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

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 Washington, DC area, Medicare pays $55.84 for 64455 in the office and $32.24 when it’s performed in a hospital or facility.

$55.84Office (non-facility)
$32.24Hospital or facility
+11.5%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $55.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

64455 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$55.84
  2. Los Angeles, CA · California$54.59−$1.25
  3. Miami, FL · Florida$54.63−$1.21
  4. Chicago, IL · Illinois$53.42−$2.42
  5. Manhattan, NY · New York$56.82+$0.98
  6. Alaska · Alaska$62.76+$6.92
  7. Alabama · Alabama$46.16−$9.68

Other areas in District of Columbia 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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 64455 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0540.7694
Practice expense0.70× 1.1780.8246
Malpractice0.07× 1.1130.0779
Total RVUs1.6719
Conversion factor× 33.4009

Office rate, Washington, DC area$55.84

Office: (0.73 × 1.054 + 0.7 × 1.178 + 0.07 × 1.113) × $33.4009 = $55.84

Facility: (0.73 × 1.054 + 0.1 × 1.178 + 0.07 × 1.113) × $33.4009 = $32.24

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, Washington, DC area
Used instead
64450Nerve block, other peripheral nerve or branchFor injection of another peripheral nerve or branch rather than a plantar common digital nerve.$92.04
64632Nerve destruction, plantar common digital nerveNeurolytic destruction of a plantar common digital nerve is a different treatment method.$101.07
28080Neuroma excision, single interdigital nerveSurgical excision of an interdigital neuroma treats the condition by removal rather than injection.$624.06

How 64455 has changed in Washington, DC area

64455 · Office / nonfacility

$55.84

Effective 2026-10-01

The base rate is $1.70 higher than on 2025-10-01, moving from $54.14 to $55.84 (3.1%).

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

    $54.14changed to$55.84

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $56.10changed to$54.14

    • 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

    $55.18changed to$56.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $56.90changed to$55.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.67 changed to 0.69
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $58.29changed to$56.90

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $56.58changed to$58.29

    • 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

    $56.28changed to$56.58

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $54.86changed to$56.28

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.55 changed to 0.57
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.80changed to$54.86

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $54.73changed to$54.80

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $54.70changed to$54.73

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $54.44changed to$54.70

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $54.17changed to$54.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $54.92changed to$54.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.54 changed to 0.55
    • Malpractice RVU 0.08 changed to 0.05
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $53.89changed to$54.92

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.59 changed to 0.54
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $53.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$55.84$32.24RVU26D
2026-07-01$55.84$32.24RVU26C
2026-04-01$55.84$32.24RVU26B
2026-01-01$55.84$32.24RVU26A
2025-10-01$54.14$34.86RVU25D
2025-07-01$54.14$34.86RVU25C
2025-04-01$54.14$34.86RVU25B
2025-01-01$54.14$34.86RVU25A
2024-10-01$56.10$35.86RVU24D
2024-07-01$56.10$35.86RVU24C
2024-04-01$56.10$35.86RVU24B
2024-03-09$56.10$35.86RVU24AR
2024-01-01$55.18$35.28RVU24A
2023-10-01$56.90$36.75RVU23D
2023-07-01$56.90$36.75RVU23C
2023-04-01$56.90$36.75RVU23B
2023-01-01$56.90$36.75RVU23A
2022-10-01$58.29$37.76RVU22D
2022-07-01$58.29$37.76RVU22C
2022-04-01$58.29$37.76RVU22B
2022-01-01$58.29$37.76RVU22A
2021-10-01$56.58$37.60RVU21D
2021-07-01$56.58$37.60RVU21C
2021-04-01$56.58$37.60RVU21B
2021-01-01$56.58$37.60RVU21A
2020-10-01$56.28$39.53RVU20D
2020-07-01$56.28$39.53RVU20C
2020-04-01$56.28$39.53RVU20B
2020-01-01$56.28$39.53RVU20A
2019-10-01$54.86$39.22RVU19D
2019-07-01$54.86$39.22RVU19C
2019-04-01$54.86$39.22RVU19B
2019-01-01$54.86$39.22RVU19A
2018-10-01$54.80$39.18RVU18D
2018-07-01$54.80$39.18RVU18C
2018-04-01$54.80$39.18RVU18B
2018-01-01$54.80$39.18RVU18AR1
2017-10-01$54.73$39.16RVU17D
2017-07-01$54.73$39.16RVU17C
2017-04-01$54.73$39.16RVU17B
2017-01-01$54.73$39.16RVU17A
2016-10-01$54.70$39.17RVU16D
2016-07-01$54.70$39.17RVU16C
2016-04-01$54.70$39.17RVU16B
2016-01-01$54.70$39.17RVU16A
2015-10-01$54.44$38.85RVU15D
2015-07-01$54.44$38.85RVU15C
2015-04-01$54.17$38.66RVU15B
2015-01-01$54.17$38.66RVU15A
2014-10-01$54.92$39.84RVU14D
2014-07-01$54.92$39.84RVU14C
2014-04-01$54.92$39.84RVU14B
2014-01-01$54.92$39.84RVU14A
2013-10-01$53.89$38.00RVU13D
2013-07-01$53.89$38.00RVU13C
2013-04-01$53.89$38.00RVU13B
2013-01-01$53.89$38.00RVU13AR

Price 64455 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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