory surgery center or hospital outpatient department; inpatient status is uncommon unless complications or comorbidities require admission. Typical clinicians involved include neuromodulation-trained cardiac electrophysiologists, vascular surgeons, or neurosurgeons with support from device representatives and anesthesia as indicated.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`33226`	Revision or replacement of pacemaker or cardioverter-defibrillator lead, open or percutaneous lead(s)	Similar lead revision procedures for cardiac implantable devices; analogous techniques and considerations when managing BAT leads.
`95970`	Electronic analysis of implanted neurostimulator pulse generator system (intracranial, spinal cord, peripheral nerve, or neurostimulator), single or multiple leads, without reprogramming; simple or initial interrogation	Used for device interrogation-only visits; intraoperative interrogation included in `64655` but outpatient interrogations may be separately reported when performed outside the operative service.
`95971`	Electronic analysis of implanted neurostimulator pulse generator system... with simple reprogramming	Postoperative or clinic reprogramming sessions that may occur after lead revision if done separately from the operative encounter.
`95972`	Electronic analysis of implanted neurostimulator pulse generator system... with complex reprogramming	Complex outpatient reprogramming sessions for BAT systems performed separate from the surgical encounter.
`64585`	Revision or replacement of peripheral nerve neurostimulator electrode array, open or percutaneous lead(s)	Another neuromodulation lead revision code providing clinical context for similar procedural steps and coding considerations.

Related Modifiers

6 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RH0000X	Hematology (Internal Medicine) Physician	An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
2084N0400X	Neurology Physician	A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, auton…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
376G00000X	Nursing Home Administrator	An individual, often licensed by the state, who is responsible for the management of a nursing home.
3747A0650X	Attendant Care Provider	An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically hand…
207QS1201X	Sleep Medicine (Family Medicine) Physician	A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment…
246QH0600X	Histology Specialist/Technologist	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology

CPT 64600: Trigeminal Nerve Neurodestruction by Injection

CPT-64605-TRIGEMINAL-NERVE-NEURODESTRUCTIVE-INJECTION

CPT 64605: Trigeminal Nerve Neurodestructive Injection

CPT-64610-TRIGEMINAL-NERVE-NEURODESTRUCTIVE-INJECTION

CPT 64610: Trigeminal Nerve Neurodestructive Injection

CPT-64611-SALIVARY-GLAND-CHEMICAL-DENERVATION-BILATERAL

CPT 64611: Bilateral Salivary Gland Chemical Injection for Sialorrhea

CPT-64612-FACIAL-NERVE-CHEMICAL-NEUROLYSIS-UNILATERAL

CPT 64612: Facial Nerve Chemical Neurolysis, Unilateral

CPT-64615-BILATERAL-CHEMICAL-DENERVATION-FACIAL-CERVICAL-MUSCLES

CPT 64615: Bilateral Chemical Denervation of Head and Neck Muscles

CPT-64616-UNILATERAL-CERVICAL-MUSCLE-CHEMICAL-DENERVATION

CPT 64616: Unilateral Neck Muscle Chemodenervation

CPT-64617-PERCUTANEOUS-LARYNGEAL-CHEMODENERVATION-UNILATERAL

CPT 64617: Percutaneous Chemodenervation of Larynx, Unilateral

CPT-64620-INTERCOSTAL-NERVE-ABLATION

CPT 64620: Intercostal Nerve Destruction (Chemical/Heat/Radiofrequency)

