CPT code 64625: Radiofrequency ablation, SI-joint innervation2026 Medicare rate & RVUs in New Mexico
Reports image-guided radiofrequency ablation of nerves supplying the sacroiliac joint to treat pain attributed to that joint’s innervation.
In New Mexico, Medicare pays $466.84 for 64625 in the office and $174.33 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64625 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 64625 covers
This procedure uses radiofrequency energy to create lesions in nerves that carry pain signals from the sacroiliac joint. Pain medicine physicians, anesthesiologists, and other clinicians who perform image-guided interventions may use it for persistent SI-joint-related pain after evaluation, often including diagnostic nerve blocks. Fluoroscopy or CT guidance is part of the service; the code covers placement of needles at multiple target nerves, including sacral lateral branches.
Report the service for ablation of nerves innervating the SI joint, not for an SI-joint injection or ablation of lumbar facet nerves. The procedure note should identify the treated side and targets, describe the ablation and imaging guidance, and support the relationship of the treated nerves to the patient’s SI-joint pain. Related postoperative visits are included in the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 reports a bilateral procedure and is paid at 150%. Assistant-at-surgery payment is restricted; 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 New Mexico compares for 64625
Across 109 of 109 payment localities, the office rate for 64625 runs from $437.58 in Arkansas to $668.06 in San Benito County, CA. New Mexico pays $466.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$466.84
- Los Angeles, CA · California$564.96+$98.12
- Washington, DC area · District of Columbia$569.47+$102.63
- Miami, FL · Florida$527.86+$61.02
- Chicago, IL · Illinois$512.59+$45.75
- Manhattan, NY · New York$569.81+$102.97
- Alaska · Alaska$570.31+$103.47
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $444.12 | $165.02 |
| ArkansasArkansas | $437.58 | $163.57 |
| ArizonaArizona | $482.49 | $173.40 |
| Bakersfield, CACalifornia | $529.37 | $179.77 |
| Chico, CACalifornia | $528.35 | $178.75 |
| El Centro, CACalifornia | $528.40 | $178.80 |
| Fresno, CACalifornia | $528.35 | $178.75 |
| Hanford, CACalifornia | $528.35 | $178.75 |
| Madera, CACalifornia | $528.35 | $178.75 |
| Merced, CACalifornia | $528.35 | $178.75 |
| Modesto, CACalifornia | $528.35 | $178.75 |
| Napa, CACalifornia | $616.17 | $195.76 |
| Oxnard, CACalifornia | $562.69 | $185.66 |
| Redding, CACalifornia | $528.35 | $178.75 |
| Rest of CaliforniaCalifornia | $528.35 | $178.75 |
| Riverside, CACalifornia | $531.95 | $182.35 |
| Sacramento, CACalifornia | $555.51 | $184.54 |
| Salinas, CACalifornia | $553.46 | $183.77 |
| San Diego, CACalifornia | $567.26 | $185.76 |
| Marin County, CACalifornia | $653.59 | $203.83 |
| San Francisco, CACalifornia | $653.21 | $203.45 |
| San Benito County, CACalifornia | $668.06 | $208.10 |
| Santa Clara County, CACalifornia | $666.53 | $206.56 |
| San Luis Obispo, CACalifornia | $544.43 | $181.12 |
| Santa Cruz, CACalifornia | $573.31 | $185.75 |
| Santa Maria, CACalifornia | $555.75 | $183.82 |
| Santa Rosa, CACalifornia | $579.16 | $187.46 |
| Stockton, CACalifornia | $528.35 | $178.75 |
| Vallejo, CACalifornia | $615.63 | $195.22 |
| Visalia, CACalifornia | $528.35 | $178.75 |
