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CPT code 64455: Nerve injection, plantar common digital nerve2026 Medicare rate & RVUs in Alabama

Report this injection of anesthetic and/or steroid around a plantar common digital nerve, commonly to diagnose or treat pain from Morton's neuroma.

CMS RVU26DEffective Oct 1, 2026One payment locality58.6K Medicare services in 2024

In Alabama, Medicare pays $46.16 for 64455 in the office and $28.63 when it’s performed in a hospital or facility.

$46.16Office (non-facility)
$28.63Hospital or facility
−7.9%vs the national office rate ($50.10)

Check a contract rate as a % of Medicare · 64455 nationwide

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

We’ll open 64455 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 64455 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64455 covers

A clinician injects anesthetic, steroid, or both around a plantar common digital nerve in the forefoot. The service is commonly performed in an office by a podiatrist, orthopedic clinician, or pain specialist for symptoms such as burning or radiating pain in the ball of the foot associated with suspected Morton's neuroma. The record should identify the treated nerve and side, the clinical indication, and the medication and injection performed.

Report 64455 for the plantar common digital nerve injection, rather than for an injection targeting a different peripheral nerve. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

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 Alabama compares for 64455

Across 109 of 109 payment localities, the office rate for 64455 runs from $45.67 in Arkansas to $62.76 in Alaska. Alabama pays $46.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

64455 in Alabama vs other payment areas
  1. Alabama · this page$46.16
  2. Los Angeles, CA · California$54.59+$8.43
  3. Washington, DC area · District of Columbia$55.84+$9.68
  4. Miami, FL · Florida$54.63+$8.47
  5. Chicago, IL · Illinois$53.42+$7.26
  6. Manhattan, NY · New York$56.82+$10.66
  7. Alaska · Alaska$62.76+$16.60

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

64455 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$45.67$28.46
ArizonaArizona$49.04$29.62
Bakersfield, CACalifornia$51.89$29.93
Chico, CACalifornia$51.68$29.71
El Centro, CACalifornia$51.69$29.72
Fresno, CACalifornia$51.68$29.71
Hanford, CACalifornia$51.68$29.71
Madera, CACalifornia$51.68$29.71

64455 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$45.67

$62.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
64455 office rate range by state
State / territoryOffice rate rangeLocalities
AK$62.761
AL$46.161
AR$45.671
AZ$49.041
CA$51.68–$62.0329
CO$51.381
CT$52.881
DC$55.841
DE$49.711
FL$50.25–$54.633
GA$48.03–$51.022
GU$52.321
HI$52.321
IA$46.701
ID$47.001
IL$49.38–$53.424
IN$47.191
KS$46.701
KY$47.311
LA$47.31–$49.042
MA$51.26–$55.382
MD$50.43–$55.843
ME$47.35–$49.032
MI$48.37–$50.892
MN$49.131
MO$46.81–$48.983
MS$46.241
MT$50.101
NC$47.691
ND$48.711
NE$46.851
NH$50.771
NJ$53.45–$55.542
NM$48.631
NV$49.731
NY$48.24–$58.085
OH$48.091
OK$47.081
OR$49.31–$52.492
PA$48.06–$51.952
PR$50.321
RI$51.081
SC$47.971
SD$48.551
TN$46.891
TX$47.83–$51.248
UT$48.461
VA$49.02–$55.842
VI$50.321
VT$48.711
WA$51.10–$56.202
WI$47.501
WV$48.051
WY$49.491

See 64455 in every payment locality

How the 64455 rate is calculated

Each of 64455’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.

How the rate is built · 64455

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense0.70

0.70 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.5000

Conversion factor

$33.4009

Medicare rate

$50.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,116

Code
64455
Physician work
0.73
Practice expense
0.70
Malpractice
0.07

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 64455 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0000.7300
Practice expense0.70× 0.8750.6125
Malpractice0.07× 0.5660.0396
Total RVUs1.3821
Conversion factor× 33.4009

Office rate, Alabama$46.16

Office: (0.73 × 1 + 0.7 × 0.875 + 0.07 × 0.566) × $33.4009 = $46.16

Facility: (0.73 × 1 + 0.1 × 0.875 + 0.07 × 0.566) × $33.4009 = $28.63

Open 64455 in the RVU calculator

Payment rules and modifiers for 64455

The CMS indicators that decide how 64455 is paid alongside other services.

