CPT code 64620: Nerve neurolysis, intercostal nerve2026 Medicare rate & RVUs in Atlanta, GA
Reports neurolytic treatment of an intercostal nerve, commonly for persistent nerve-related chest wall pain when a temporary block is not the treatment performed.
In Atlanta, GA, Medicare pays $230.40 for 64620 in the office and $171.02 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64620 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64620 covers
This service uses a neurolytic agent to intentionally disrupt an intercostal nerve’s ability to transmit pain signals. Pain medicine physicians and anesthesiologists commonly perform it for persistent intercostal neuralgia, including selected cases of post-thoracotomy or postherpetic pain, in an outpatient procedure setting. The target is an intercostal nerve along the chest wall; this is not a routine temporary anesthetic block or a muscle chemodenervation service.
Report the code when the documented procedure supports neurolytic treatment of an intercostal nerve, rather than temporary pain relief from an anesthetic injection. The record should identify the treated nerve and support the neurolytic intervention. Related postoperative visits are included in the 10-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS indicates modifier 50 is inappropriate. Assistant-at-surgery services are not paid; 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 Atlanta, GA compares for 64620
Across 109 of 109 payment localities, the office rate for 64620 runs from $203.10 in Arkansas to $283.42 in San Benito County, CA. Atlanta, GA pays $230.40. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Atlanta, GA · this page$230.40
- Rest of Georgia · Georgia$215.18−$15.22
- Los Angeles, CA · California$247.49+$17.09
- Washington, DC area · District of Columbia$253.52+$23.12
- Miami, FL · Florida$249.08+$18.68
- Chicago, IL · Illinois$242.62+$12.22
- Manhattan, NY · New York$258.24+$27.84
Other areas in Georgia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $275.26 | $213.01 |
| AlabamaAlabama | $205.62 | $154.48 |
| ArkansasArkansas | $203.10 | $152.89 |
| ArizonaArizona | $220.35 | $163.71 |
| Bakersfield, CACalifornia | $234.36 | $170.29 |
| Chico, CACalifornia | $233.29 | $169.23 |
| El Centro, CACalifornia | $233.35 | $169.29 |
| Fresno, CACalifornia | $233.29 | $169.23 |
| Hanford, CACalifornia | $233.29 | $169.23 |
| Madera, CACalifornia | $233.29 | $169.23 |
| Merced, CACalifornia | $233.29 | $169.23 |
| Modesto, CACalifornia | $233.29 | $169.23 |
| Napa, CACalifornia | $263.83 | $186.79 |
| Oxnard, CACalifornia | $245.66 | $176.57 |
| Redding, CACalifornia | $233.29 | $169.23 |
| Rest of CaliforniaCalifornia | $233.29 | $169.23 |
| Riverside, CACalifornia | $237.20 | $173.13 |
| Sacramento, CACalifornia | $243.09 | $175.11 |
| Salinas, CACalifornia | $242.14 | $174.40 |
| San Diego, CACalifornia | $246.55 | $176.64 |
| Marin County, CACalifornia | $277.26 | $194.84 |
| San Francisco, CACalifornia | $276.85 | $194.43 |
| San Benito County, CACalifornia | $283.42 | $199.14 |
| Santa Clara County, CACalifornia | $281.75 | $197.47 |
| San Luis Obispo, CACalifornia | $238.43 | $171.86 |
| Santa Cruz, CACalifornia | $247.90 | $176.88 |
| Santa Maria, CACalifornia | $242.70 | $174.54 |
| Santa Rosa, CACalifornia | $250.30 | $178.52 |
| Stockton, CACalifornia | $233.29 | $169.23 |
| Vallejo, CACalifornia | $263.24 | $186.20 |
| Visalia, CACalifornia | $233.29 | $169.23 |
| Yuba City, CACalifornia | $233.29 | $169.23 |
| ColoradoColorado | $231.94 | $169.75 |
| ConnecticutConnecticut | $239.41 | $176.45 |
| DelawareDelaware | $223.61 | $165.86 |