| Yuba City, CACalifornia | $528.35 | $178.75 |
| ColoradoColorado | $518.52 | $179.13 |
| ConnecticutConnecticut | $529.00 | $185.46 |
| DelawareDelaware | $490.62 | $175.47 |
| Fort Lauderdale, FLFlorida | $509.44 | $186.31 |
| Rest of FloridaFlorida | $484.75 | $179.81 |
| Atlanta, GAGeorgia | $504.20 | $180.12 |
| Rest of GeorgiaGeorgia | $457.38 | $172.86 |
| Hawaii, Guam, HIHawaii | $542.28 | $179.60 |
| IowaIowa | $457.23 | $165.36 |
| IdahoIdaho | $459.93 | $166.47 |
| East St. Louis, ILIllinois | $476.92 | $183.46 |
| Rest of IllinoisIllinois | $469.33 | $178.10 |
| Suburban Chicago, ILIllinois | $515.05 | $187.46 |
| IndianaIndiana | $462.70 | $167.00 |
| KansasKansas | $454.29 | $165.93 |
| KentuckyKentucky | $453.21 | $169.64 |
| New Orleans, LALouisiana | $475.10 | $174.94 |
| Rest of LouisianaLouisiana | $452.19 | $169.89 |
| Metropolitan Boston, MAMassachusetts | $571.56 | $190.70 |
| Rest of MassachusettsMassachusetts | $515.03 | $179.14 |
| Baltimore area, MDMaryland | $527.36 | $185.10 |
| Rest of MarylandMaryland | $500.36 | $177.55 |
| Rest of MaineMaine | $461.58 | $168.12 |
| Southern Maine, MEMaine | $488.24 | $172.13 |
| Detroit, MIMichigan | $490.14 | $182.32 |
| Rest of MichiganMichigan | $464.55 | $173.32 |
| MinnesotaMinnesota | $498.76 | $170.53 |
| Metropolitan Kansas City, MOMissouri | $472.60 | $173.08 |
| Metropolitan St. Louis, MOMissouri | $477.74 | $174.07 |
| Rest of MissouriMissouri | $443.76 | $168.80 |
| MississippiMississippi | $440.79 | $166.15 |
| MontanaMontana | $495.65 | $176.67 |
| North CarolinaNorth Carolina | $466.63 | $169.02 |
| North DakotaNorth Dakota | $489.12 | $170.14 |
| NebraskaNebraska | $460.01 | $165.59 |
| New HampshireNew Hampshire | $509.63 | $177.57 |
| Northern New JerseyNew Jersey | $563.24 | $193.22 |
| Rest of New JerseyNew Jersey | $535.58 | $187.25 |
| NevadaNevada | $494.20 | $174.91 |
| NYC suburbs and Long Island, NYNew York | $582.89 | $203.63 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $538.50 | $189.22 |
| Queens, NYNew York | $575.70 | $198.67 |
| Rest of New YorkNew York | $473.69 | $170.66 |
| OhioOhio | $463.21 | $171.98 |
| OklahomaOklahoma | $453.18 | $168.34 |
| Portland, OROregon | $536.14 | $181.76 |
| Rest of OregonOregon | $490.90 | $173.20 |
| Metropolitan Philadelphia, PAPennsylvania | $515.12 | $183.07 |
| Rest of PennsylvaniaPennsylvania | $464.39 | $171.57 |
| Puerto RicoPuerto Rico | $499.62 | $177.13 |
| Rhode IslandRhode Island | $508.92 | $179.42 |
| South CarolinaSouth Carolina | $465.59 | $170.85 |
| South DakotaSouth Dakota | $488.35 | $169.37 |
| TennesseeTennessee | $456.52 | $166.57 |
| Austin, TXTexas | $516.33 | $178.85 |
| Beaumont, TXTexas | $461.22 | $170.95 |
| Brazoria, TXTexas | $490.76 | $174.65 |
| Dallas, TXTexas | $493.60 | $175.90 |
| Fort Worth, TXTexas | $490.01 | $175.49 |
| Galveston, TXTexas | $492.04 | $175.29 |
| Houston, TXTexas | $498.08 | $181.33 |
| Rest of TexasTexas | $475.52 | $172.81 |
| UtahUtah | $472.10 | $172.26 |
| VirginiaVirginia | $486.07 | $172.51 |
| Virgin Islands, VIUnited States Virgin Islands | $499.62 | $177.13 |
| VermontVermont | $486.48 | $170.69 |
| Rest of WashingtonWashington | $514.30 | $178.41 |
| King County, WAWashington | $584.10 | $192.71 |
| WisconsinWisconsin | $472.33 | $166.75 |
| West VirginiaWest Virginia | $451.41 | $174.22 |
| WyomingWyoming | $492.80 | $173.82 |
64625 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.
