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CPT code 64629: Basivertebral nerve ablation, each additional vertebral body2026 Medicare rate & RVUs

Report this add-on for each additional lumbar or sacral vertebral body treated with intraosseous basivertebral nerve ablation beyond the first two.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.3K Medicare services in 2024

Medicare pays $167.34 for 64629 nationally in a facility.

Medicare rate · 64629

Basivertebral nerve ablation, each additional vertebral body

Office or facility?

Work RVUs
3.68
Total RVUs
5.01
Global days
ZZZ

National rate · 2026

$167.34

Facility setting, before claim adjustments.

See every locality for 64629 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64629 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64629 covers

This add-on captures treatment of an additional lumbar or sacral vertebral body during intraosseous basivertebral nerve ablation. Interventional pain physicians and spine specialists typically perform the procedure for selected patients with vertebrogenic low back pain. Imaging guidance used to perform the ablation is included in the service.

Report 64629 with the primary code 64628, which covers treatment of the first two vertebral bodies. Assign one unit for each additional body treated and document the treated vertebral levels, the clinical indication, and the procedure performed. CMS classifies 64629 as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.

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.

Where 64629 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64629 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$157.76
AlaskaUnavailable$224.99
ArizonaUnavailable$164.49
ArkansasUnavailable$156.59
Atlanta, GAUnavailable$170.83
Austin, TXUnavailable$167.92
Bakersfield, CAUnavailable$167.59
Baltimore area, MDUnavailable$174.68
Beaumont, TXUnavailable$163.59
Brazoria, TXUnavailable$165.17

64629 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

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

View every state and territory as a table
64629 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 64629 rate is calculated

Each of 64629’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 · 64629

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.68

3.68 RVUs× 1.000 GPCI

Practice expense0.94

0.94 RVUs× 1.000 GPCI

Malpractice0.39

0.39 RVUs× 1.000 GPCI

Adjusted RVUs

5.0100

Conversion factor

$33.4009

Medicare rate

$167.34

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

Payment rules and modifiers for 64629

The CMS indicators that decide how 64629 is paid alongside other services.

CMS payment indicators · 64629

Basivertebral nerve ablation, each additional vertebral body

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

64629 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64629

    Basivertebral nerve ablation, each additional vertebral body3.68 wRVU

    Not priced

  • 64628

    Basivertebral ablation, first two lumbar or sacral bodies6.97 wRVU

    Not priced

  • 64635

    Facet nerve ablation, first lumbar or sacral joint3.24 wRVU

    $464.94

  • 64625

    Radiofrequency ablation, SI-joint innervation3.31 wRVU

    $495.67

How to choose

64628Basivertebral ablationFirst two lumbar or sacral bodies
64628 reports treatment of the first two lumbar or sacral vertebral bodies; 64629 is added for each body treated beyond those first two.
64635Facet nerve ablationFirst lumbar or sacral joint
64635 addresses lumbar or sacral facet joint nerve ablation. Use 64629 for additional vertebral bodies treated with intraosseous basivertebral nerve ablation.
64625Radiofrequency ablationSI-joint innervation
64625 is for radiofrequency ablation of nerves associated with the sacroiliac joint; 64629 concerns additional lumbar or sacral vertebral bodies.

Codes related to 64629

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

Codes related to 64629
CodeHow it relatesNational office range
Primary code
64628Basivertebral ablation, first two lumbar or sacral bodiesPrimary code for ablation of the first two lumbar or sacral vertebral bodies.No office rate
Used instead
64635Facet nerve ablation, first lumbar or sacral jointLumbar or sacral facet joint nerve ablation targets a different pain source.$411.31–$625.74
64625Radiofrequency ablation, SI-joint innervationRadiofrequency ablation for sacroiliac joint nerve targets differs from vertebral body treatment.$437.58–$668.06

64629 billing questions

When is 64629 reported instead of 64628?

64628 covers the first two treated vertebral bodies. Report 64629 for each additional lumbar or sacral vertebral body treated in the same procedure.

Can 64629 be billed by itself?

No. It is an add-on code and must be reported with the primary procedure, 64628.

How many units of 64629 should be reported?

Report one unit for each treated vertebral body beyond the first two. The record should identify the additional treated level or levels.

Can imaging guidance for the ablation be billed separately?

Imaging guidance used to perform this ablation is included in the service. Do not separately report that guidance as part of the same ablation.

What documentation supports 64629?

Document the indication, the vertebral bodies treated, and that the service was an intraosseous basivertebral nerve ablation. The record should make clear which body or bodies were additional to those covered by 64628.

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 64629PPRRVU2026_Oct_nonQPP.csv, line 7,177 (RVU26D)

Open CMS sourceHow we calculate rates

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