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

In South Dakota, Medicare pays $48.55 for 64455 in the office and $28.51 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $48.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64455 rates by state

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

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.

Payment rules and modifiers for 64455

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

What modifiers do to the payment

When to use modifier 50

Codes related to 64455

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

How 64455 has changed in South Dakota

Price 64455 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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