$437.58
$598.20
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 | $570.31 | 1 |
| AL | $444.12 | 1 |
| AR | $437.58 | 1 |
| AZ | $482.49 | 1 |
| CA | $528.35–$668.06 | 29 |
| CO | $518.52 | 1 |
| CT | $529.00 | 1 |
| DC | $569.47 | 1 |
| DE | $490.62 | 1 |
| FL | $484.75–$527.86 | 3 |
| GA | $457.38–$504.20 | 2 |
| GU | $542.28 | 1 |
| HI | $542.28 | 1 |
| IA | $457.23 | 1 |
| ID | $459.93 | 1 |
| IL | $469.33–$515.05 | 4 |
| IN | $462.70 | 1 |
| KS | $454.29 | 1 |
| KY | $453.21 | 1 |
| LA | $452.19–$475.10 | 2 |
| MA | $515.03–$571.56 | 2 |
| MD | $500.36–$569.47 | 3 |
| ME | $461.58–$488.24 | 2 |
| MI | $464.55–$490.14 | 2 |
| MN | $498.76 | 1 |
| MO | $443.76–$477.74 | 3 |
| MS | $440.79 | 1 |
| MT | $495.65 | 1 |
| NC | $466.63 | 1 |
| ND | $489.12 | 1 |
| NE | $460.01 | 1 |
| NH | $509.63 | 1 |
| NJ | $535.58–$563.24 | 2 |
| NM | $466.84 | 1 |
| NV | $494.20 | 1 |
| NY | $473.69–$582.89 | 5 |
| OH | $463.21 | 1 |
| OK | $453.18 | 1 |
| OR | $490.90–$536.14 | 2 |
| PA | $464.39–$515.12 | 2 |
| PR | $499.62 | 1 |
| RI | $508.92 | 1 |
| SC | $465.59 | 1 |
| SD | $488.35 | 1 |
| TN | $456.52 | 1 |
| TX | $461.22–$516.33 | 8 |
| UT | $472.10 | 1 |
| VA | $486.07–$569.47 | 2 |
| VI | $499.62 | 1 |
| VT | $486.48 | 1 |
| WA | $514.30–$584.10 | 2 |
| WI | $472.33 | 1 |
| WV | $451.41 | 1 |
| WY | $492.80 | 1 |
How the 64625 rate is calculated
Each of 64625’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 · 64625
RVUs × geographic indexes × conversion factor
Work3.31
3.31 RVUs× 1.000 GPCI
Practice expense11.20
11.20 RVUs× 1.000 GPCI
Malpractice0.33
0.33 RVUs× 1.000 GPCI
Adjusted RVUs
14.8400
Conversion factor
$33.4009
Medicare rate
$495.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,175
- Code
- 64625
- Physician work
- 3.31
- Practice expense
- 11.20
- Malpractice
- 0.33
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.31 | × 1.000 | 3.3100 |
| Practice expense | 11.20 | × 0.917 | 10.2704 |
| Malpractice | 0.33 | × 1.201 | 0.3963 |
| Total RVUs | 13.9767 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$466.84
Office: (3.31 × 1 + 11.2 × 0.917 + 0.33 × 1.201) × $33.4009 = $466.84
Facility: (3.31 × 1 + 1.65 × 0.917 + 0.33 × 1.201) × $33.4009 = $174.33
Payment rules and modifiers for 64625
64625 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64625
Radiofrequency ablation, SI-joint innervation
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 64625
Radiofrequency ablation, SI-joint innervation
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 50 · payment effect
With and without the modifier
64625 without 50 · national office
$495.67
Radiofrequency ablation, SI-joint innervation
64625-50 · Bilateral: 150%
$743.51
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).