| Fort Lauderdale, FLFlorida | $237.06 | $177.85 |
| Rest of FloridaFlorida | $226.58 | $170.70 |
| Hawaii, Guam, HIHawaii | $237.11 | $170.65 |
| IowaIowa | $208.38 | $154.89 |
| IdahoIdaho | $209.89 | $156.11 |
| East St. Louis, ILIllinois | $228.42 | $174.64 |
| Rest of IllinoisIllinois | $222.16 | $168.79 |
| Suburban Chicago, ILIllinois | $238.96 | $178.93 |
| IndianaIndiana | $210.88 | $156.70 |
| KansasKansas | $208.35 | $155.51 |
| KentuckyKentucky | $211.50 | $159.53 |
| New Orleans, LALouisiana | $220.37 | $165.37 |
| Rest of LouisianaLouisiana | $211.53 | $159.80 |
| Metropolitan Boston, MAMassachusetts | $251.53 | $181.74 |
| Rest of MassachusettsMassachusetts | $231.19 | $169.64 |
| Baltimore area, MDMaryland | $238.88 | $176.16 |
| Rest of MarylandMaryland | $227.18 | $168.03 |
| Rest of MaineMaine | $211.68 | $157.90 |
| Southern Maine, MEMaine | $220.28 | $162.35 |
| Detroit, MIMichigan | $229.85 | $173.45 |
| Rest of MichiganMichigan | $216.94 | $163.57 |
| MinnesotaMinnesota | $220.79 | $160.65 |
| Metropolitan Kansas City, MOMissouri | $218.22 | $163.33 |
| Metropolitan St. Louis, MOMissouri | $220.07 | $164.43 |
| Rest of MissouriMissouri | $208.98 | $158.59 |
| MississippiMississippi | $206.03 | $155.70 |
| MontanaMontana | $225.77 | $167.31 |
| North CarolinaNorth Carolina | $213.44 | $158.90 |
| North DakotaNorth Dakota | $218.65 | $160.20 |
| NebraskaNebraska | $209.10 | $155.15 |
| New HampshireNew Hampshire | $229.19 | $168.34 |
| Northern New JerseyNew Jersey | $251.67 | $183.87 |
| Rest of New JerseyNew Jersey | $241.72 | $177.90 |
| New MexicoNew Mexico | $218.28 | $164.68 |
| NevadaNevada | $223.90 | $165.39 |
| NYC suburbs and Long Island, NYNew York | $264.72 | $195.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $243.91 | $179.91 |
| Queens, NYNew York | $258.90 | $189.81 |
| Rest of New YorkNew York | $216.24 | $160.71 |
| OhioOhio | $215.48 | $162.12 |
| OklahomaOklahoma | $210.31 | $158.12 |
| Portland, OROregon | $237.49 | $172.55 |
| Rest of OregonOregon | $221.74 | $163.52 |
| Metropolitan Philadelphia, PAPennsylvania | $234.71 | $173.86 |
| Rest of PennsylvaniaPennsylvania | $215.32 | $161.67 |
| Puerto RicoPuerto Rico | $226.93 | $167.83 |
| Rhode IslandRhode Island | $230.23 | $169.85 |
| South CarolinaSouth Carolina | $214.90 | $160.89 |
| South DakotaSouth Dakota | $217.81 | $159.35 |
| TennesseeTennessee | $209.34 | $156.21 |
| Austin, TXTexas | $231.54 | $169.70 |
| Beaumont, TXTexas | $214.17 | $160.98 |
| Brazoria, TXTexas | $222.82 | $164.90 |
| Dallas, TXTexas | $224.45 | $166.23 |
| Fort Worth, TXTexas | $223.41 | $165.78 |
| Galveston, TXTexas | $223.64 | $165.60 |
| Houston, TXTexas | $230.23 | $172.19 |
| Rest of TexasTexas | $218.53 | $163.05 |
| UtahUtah | $217.39 | $162.44 |
| VirginiaVirginia | $220.22 | $162.76 |
| Virgin Islands, VIUnited States Virgin Islands | $226.93 | $167.83 |
| VermontVermont | $218.65 | $160.79 |
| Rest of WashingtonWashington | $230.48 | $168.93 |
| King County, WAWashington | $255.44 | $183.72 |
| WisconsinWisconsin | $212.45 | $156.45 |
| West VirginiaWest Virginia | $215.31 | $164.51 |
| WyomingWyoming | $222.66 | $164.21 |
64620 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$203.10
$275.26
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $275.26 | 1 |
| AL | $205.62 | 1 |
| AR | $203.10 | 1 |
| AZ | $220.35 | 1 |
| CA | $233.29–$283.42 | 29 |
| CO | $231.94 | 1 |
| CT | $239.41 | 1 |
| DC | $253.52 | 1 |
| DE | $223.61 | 1 |
| FL | $226.58–$249.08 | 3 |
| GA | $215.18–$230.40 | 2 |
| GU | $237.11 | 1 |
| HI | $237.11 | 1 |
| IA | $208.38 | 1 |
| ID | $209.89 | 1 |
| IL | $222.16–$242.62 | 4 |
