CPT code 64629: Basivertebral nerve ablation, each additional vertebral body2026 Medicare rate & RVUs in Puerto Rico
Report this add-on for each additional lumbar or sacral vertebral body treated with intraosseous basivertebral nerve ablation beyond the first two.
In Puerto Rico, Medicare pays $167.49 for 64629 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64629 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 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.
How Puerto Rico compares for 64629
Across 109 of 109 payment localities, the facility rate for 64629 runs from $156.59 in Arkansas to $224.99 in Alaska. Puerto Rico pays $167.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$167.49
- Los Angeles, CA · California$173.75+$6.26
- Washington, DC area · District of Columbia$181.04+$13.55
- Miami, FL · Florida$188.54+$21.05
- Chicago, IL · Illinois$185.23+$17.74
- Manhattan, NY · New York$187.92+$20.43
- Alaska · Alaska$224.99+$57.50
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $157.76 |
| ArkansasArkansas | — | $156.59 |
| ArizonaArizona | — | $164.49 |
| Bakersfield, CACalifornia | — | $167.59 |
| Chico, CACalifornia | — | $166.40 |
| El Centro, CACalifornia | — | $166.46 |
| Fresno, CACalifornia | — | $166.40 |
| Hanford, CACalifornia | — | $166.40 |
| Madera, CACalifornia | — | $166.40 |
| Merced, CACalifornia | — | $166.40 |
| Modesto, CACalifornia | — | $166.40 |
| Napa, CACalifornia | — | $178.66 |
| Oxnard, CACalifornia | — | $171.58 |
| Redding, CACalifornia | — | $166.40 |
| Rest of CaliforniaCalifornia | — | $166.40 |
| Riverside, CACalifornia | — | $170.65 |
| Sacramento, CACalifornia | — | $170.84 |
| Salinas, CACalifornia | — | $170.10 |
| San Diego, CACalifornia | — | $171.21 |
| Marin County, CACalifornia | — | $184.84 |
| San Francisco, CACalifornia | — | $184.40 |
| San Benito County, CACalifornia | — | $188.69 |
| Santa Clara County, CACalifornia | — | $186.88 |
| San Luis Obispo, CACalifornia | — | $167.75 |
| Santa Cruz, CACalifornia | — | $170.63 |
| Santa Maria, CACalifornia | — | $169.95 |
| Santa Rosa, CACalifornia | — | $172.14 |
| Stockton, CACalifornia | — | $166.40 |
| Vallejo, CACalifornia | — | $178.02 |
| Visalia, CACalifornia | — | $166.40 |
| Yuba City, CACalifornia | — | $166.40 |
| ColoradoColorado | — | $167.97 |
| ConnecticutConnecticut | — | $174.95 |
| DelawareDelaware | — | $166.26 |
| Fort Lauderdale, FLFlorida | — | $178.27 |
| Rest of FloridaFlorida | — | $172.51 |
| Atlanta, GAGeorgia | — | $170.83 |
| Rest of GeorgiaGeorgia | — | $166.45 |
| Hawaii, Guam, HIHawaii | — | $166.16 |
| IowaIowa | — | $156.81 |
| IdahoIdaho | — | $157.96 |
| East St. Louis, ILIllinois | — | $178.04 |
| Rest of IllinoisIllinois | — | $171.94 |
| Suburban Chicago, ILIllinois | — | $179.10 |
| IndianaIndiana | — | $158.35 |
| KansasKansas | — | $157.86 |
| KentuckyKentucky | — | $162.75 |
| New Orleans, LALouisiana | — | $167.26 |
| Rest of LouisianaLouisiana | — | $163.18 |
| Metropolitan Boston, MAMassachusetts | — | $177.04 |
| Rest of MassachusettsMassachusetts | — | $168.32 |
| Baltimore area, MDMaryland | — | $174.68 |
| Rest of MarylandMaryland | — | $167.88 |
| Rest of MaineMaine | — | $159.90 |
| Southern Maine, MEMaine | — | $162.25 |
| Detroit, MIMichigan | — | $175.18 |
| Rest of MichiganMichigan | — | $166.29 |
| MinnesotaMinnesota | — | $159.08 |
| Metropolitan Kansas City, MOMissouri | — | $165.12 |
| Metropolitan St. Louis, MOMissouri | — | $165.86 |
| Rest of MissouriMissouri | — | $162.67 |
| MississippiMississippi | — | $159.57 |
| MontanaMontana | — | $167.31 |
| North CarolinaNorth Carolina | — | $160.53 |
| North DakotaNorth Dakota | — | $159.60 |
| NebraskaNebraska | — | $156.82 |
| New HampshireNew Hampshire | — | $167.00 |
| Northern New JerseyNew Jersey | — | $180.99 |
