CPT code 64425: Nerve block, ilioinguinal and iliohypogastric2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $120.91 for 64425 in the office and $49.76 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64425 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 64425 covers

This service places anesthetic near the ilioinguinal and/or iliohypogastric nerves to evaluate or relieve pain in their distribution. Pain medicine physicians and anesthesiologists commonly perform it for groin or lower abdominal wall pain, including persistent pain after inguinal hernia repair. It may be performed in an office-based pain clinic or a hospital outpatient setting.

Select the code when the documented target is these nerves, rather than another named nerve or an unspecified peripheral nerve branch. The record should identify the nerve target, side, clinical indication, medication injected, and the patient’s response when relevant. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral service, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery, and does not permit co-surgeons or team surgery for this service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 64425

Across 109 of 109 payment localities, the office rate for 64425 runs from $107.44 in Arkansas to $160.76 in San Benito County, CA. Montana pays $120.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64425 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 64425 in every payment locality

How the 64425 rate is calculated

Each of 64425’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 64425

The CMS indicators that decide how 64425 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64425

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 64425 has changed in Montana

Price 64425 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates