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

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 South Carolina, Medicare pays $259.56 for 64630 in the office and $175.92 when it’s performed in a hospital or facility.

$259.56Office (non-facility)
$175.92Hospital or facility
−5.3%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 South Carolina
  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 South Carolina 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. South Carolina pays $259.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

64630 in South Carolina vs other payment areas
  1. South Carolina · this page$259.56
  2. Los Angeles, CA · California$300.78+$41.22
  3. Washington, DC area · District of Columbia$309.54+$49.98
  4. Miami, FL · Florida$308.73+$49.17
  5. Chicago, IL · Illinois$299.49+$39.93
  6. Manhattan, NY · New York$316.71+$57.15
  7. Alaska · Alaska$325.76+$66.20

Other areas in South Carolina 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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 64630 in South Carolina
ComponentRVULocality factorAdjusted
Physician work2.97× 1.0002.9700
Practice expense4.69× 0.9244.3336
Malpractice0.55× 0.8500.4675
Total RVUs7.7711
Conversion factor× 33.4009

Office rate, South Carolina$259.56

Office: (2.97 × 1 + 4.69 × 0.924 + 0.55 × 0.85) × $33.4009 = $259.56

Facility: (2.97 × 1 + 1.98 × 0.924 + 0.55 × 0.85) × $33.4009 = $175.92

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, South Carolina
Used instead
64430Nerve block, pudendal nervePudendal nerve injection for blockade rather than intentional neurolytic destruction.$90.79
64640Nerve treatment, other peripheral nerve or branchNeurolytic treatment of another peripheral nerve or branch not covered by a more specific code.$251.56
64620Nerve neurolysis, intercostal nerveNeurolytic treatment directed to an intercostal nerve rather than the pudendal nerve.$214.90

How 64630 has changed in South Carolina

64630 · Office / nonfacility

$259.56

Effective 2026-10-01

The base rate is $23.65 higher than on 2025-10-01, moving from $235.91 to $259.56 (10.0%).

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

    $235.91changed to$259.56

    • 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 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $241.55changed to$235.91

    • 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

    $237.61changed to$241.55

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $242.27changed to$237.61

    • 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 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $248.85changed to$242.27

    • 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 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $242.98changed to$248.85

    • 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

    $233.22changed to$242.98

    • 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
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $226.88changed to$233.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.31 changed to 3.48
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $219.35changed to$226.88

    • 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

    $220.51changed to$219.35

    • 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
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $223.18changed to$220.51

    • 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
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $224.72changed to$223.18

    • 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

    $223.60changed to$224.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $217.08changed to$223.60

    • 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 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $198.85changed to$217.08

    • 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 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $198.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$259.56$175.92RVU26D
2026-07-01$259.56$175.92RVU26C
2026-04-01$259.56$175.92RVU26B
2026-01-01$259.56$175.92RVU26A
2025-10-01$235.91$178.91RVU25D
2025-07-01$235.91$178.91RVU25C
2025-04-01$235.91$178.91RVU25B
2025-01-01$235.91$178.91RVU25A
2024-10-01$241.55$181.68RVU24D
2024-07-01$241.55$181.68RVU24C
2024-04-01$241.55$181.68RVU24B
2024-03-09$241.55$181.68RVU24AR
2024-01-01$237.61$178.72RVU24A
2023-10-01$242.27$182.27RVU23D
2023-07-01$242.27$182.27RVU23C
2023-04-01$242.27$182.27RVU23B
2023-01-01$242.27$182.27RVU23A
2022-10-01$248.85$185.10RVU22D
2022-07-01$248.85$185.10RVU22C
2022-04-01$248.85$185.10RVU22B
2022-01-01$248.85$185.10RVU22A
2021-10-01$242.98$183.75RVU21D
2021-07-01$242.98$183.75RVU21C
2021-04-01$242.98$183.75RVU21B
2021-01-01$242.98$183.75RVU21A
2020-10-01$233.22$184.12RVU20D
2020-07-01$233.22$184.12RVU20C
2020-04-01$233.22$184.12RVU20B
2020-01-01$233.22$184.12RVU20A
2019-10-01$226.88$184.15RVU19D
2019-07-01$226.88$184.15RVU19C
2019-04-01$226.88$184.15RVU19B
2019-01-01$226.88$184.15RVU19A
2018-10-01$219.35$184.22RVU18D
2018-07-01$219.35$184.22RVU18C
2018-04-01$219.35$184.22RVU18B
2018-01-01$219.35$184.22RVU18AR1
2017-10-01$220.51$185.16RVU17D
2017-07-01$220.51$185.16RVU17C
2017-04-01$220.51$185.16RVU17B
2017-01-01$220.51$185.16RVU17A
2016-10-01$223.18$187.59RVU16D
2016-07-01$223.18$187.59RVU16C
2016-04-01$223.18$187.59RVU16B
2016-01-01$223.18$187.59RVU16A
2015-10-01$224.72$188.67RVU15D
2015-07-01$224.72$188.67RVU15C
2015-04-01$223.60$187.73RVU15B
2015-01-01$223.60$187.73RVU15A
2014-10-01$217.08$182.81RVU14D
2014-07-01$217.08$182.81RVU14C
2014-04-01$217.08$182.81RVU14B
2014-01-01$217.08$182.81RVU14A
2013-10-01$198.85$168.55RVU13D
2013-07-01$198.85$168.55RVU13C
2013-04-01$198.85$168.55RVU13B
2013-01-01$198.85$168.55RVU13AR

Price 64630 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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 South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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