CMS payment indicators · 64455

Nerve injection, plantar common digital nerve

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

64455 without 50 · national office

$50.10

Nerve injection, plantar common digital nerve

64455-50 · Bilateral: 150%

$75.15

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 64455

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

Codes related to 64455
CodeHow it relatesOffice range, Alabama
Used instead
64450Nerve block, other peripheral nerve or branchFor injection of another peripheral nerve or branch rather than a plantar common digital nerve.$73.05
64632Nerve destruction, plantar common digital nerveNeurolytic destruction of a plantar common digital nerve is a different treatment method.$82.99
28080Neuroma excision, single interdigital nerveSurgical excision of an interdigital neuroma treats the condition by removal rather than injection.$493.12

How 64455 has changed in Alabama

64455 · Office / nonfacility

$46.16

Effective 2026-10-01

The base rate is $1.57 higher than on 2025-10-01, moving from $44.59 to $46.16 (3.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $44.59changed to$46.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 0.69 changed to 0.70
    • Malpractice RVU 0.05 changed to 0.07
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $46.07changed to$44.59

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $45.32changed to$46.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $46.87changed to$45.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.67 changed to 0.69
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575

  5. January 1, 2023

    RVU23A

    $48.16changed to$46.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.65 changed to 0.67
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $46.99changed to$48.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.62 changed to 0.65
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $46.89changed to$46.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.57 changed to 0.62
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.73changed to$46.89

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.55 changed to 0.57
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $45.68changed to$45.73

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$45.68

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$46.16$28.63RVU26D
2026-07-01$46.16$28.63RVU26C
2026-04-01$46.16$28.63RVU26B
2026-01-01$46.16$28.63RVU26A
2025-10-01$44.59$30.53RVU25D
2025-07-01$44.59$30.53RVU25C
2025-04-01$44.59$30.53RVU25B
2025-01-01$44.59$30.53RVU25A
2024-10-01$46.07$31.32RVU24D
2024-07-01$46.07$31.32RVU24C
2024-04-01$46.07$31.32RVU24B
2024-03-09$46.07$31.32RVU24AR
2024-01-01$45.32$30.81RVU24A
2023-10-01$46.87$32.29RVU23D
2023-07-01$46.87$32.29RVU23C
2023-04-01$46.87$32.29RVU23B
2023-01-01$46.87$32.29RVU23A
2022-10-01$48.16$33.41RVU22D
2022-07-01$48.16$33.41RVU22C
2022-04-01$48.16$33.41RVU22B
2022-01-01$48.16$33.41RVU22A
2021-10-01$46.99$33.35RVU21D
2021-07-01$46.99$33.35RVU21C
2021-04-01$46.99$33.35RVU21B
2021-01-01$46.99$33.35RVU21A
2020-10-01$46.89$34.69RVU20D
2020-07-01$46.89$34.69RVU20C
2020-04-01$46.89$34.69RVU20B
2020-01-01$46.89$34.69RVU20A
2019-10-01$45.73$34.19RVU19D
2019-07-01$45.73$34.19RVU19C
2019-04-01$45.73$34.19RVU19B
2019-01-01$45.73$34.19RVU19A
2018-10-01$45.68$34.15RVU18D
2018-07-01$45.68$34.15RVU18C
2018-04-01$45.68$34.15RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 64455 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

64455 billing questions

When should 64455 be used instead of 64450?

Use 64455 for an injection targeting a plantar common digital nerve, such as for Morton's neuroma. Use 64450 when the injected peripheral nerve or branch is not one of those nerves.

Is this code limited to steroid injections?

No. The service may involve anesthetic, steroid, or both. Document the medication administered and the plantar common digital nerve treated.

How is bilateral treatment reported?

CMS recognizes bilateral reporting with modifier 50 and pays it at 150%. Document the treated nerve and side for each foot.

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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

Show the CMS file lines behind this rate
RVUs for 64455PPRRVU2026_Oct_nonQPP.csv, line 7,116 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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