How 64625 has changed in New Mexico
64625 · Office / nonfacility
$466.84
Effective 2026-10-01
The base rate is $43.92 higher than on 2025-10-01, moving from $422.92 to $466.84 (10.4%).
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
$422.92changed to$466.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.39 changed to 3.31
- Practice expense RVU 10.24 changed to 11.20
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$442.09changed to$422.92
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 10.48 changed to 10.24
- Malpractice RVU 0.32 changed to 0.33
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$434.87changed to$442.09
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$445.87changed to$434.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.44 changed to 10.48
- Malpractice RVU 0.30 changed to 0.32
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$459.31changed to$445.87
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.60 changed to 10.44
- Malpractice RVU 0.33 changed to 0.30
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$478.97changed to$459.31
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 11.12 changed to 10.60
- Malpractice RVU 0.32 changed to 0.33
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$478.07changed to$478.97
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.43 changed to 11.12
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$478.07
Held through RVU20B, RVU20C, RVU20D.
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, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $466.84 | $174.33 | RVU26D |
| 2026-07-01 | $466.84 | $174.33 | RVU26C |
| 2026-04-01 | $466.84 | $174.33 | RVU26B |
| 2026-01-01 | $466.84 | $174.33 | RVU26A |
| 2025-10-01 | $422.92 | $186.19 | RVU25D |
| 2025-07-01 | $422.92 | $186.19 | RVU25C |
| 2025-04-01 | $422.92 | $186.19 | RVU25B |
| 2025-01-01 | $422.92 | $186.19 | RVU25A |
| 2024-10-01 | $442.09 | $189.71 | RVU24D |
| 2024-07-01 | $442.09 | $189.71 | RVU24C |
| 2024-04-01 | $442.09 | $189.71 | RVU24B |
| 2024-03-09 | $442.09 | $189.71 | RVU24AR |
| 2024-01-01 | $434.87 | $186.61 | RVU24A |
| 2023-10-01 | $445.87 | $189.73 | RVU23D |
| 2023-07-01 | $445.87 | $189.73 | RVU23C |
| 2023-04-01 | $445.87 | $189.73 | RVU23B |
| 2023-01-01 | $445.87 | $189.73 | RVU23A |
| 2022-10-01 | $459.31 | $192.65 | RVU22D |
| 2022-07-01 | $459.31 | $192.65 | RVU22C |
| 2022-04-01 | $459.31 | $192.65 | RVU22B |
| 2022-01-01 | $459.31 | $192.65 | RVU22A |
| 2021-10-01 | $478.97 | $191.96 | RVU21D |
| 2021-07-01 | $478.97 | $191.96 | RVU21C |
| 2021-04-01 | $478.97 | $191.96 | RVU21B |
| 2021-01-01 | $478.97 | $191.96 | RVU21A |
| 2020-10-01 | $478.07 | $197.89 | RVU20D |
| 2020-07-01 | $478.07 | $197.89 | RVU20C |
| 2020-04-01 | $478.07 | $197.89 | RVU20B |
| 2020-01-01 | $478.07 | $197.89 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
64625 billing questions
How is 64625 different from 64635?
64625 targets nerves innervating the sacroiliac joint. 64635 targets nerves supplying a lumbar or sacral facet joint, so select according to the joint and nerves treated.
Can imaging guidance be billed separately?
No. Imaging guidance, including fluoroscopy or CT, is included in 64625.
How should a bilateral procedure be reported?
Use modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.
What documentation supports reporting 64625?
Document the SI-joint-related pain indication, treated side and nerve targets, ablation performed, and imaging guidance. The note should distinguish the SI-joint innervation from lumbar facet targets.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How does the multiple-procedure rule affect 64625?
When 64625 is performed with other procedures in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
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
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