| Rest of New JerseyNew Jersey | — | $176.41 |
| New MexicoNew Mexico | — | $167.35 |
| NevadaNevada | — | $165.19 |
| NYC suburbs and Long Island, NYNew York | — | $192.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $178.59 |
| Queens, NYNew York | — | $186.68 |
| Rest of New YorkNew York | — | $161.90 |
| OhioOhio | — | $164.71 |
| OklahomaOklahoma | — | $161.07 |
| Portland, OROregon | — | $169.46 |
| Rest of OregonOregon | — | $163.34 |
| Metropolitan Philadelphia, PAPennsylvania | — | $173.35 |
| Rest of PennsylvaniaPennsylvania | — | $164.05 |
| Rhode IslandRhode Island | — | $169.30 |
| South CarolinaSouth Carolina | — | $163.00 |
| South DakotaSouth Dakota | — | $158.69 |
| TennesseeTennessee | — | $158.45 |
| Austin, TXTexas | — | $167.92 |
| Beaumont, TXTexas | — | $163.59 |
| Brazoria, TXTexas | — | $165.17 |
| Dallas, TXTexas | — | $166.47 |
| Fort Worth, TXTexas | — | $166.32 |
| Galveston, TXTexas | — | $165.86 |
| Houston, TXTexas | — | $173.00 |
| Rest of TexasTexas | — | $164.47 |
| UtahUtah | — | $164.13 |
| VirginiaVirginia | — | $162.98 |
| Virgin Islands, VIUnited States Virgin Islands | — | $167.49 |
| VermontVermont | — | $160.59 |
| Rest of WashingtonWashington | — | $167.49 |
| King County, WAWashington | — | $178.23 |
| WisconsinWisconsin | — | $157.01 |
| West VirginiaWest Virginia | — | $168.84 |
| WyomingWyoming | — | $163.95 |
64629 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,177
- Code
- 64629
- Physician work
- 3.68
- Practice expense
- 0.94
- Malpractice
- 0.39
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.68 | × 1.000 | 3.6800 |
| Practice expense | 0.94 | × 1.011 | 0.9503 |
| Malpractice | 0.39 | × 0.985 | 0.3841 |
| Total RVUs | 5.0145 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$167.49
Facility: (3.68 × 1 + 0.94 × 1.011 + 0.39 × 0.985) × $33.4009 = $167.49
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 64629 has changed in Puerto Rico
64629 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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, 2022
RVU22A
No ratechanged toNo rate
Held through RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
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, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $167.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $167.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $167.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $167.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $188.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $188.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $188.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $188.37 | RVU25A |
| 2024-10-01 | Not available in this setting | $194.80 | RVU24D |
| 2024-07-01 | Not available in this setting | $194.80 | RVU24C |
| 2024-04-01 | Not available in this setting | $194.80 | RVU24B |
| 2024-03-09 | Not available in this setting | $194.80 | RVU24AR |
| 2024-01-01 | Not available in this setting | $191.62 | RVU24A |
| 2023-10-01 | Not available in this setting | $214.17 | RVU23D |
| 2023-07-01 | Not available in this setting | $214.17 | RVU23C |
| 2023-04-01 | Not available in this setting | $214.17 | RVU23B |
| 2023-01-01 | Not available in this setting | $214.17 | RVU23A |
| 2022-10-01 | Not available in this setting | $220.13 | RVU22D |
| 2022-07-01 | Not available in this setting | $220.13 | RVU22C |
| 2022-04-01 | Not available in this setting | $220.13 | RVU22B |
| 2022-01-01 | Not available in this setting | $220.13 | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | 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 Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
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
Fee sheets · Coming soon
Put 64629 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist