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

Neurolytic treatment of the pudendal nerve for selected chronic pelvic or perineal pain, reported when the nerve is intentionally destroyed rather than temporarily blocked.

CMS RVU26DEffective Oct 1, 2026One payment locality311 Medicare services in 2024

In Delaware, Medicare pays $270.98 for 64630 in the office and $181.55 when it’s performed in a hospital or facility.

$270.98Office (non-facility)
$181.55Hospital or facility
−1.2%vs the national office rate ($274.22)

Check a contract rate as a % of Medicare · 64630 nationwide

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

We’ll open 64630 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 64630 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Delaware compares for 64630

Across 109 of 109 payment localities, the office rate for 64630 runs from $243.22 in Arkansas to $345.85 in San Benito County, CA. Delaware pays $270.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

64630 in Delaware vs other payment areas
  1. Delaware · this page$270.98
  2. Los Angeles, CA · California$300.78+$29.80
  3. Washington, DC area · District of Columbia$309.54+$38.56
  4. Miami, FL · Florida$308.73+$37.75
  5. Chicago, IL · Illinois$299.49+$28.51
  6. Manhattan, NY · New York$316.71+$45.73
  7. Alaska · Alaska$325.76+$54.78

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

64630 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$246.67$167.47
ArkansasArkansas$243.22$165.47
ArizonaArizona$266.72$179.01
Bakersfield, CACalifornia$283.96$184.76
Chico, CACalifornia$282.42$183.22
El Centro, CACalifornia$282.51$183.31
Fresno, CACalifornia$282.42$183.22
Hanford, CACalifornia$282.42$183.22

64630 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$243.22

$325.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
64630 office rate range by state
State / territoryOffice rate rangeLocalities
AK$325.761
AL$246.671
AR$243.221
AZ$266.721
CA$282.42–$345.8529
CO$281.411
CT$292.131
DC$309.541
DE$270.981
FL$276.57–$308.733
GA$260.83–$280.722
GU$287.951
HI$287.951
IA$249.831
ID$252.011
IL$270.94–$299.494
IN$253.341
KS$250.071
KY$255.271
LA$255.44–$267.482
MA$280.38–$306.662
MD$275.59–$309.543
ME$254.75–$266.032
MI$262.96–$281.342
MN$265.831
MO$252.13–$266.743
MS$247.651
MT$274.181
NC$257.091
ND$263.311
NE$250.731
NH$278.351
NJ$294.38–$306.782
NM$264.911
NV$271.311
NY$260.93–$325.925
OH$260.741
OK$253.361
OR$268.14–$288.492
PA$260.37–$285.982
PR$275.671
RI$279.291
SC$259.561
SD$262.021
TN$251.461
TX$258.82–$281.418
UT$262.951
VA$266.16–$309.542
VI$275.671
VT$263.581
WA$279.42–$311.382
WI$254.931
WV$261.621
WY$269.451

See 64630 in every payment locality

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.

How the rate is built · 64630

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.97

2.97 RVUs× 1.000 GPCI

Practice expense4.69

4.69 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

8.2100

Conversion factor

$33.4009

Medicare rate

$274.22

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,178

Code
64630
Physician work
2.97
Practice expense
4.69
Malpractice
0.55

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 64630 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.97× 1.0052.9848
Practice expense4.69× 0.9884.6337
Malpractice0.55× 0.8990.4945
Total RVUs8.1130
Conversion factor× 33.4009

Office rate, Delaware$270.98

Office: (2.97 × 1.005 + 4.69 × 0.988 + 0.55 × 0.899) × $33.4009 = $270.98

Facility: (2.97 × 1.005 + 1.98 × 0.988 + 0.55 × 0.899) × $33.4009 = $181.55

Open 64630 in the RVU calculator

Payment rules and modifiers for 64630

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

CMS payment indicators · 64630

Nerve neurolysis, pudendal nerve

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 64630

Nerve neurolysis, pudendal 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64630 without 51 · national office

$274.22

Nerve neurolysis, pudendal nerve

64630-51 · Second procedure: 50%

$137.11

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%).

When to use modifier 51

Codes related to 64630

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

Codes related to 64630
CodeHow it relatesOffice range, Delaware
Used instead
64430Nerve block, pudendal nervePudendal nerve injection for blockade rather than intentional neurolytic destruction.$94.94
64640Nerve treatment, other peripheral nerve or branchNeurolytic treatment of another peripheral nerve or branch not covered by a more specific code.$264.77
64620Nerve neurolysis, intercostal nerveNeurolytic treatment directed to an intercostal nerve rather than the pudendal nerve.$223.61

How 64630 has changed in Delaware

64630 · Office / nonfacility

$270.98

Effective 2026-10-01

The base rate is $21.32 higher than on 2025-10-01, moving from $249.66 to $270.98 (8.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $249.66changed to$270.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.05 changed to 2.97
    • Practice expense RVU 4.20 changed to 4.69
    • Malpractice RVU 0.50 changed to 0.55
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $255.60changed to$249.66