| IN | $210.88 | 1 |
| KS | $208.35 | 1 |
| KY | $211.50 | 1 |
| LA | $211.53–$220.37 | 2 |
| MA | $231.19–$251.53 | 2 |
| MD | $227.18–$253.52 | 3 |
| ME | $211.68–$220.28 | 2 |
| MI | $216.94–$229.85 | 2 |
| MN | $220.79 | 1 |
| MO | $208.98–$220.07 | 3 |
| MS | $206.03 | 1 |
| MT | $225.77 | 1 |
| NC | $213.44 | 1 |
| ND | $218.65 | 1 |
| NE | $209.10 | 1 |
| NH | $229.19 | 1 |
| NJ | $241.72–$251.67 | 2 |
| NM | $218.28 | 1 |
| NV | $223.90 | 1 |
| NY | $216.24–$264.72 | 5 |
| OH | $215.48 | 1 |
| OK | $210.31 | 1 |
| OR | $221.74–$237.49 | 2 |
| PA | $215.32–$234.71 | 2 |
| PR | $226.93 | 1 |
| RI | $230.23 | 1 |
| SC | $214.90 | 1 |
| SD | $217.81 | 1 |
| TN | $209.34 | 1 |
| TX | $214.17–$231.54 | 8 |
| UT | $217.39 | 1 |
| VA | $220.22–$253.52 | 2 |
| VI | $226.93 | 1 |
| VT | $218.65 | 1 |
| WA | $230.48–$255.44 | 2 |
| WI | $212.45 | 1 |
| WV | $215.31 | 1 |
| WY | $222.66 | 1 |
How the 64620 rate is calculated
Each of 64620’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 · 64620
RVUs × geographic indexes × conversion factor
Work2.82
2.82 RVUs× 1.000 GPCI
Practice expense3.58
3.58 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
6.7600
Conversion factor
$33.4009
Medicare rate
$225.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Atlanta, GA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,173
- Code
- 64620
- Physician work
- 2.82
- Practice expense
- 3.58
- Malpractice
- 0.36
GPCI2026.csv
44
- Locality
- Atlanta, GA
- Physician work
- 1.003
- Practice expense
- 1.016
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.82 | × 1.003 | 2.8285 |
| Practice expense | 3.58 | × 1.016 | 3.6373 |
| Malpractice | 0.36 | × 1.201 | 0.4324 |
| Total RVUs | 6.8981 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Atlanta, GA$230.40
Office: (2.82 × 1.003 + 3.58 × 1.016 + 0.36 × 1.201) × $33.4009 = $230.40
Facility: (2.82 × 1.003 + 1.83 × 1.016 + 0.36 × 1.201) × $33.4009 = $171.02
Payment rules and modifiers for 64620
64620 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64620
Nerve neurolysis, intercostal nerve
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64620
Nerve neurolysis, intercostal nerve
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64620 without 51 · national office
$225.79
Nerve neurolysis, intercostal nerve
64620-51 · Second procedure: 50%
$112.90
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 64620 has changed in Atlanta, GA
64620 · Office / nonfacility
$230.40
Effective 2026-10-01
The base rate is $23.21 higher than on 2025-10-01, moving from $207.19 to $230.40 (11.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$207.19changed to$230.40
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.89 changed to 2.82
- Practice expense RVU 3.13 changed to 3.58
- Malpractice RVU 0.35 changed to 0.36
- Work GPCI 1.000 changed to 1.003
- Practice expense GPCI 0.997 changed to 1.016
- Malpractice GPCI 1.128 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$211.52changed to$207.19
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.09 changed to 3.13
- Malpractice RVU 0.34 changed to 0.35
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$208.06changed to$211.52
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$211.10changed to$208.06
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.00 changed to 3.09
- Practice expense GPCI 0.998 changed to 0.997
- Malpractice GPCI 1.016 changed to 1.128
January 1, 2023
RVU23A
$213.26changed to$211.10
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.98 changed to 3.00
- Malpractice RVU 0.33 changed to 0.34
- Malpractice GPCI 0.904 changed to 1.016
