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

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 Iowa, Medicare pays $249.83 for 64630 in the office and $167.01 when it’s performed in a hospital or facility.

$249.83Office (non-facility)
$167.01Hospital or facility
−8.9%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 Iowa
  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 Iowa 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. Iowa pays $249.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

64630 in Iowa vs other payment areas
  1. Iowa · this page$249.83
  2. Los Angeles, CA · California$300.78+$50.95
  3. Washington, DC area · District of Columbia$309.54+$59.71
  4. Miami, FL · Florida$308.73+$58.90
  5. Chicago, IL · Illinois$299.49+$49.66
  6. Manhattan, NY · New York$316.71+$66.88
  7. Alaska · Alaska$325.76+$75.93

Other areas in Iowa 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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 64630 in Iowa
ComponentRVULocality factorAdjusted
Physician work2.97× 1.0002.9700
Practice expense4.69× 0.9154.2914
Malpractice0.55× 0.3970.2184
Total RVUs7.4797
Conversion factor× 33.4009

Office rate, Iowa$249.83

Office: (2.97 × 1 + 4.69 × 0.915 + 0.55 × 0.397) × $33.4009 = $249.83

Facility: (2.97 × 1 + 1.98 × 0.915 + 0.55 × 0.397) × $33.4009 = $167.01

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, Iowa
Used instead
64430Nerve block, pudendal nervePudendal nerve injection for blockade rather than intentional neurolytic destruction.$88.59
64640Nerve treatment, other peripheral nerve or branchNeurolytic treatment of another peripheral nerve or branch not covered by a more specific code.$246.47
64620Nerve neurolysis, intercostal nerveNeurolytic treatment directed to an intercostal nerve rather than the pudendal nerve.$208.38

How 64630 has changed in Iowa

64630 · Office / nonfacility

$249.83

Effective 2026-10-01

The base rate is $19.75 higher than on 2025-10-01, moving from $230.08 to $249.83 (8.6%).

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

    $230.08changed to$249.83

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $235.56changed to$230.08

    • 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

    $231.72changed to$235.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $237.10changed to$231.72

    • 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
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $244.38changed to$237.10

    • 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
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $239.20changed to$244.38

    • 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

    $230.26changed to$239.20

    • 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
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $224.37changed to$230.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.31 changed to 3.48
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $216.74changed to$224.37

    • 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

    $216.56changed to$216.74

    • 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
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $217.74changed to$216.56

    • 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
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $219.31changed to$217.74

    • 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

    $218.22changed to$219.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $213.29changed to$218.22

    • 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 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $195.96changed to$213.29

    • 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 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $195.96

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$249.83$167.01RVU26D
2026-07-01$249.83$167.01RVU26C
2026-04-01$249.83$167.01RVU26B
2026-01-01$249.83$167.01RVU26A
2025-10-01$230.08$173.09RVU25D
2025-07-01$230.08$173.09RVU25C
2025-04-01$230.08$173.09RVU25B
2025-01-01$230.08$173.09RVU25A
2024-10-01$235.56$175.69RVU24D
2024-07-01$235.56$175.69RVU24C
2024-04-01$235.56$175.69RVU24B
2024-03-09$235.56$175.69RVU24AR
2024-01-01$231.72$172.82RVU24A
2023-10-01$237.10$176.97RVU23D
2023-07-01$237.10$176.97RVU23C
2023-04-01$237.10$176.97RVU23B
2023-01-01$237.10$176.97RVU23A
2022-10-01$244.38$180.35RVU22D
2022-07-01$244.38$180.35RVU22C
2022-04-01$244.38$180.35RVU22B
2022-01-01$244.38$180.35RVU22A
2021-10-01$239.20$179.71RVU21D
2021-07-01$239.20$179.71RVU21C
2021-04-01$239.20$179.71RVU21B
2021-01-01$239.20$179.71RVU21A
2020-10-01$230.26$181.16RVU20D
2020-07-01$230.26$181.16RVU20C
2020-04-01$230.26$181.16RVU20B
2020-01-01$230.26$181.16RVU20A
2019-10-01$224.37$181.87RVU19D
2019-07-01$224.37$181.87RVU19C
2019-04-01$224.37$181.87RVU19B
2019-01-01$224.37$181.87RVU19A
2018-10-01$216.74$181.80RVU18D
2018-07-01$216.74$181.80RVU18C
2018-04-01$216.74$181.80RVU18B
2018-01-01$216.74$181.80RVU18AR1
2017-10-01$216.56$181.60RVU17D
2017-07-01$216.56$181.60RVU17C
2017-04-01$216.56$181.60RVU17B
2017-01-01$216.56$181.60RVU17A
2016-10-01$217.74$182.77RVU16D
2016-07-01$217.74$182.77RVU16C
2016-04-01$217.74$182.77RVU16B
2016-01-01$217.74$182.77RVU16A
2015-10-01$219.31$183.89RVU15D
2015-07-01$219.31$183.89RVU15C
2015-04-01$218.22$182.98RVU15B
2015-01-01$218.22$182.98RVU15A
2014-10-01$213.29$179.74RVU14D
2014-07-01$213.29$179.74RVU14C
2014-04-01$213.29$179.74RVU14B
2014-01-01$213.29$179.74RVU14A
2013-10-01$195.96$166.38RVU13D
2013-07-01$195.96$166.38RVU13C
2013-04-01$195.96$166.38RVU13B
2013-01-01$195.96$166.38RVU13AR

Price 64630 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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