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.16 changed to 4.20

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $251.43changed to$255.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $259.86changed to$251.43

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.09 changed to 4.16
    • Malpractice RVU 0.51 changed to 0.50
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $270.88changed to$259.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.17 changed to 4.09
    • Malpractice RVU 0.54 changed to 0.51
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $263.76changed to$270.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.98 changed to 4.17
    • Malpractice RVU 0.46 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $254.10changed to$263.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.48 changed to 3.98
    • Malpractice RVU 0.41 changed to 0.46
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $248.78changed to$254.10

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.31 changed to 3.48
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $240.91changed to$248.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.07 changed to 3.31
    • Malpractice RVU 0.44 changed to 0.41

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $241.64changed to$240.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.08 changed to 3.07
    • Malpractice RVU 0.45 changed to 0.44
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $243.89changed to$241.64

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.13 changed to 3.08
    • Malpractice RVU 0.46 changed to 0.45
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $245.49changed to$243.89

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.16 changed to 3.13
    • Malpractice RVU 0.45 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $244.27changed to$245.49

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $235.48changed to$244.27

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.08 changed to 3.16
    • Malpractice RVU 0.33 changed to 0.45
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $215.09changed to$235.48

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.88 changed to 3.08
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $215.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$270.98$181.55RVU26D
2026-07-01$270.98$181.55RVU26C
2026-04-01$270.98$181.55RVU26B
2026-01-01$270.98$181.55RVU26A
2025-10-01$249.66$187.73RVU25D
2025-07-01$249.66$187.73RVU25C
2025-04-01$249.66$187.73RVU25B
2025-01-01$249.66$187.73RVU25A
2024-10-01$255.60$190.55RVU24D
2024-07-01$255.60$190.55RVU24C
2024-04-01$255.60$190.55RVU24B
2024-03-09$255.60$190.55RVU24AR
2024-01-01$251.43$187.44RVU24A
2023-10-01$259.86$193.32RVU23D
2023-07-01$259.86$193.32RVU23C
2023-04-01$259.86$193.32RVU23B
2023-01-01$259.86$193.32RVU23A
2022-10-01$270.88$198.73RVU22D
2022-07-01$270.88$198.73RVU22C
2022-04-01$270.88$198.73RVU22B
2022-01-01$270.88$198.73RVU22A
2021-10-01$263.76$196.72RVU21D
2021-07-01$263.76$196.72RVU21C
2021-04-01$263.76$196.72RVU21B
2021-01-01$263.76$196.72RVU21A
2020-10-01$254.10$198.83RVU20D
2020-07-01$254.10$198.83RVU20C
2020-04-01$254.10$198.83RVU20B
2020-01-01$254.10$198.83RVU20A
2019-10-01$248.78$201.04RVU19D
2019-07-01$248.78$201.04RVU19C
2019-04-01$248.78$201.04RVU19B
2019-01-01$248.78$201.04RVU19A
2018-10-01$240.91$201.66RVU18D
2018-07-01$240.91$201.66RVU18C
2018-04-01$240.91$201.66RVU18B
2018-01-01$240.91$201.66RVU18AR1
2017-10-01$241.64$201.91RVU17D
2017-07-01$241.64$201.91RVU17C
2017-04-01$241.64$201.91RVU17B
2017-01-01$241.64$201.91RVU17A
2016-10-01$243.89$203.66RVU16D
2016-07-01$243.89$203.66RVU16C
2016-04-01$243.89$203.66RVU16B
2016-01-01$243.89$203.66RVU16A
2015-10-01$245.49$204.74RVU15D
2015-07-01$245.49$204.74RVU15C
2015-04-01$244.27$203.72RVU15B
2015-01-01$244.27$203.72RVU15A
2014-10-01$235.48$196.43RVU14D
2014-07-01$235.48$196.43RVU14C
2014-04-01$235.48$196.43RVU14B
2014-01-01$235.48$196.43RVU14A
2013-10-01$215.09$180.28RVU13D
2013-07-01$215.09$180.28RVU13C
2013-04-01$215.09$180.28RVU13B
2013-01-01$215.09$180.28RVU13AR

Price 64630 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

64630 billing questions

How is 64630 different from a pudendal nerve block?

64630 represents intentional neurolytic treatment of the pudendal nerve. A pudendal block, such as 64430, uses an injection to block nerve signals rather than destroy the nerve.

What documentation supports reporting 64630?

Document the clinical indication, the pudendal nerve as the target, the neurolytic technique and agent, and the treated site.

Should modifier 50 be appended for bilateral treatment?

No. The bilateral adjustment does not apply to 64630, and modifier 50 is inappropriate for this code.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

How does the multiple-procedure rule affect 64630?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. 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
RVUs for 64630PPRRVU2026_Oct_nonQPP.csv, line 7,178 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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