CPT-64624-GENICULAR-NERVE-NEUROLYSIS-KNEE

CPT 64624: Genicular Nerve Neurolysis for Knee Pain

Showing 1–10 of 26

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`33226`	Revision or replacement of pacemaker or cardioverter-defibrillator lead, open or percutaneous lead(s)	Similar lead revision procedures for cardiac implantable devices; analogous techniques and considerations when managing BAT leads.
`95970`	Electronic analysis of implanted neurostimulator pulse generator system (intracranial, spinal cord, peripheral nerve, or neurostimulator), single or multiple leads, without reprogramming; simple or initial interrogation	Used for device interrogation-only visits; intraoperative interrogation included in `64655` but outpatient interrogations may be separately reported when performed outside the operative service.
`95971`	Electronic analysis of implanted neurostimulator pulse generator system... with simple reprogramming	Postoperative or clinic reprogramming sessions that may occur after lead revision if done separately from the operative encounter.
`95972`	Electronic analysis of implanted neurostimulator pulse generator system... with complex reprogramming	Complex outpatient reprogramming sessions for BAT systems performed separate from the surgical encounter.
`64585`	Revision or replacement of peripheral nerve neurostimulator electrode array, open or percutaneous lead(s)	Another neuromodulation lead revision code providing clinical context for similar procedural steps and coding considerations.

Related Modifiers

6 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RH0000X	Hematology (Internal Medicine) Physician	An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
2084N0400X	Neurology Physician	A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, auton…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
376G00000X	Nursing Home Administrator	An individual, often licensed by the state, who is responsible for the management of a nursing home.
3747A0650X	Attendant Care Provider	An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically hand…
207QS1201X	Sleep Medicine (Family Medicine) Physician	A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment…
246QH0600X	Histology Specialist/Technologist	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology

CPT 64600: Trigeminal Nerve Neurodestruction by Injection

CPT-64605-TRIGEMINAL-NERVE-NEURODESTRUCTIVE-INJECTION

CPT 64605: Trigeminal Nerve Neurodestructive Injection

CPT-64610-TRIGEMINAL-NERVE-NEURODESTRUCTIVE-INJECTION

CPT 64610: Trigeminal Nerve Neurodestructive Injection

CPT-64611-SALIVARY-GLAND-CHEMICAL-DENERVATION-BILATERAL

CPT 64611: Bilateral Salivary Gland Chemical Injection for Sialorrhea

CPT-64612-FACIAL-NERVE-CHEMICAL-NEUROLYSIS-UNILATERAL

CPT 64612: Facial Nerve Chemical Neurolysis, Unilateral

CPT-64615-BILATERAL-CHEMICAL-DENERVATION-FACIAL-CERVICAL-MUSCLES

CPT 64615: Bilateral Chemical Denervation of Head and Neck Muscles

CPT-64616-UNILATERAL-CERVICAL-MUSCLE-CHEMICAL-DENERVATION

CPT 64616: Unilateral Neck Muscle Chemodenervation

CPT-64617-PERCUTANEOUS-LARYNGEAL-CHEMODENERVATION-UNILATERAL

CPT 64617: Percutaneous Chemodenervation of Larynx, Unilateral

CPT-64620-INTERCOSTAL-NERVE-ABLATION

CPT 64620: Intercostal Nerve Destruction (Chemical/Heat/Radiofrequency)

CPT-64624-GENICULAR-NERVE-NEUROLYSIS-KNEE

CPT 64624: Genicular Nerve Neurolysis for Knee Pain

Showing 1–10 of 26

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 64655: Baroreflex Activation Therapy Lead Revision or Replacement

Sign up for cpt 64655 policy alerts

OpenPayer

CPT 64655: Baroreflex Activation Therapy Lead Revision or Replacement

Sign up for cpt 64655 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

CPT 64655: Baroreflex Activation Therapy Lead Revision or Replacement

Sign up for cpt 64655 policy alerts

CPT 64655: Baroreflex Activation Therapy Lead Revision or Replacement

Sign up for cpt 64655 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What procedure does CPT code 64655 describe?

Where is a 64655 lead revision typically performed?

Is intraoperative interrogation and programming billed separately from 64655?

Which modifiers might be relevant when billing 64655?

Which specialties and taxonomy codes are associated with performing or managing BAT lead revisions?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What procedure does CPT code 64655 describe?

Where is a 64655 lead revision typically performed?

Is intraoperative interrogation and programming billed separately from 64655?

Which modifiers might be relevant when billing 64655?

Which specialties and taxonomy codes are associated with performing or managing BAT lead revisions?

References