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$214.43changed to$213.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.99 changed to 2.98
- Malpractice RVU 0.30 changed to 0.33
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$214.85changed to$214.43
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.79 changed to 2.99
- Malpractice RVU 0.28 changed to 0.30
- Malpractice GPCI 0.996 changed to 0.904
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$213.48changed to$214.85
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.77 changed to 2.79
- Malpractice RVU 0.25 changed to 0.28
- Practice expense GPCI 0.997 changed to 0.998
- Malpractice GPCI 1.088 changed to 0.996
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$210.71changed to$213.48
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.71 changed to 2.77
- Malpractice RVU 0.24 changed to 0.25
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$210.71
Held through RVU18C, RVU18D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $230.40 | $171.02 | RVU26D |
| 2026-07-01 | $230.40 | $171.02 | RVU26C |
| 2026-04-01 | $230.40 | $171.02 | RVU26B |
| 2026-01-01 | $230.40 | $171.02 | RVU26A |
| 2025-10-01 | $207.19 | $175.27 | RVU25D |
| 2025-07-01 | $207.19 | $175.27 | RVU25C |
| 2025-04-01 | $207.19 | $175.27 | RVU25B |
| 2025-01-01 | $207.19 | $175.27 | RVU25A |
| 2024-10-01 | $211.52 | $178.33 | RVU24D |
| 2024-07-01 | $211.52 | $178.33 | RVU24C |
| 2024-04-01 | $211.52 | $178.33 | RVU24B |
| 2024-03-09 | $211.52 | $178.33 | RVU24AR |
| 2024-01-01 | $208.06 | $175.42 | RVU24A |
| 2023-10-01 | $211.10 | $178.29 | RVU23D |
| 2023-07-01 | $211.10 | $178.29 | RVU23C |
| 2023-04-01 | $211.10 | $178.29 | RVU23B |
| 2023-01-01 | $211.10 | $178.29 | RVU23A |
| 2022-10-01 | $213.26 | $178.72 | RVU22D |
| 2022-07-01 | $213.26 | $178.72 | RVU22C |
| 2022-04-01 | $213.26 | $178.72 | RVU22B |
| 2022-01-01 | $213.26 | $178.72 | RVU22A |
| 2021-10-01 | $214.43 | $178.91 | RVU21D |
| 2021-07-01 | $214.43 | $178.91 | RVU21C |
| 2021-04-01 | $214.43 | $178.91 | RVU21B |
| 2021-01-01 | $214.43 | $178.91 | RVU21A |
| 2020-10-01 | $214.85 | $181.36 | RVU20D |
| 2020-07-01 | $214.85 | $181.36 | RVU20C |
| 2020-04-01 | $214.85 | $181.36 | RVU20B |
| 2020-01-01 | $214.85 | $181.36 | RVU20A |
| 2019-10-01 | $213.48 | $180.79 | RVU19D |
| 2019-07-01 | $213.48 | $180.79 | RVU19C |
| 2019-04-01 | $213.48 | $180.79 | RVU19B |
| 2019-01-01 | $213.48 | $180.79 | RVU19A |
| 2018-10-01 | $210.71 | $178.40 | RVU18D |
| 2018-07-01 | $210.71 | $178.40 | RVU18C |
| 2018-04-01 | $210.71 | $178.40 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Atlanta, GA rate applies
Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.
- Atlanta
- Acworth
- Alpharetta
- 64620 in Auburn · multiple payment areas
- Austell
- Avondale Estates
- Ball Ground
- Belvedere Park
64620 billing questions
How is this different from an intercostal nerve block?
This code describes neurolytic treatment intended to disrupt nerve signaling. CPT 64420 describes an anesthetic injection for an intercostal nerve block, a different method and purpose.
Should modifier 50 be used for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.
What documentation supports reporting this service?
Document the intercostal nerve targeted and the neurolytic treatment performed. The record should distinguish the procedure from a temporary anesthetic nerve block.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure's global payment.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
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
Fee sheets · Coming soon
Put 64620 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist