CPT code 64632: Nerve destruction, plantar common digital nerve2026 Medicare rate & RVUs

Medicare pays $90.18 for 64632 nationally in the office and $61.79 in a hospital or facility. Local office rates run $82.08–$114.01.

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

What 64632 covers

This procedure chemically ablates a plantar common digital nerve, often to treat persistent burning or shooting forefoot pain associated with a Morton's neuroma. A podiatrist, foot and ankle specialist, or pain physician may perform it by directing a neurolytic agent to the affected nerve. It is distinct from an injection using local anesthetic or steroid for temporary symptom relief.

Select the code when documentation supports neurolytic destruction of the plantar common digital nerve, rather than another peripheral nerve or a non-neurolytic injection. Record the treated nerve, side, indication, and neurolytic treatment performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documentation of 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 64632 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

64632 rates by state

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

How the 64632 rate is calculated

Each of 64632’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 64632

64632 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 50

64632 compared with similar codes

How to choose

64455Nerve injectionPlantar common digital nerve

Use 64455 for anesthetic and/or steroid injection of a plantar common digital nerve. Use 64632 when the treatment is neurolytic destruction.

64630Nerve neurolysisPudendal nerve

64630 addresses neurolytic destruction of the pudendal nerve. This code is for the plantar common digital nerve.

64640Nerve treatmentOther peripheral nerve or branch

64640 is for neurolytic destruction of another peripheral nerve or branch; 64632 identifies the plantar common digital nerve.

64450Nerve blockOther peripheral nerve or branch

64450 describes anesthetic injection of another peripheral nerve or branch, not neurolytic destruction of the plantar common digital nerve.

Codes related to 64632

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