CPT code 64630: Nerve neurolysis, pudendal nerve2026 Medicare rate & RVUs

Medicare pays $274.22 for 64630 nationally in the office and $183.70 in a hospital or facility. Local office rates run $243.22–$345.85.

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

What 64630 covers

This procedure uses a neurolytic agent to intentionally damage the pudendal nerve, typically as an intervention for persistent pudendal neuralgia or related chronic pelvic or perineal pain. Pain-management physicians commonly perform it in an office-based procedure suite or a facility. It differs from a pudendal nerve block, which delivers medication to block nerve signals without the same intent to destroy the nerve.

Report 64630 when documentation identifies the pudendal nerve as the target and supports neurolytic treatment, including the indication, technique, and treated site. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; 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.

Where 64630 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

64630 rates by state

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

How the 64630 rate is calculated

Each of 64630’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 64630

64630 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

64630 compared with similar codes

How to choose

64430Nerve blockPudendal nerve

Use 64430 for pudendal nerve injection intended to provide a nerve block. Use 64630 when the documented procedure intentionally destroys the pudendal nerve with a neurolytic agent.

64640Nerve treatmentOther peripheral nerve or branch

64640 applies to neurolytic treatment of other peripheral nerves or branches when a more specific nerve code does not describe the target. 64630 identifies the pudendal nerve specifically.

64620Nerve neurolysisIntercostal nerve

64620 is for neurolytic treatment of an intercostal nerve. 64630 is specific to neurolytic treatment of the pudendal nerve.

Codes related to 64630

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

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