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

Reports neurolytic destruction of a plantar common digital nerve, typically for persistent forefoot pain associated with a digital nerve neuroma.

CMS RVU26DEffective Oct 1, 2026One payment locality9K Medicare services in 2024

In Houston, TX, Medicare pays $91.30 for 64632 in the office and $63.11 when it’s performed in a hospital or facility.

$91.30Office (non-facility)
$63.11Hospital or facility
+1.2%vs the national office rate ($90.18)

Check a contract rate as a % of Medicare · 64632 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 64632 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 64632 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 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.

How Houston, TX compares for 64632

Across 109 of 109 payment localities, the office rate for 64632 runs from $82.08 in Arkansas to $114.01 in San Benito County, CA. Houston, TX pays $91.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

64632 in Houston, TX vs other payment areas
  1. Houston, TX · this page$91.30
  2. Austin, TX · Texas$92.65+$1.35
  3. Beaumont, TX · Texas$85.73−$5.57
  4. Brazoria, TX · Texas$89.42−$1.88
  5. Dallas, TX · Texas$89.93−$1.37
  6. Fort Worth, TX · Texas$89.50−$1.80
  7. Galveston, TX · Texas$89.66−$1.64

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

Every other payment area

64632 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$87.49$60.55
Los Angeles, CACalifornia$99.43$65.85
Washington, DC areaDistrict of Columbia$101.07$67.63
Miami, FLFlorida$96.71$67.15
Chicago, ILIllinois$94.59$66.06
Manhattan, NYNew York$102.14$69.15
AlaskaAlaska$111.93$81.70
AlabamaAlabama$82.99$58.15

64632 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.

$82.08

$111.93

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

View every state and territory as a table
64632 office rate range by state
State / territoryOffice rate rangeLocalities
AK$111.931
AL$82.991
AR$82.081
AZ$88.291
CA$93.99–$114.0129
CO$93.021
CT$95.241
DC$101.071
DE$89.511
FL$89.62–$96.713
GA$85.67–$91.662
GU$95.371
HI$95.371
IA$84.371
ID$84.831
IL$87.78–$94.594
IN$85.201
KS$84.171
KY$84.701
LA$84.64–$87.812
MA$92.71–$100.632
MD$90.90–$101.073
ME$85.28–$88.652
MI$86.47–$90.602
MN$89.431
MO$83.61–$87.933
MS$82.851
MT$90.181
NC$85.941
ND$88.401
NE$84.691
NH$91.741
NJ$96.41–$100.452
NM$86.881
NV$89.731
NY$86.93–$104.225
OH$86.111
OK$84.471
OR$89.10–$95.282
PA$86.16–$93.412
PR$90.661
RI$92.171
SC$86.151
SD$88.191
TN$84.501
TX$85.73–$92.658
UT$87.051
VA$88.50–$101.072
VI$90.661
VT$88.231
WA$92.48–$102.332
WI$86.121
WV$85.311
WY$89.401

See 64632 in every payment locality

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.

How the rate is built · 64632

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.20

1.20 RVUs× 1.000 GPCI

Practice expense1.41

1.41 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

2.7000

Conversion factor

$33.4009

Medicare rate

$90.18

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

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,179

Code
64632
Physician work
1.20
Practice expense
1.41
Malpractice
0.09

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 64632 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.20× 1.0081.2096
Practice expense1.41× 0.9931.4001
Malpractice0.09× 1.3760.1238
Total RVUs2.7336
Conversion factor× 33.4009

Office rate, Houston, TX$91.30

Office: (1.2 × 1.008 + 1.41 × 0.993 + 0.09 × 1.376) × $33.4009 = $91.30

Facility: (1.2 × 1.008 + 0.56 × 0.993 + 0.09 × 1.376) × $33.4009 = $63.11

Open 64632 in the RVU calculator

Payment rules and modifiers for 64632

64632 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 64632

Nerve destruction, plantar common digital 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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 64632

Nerve destruction, plantar common digital 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 50 · payment effect

With and without the modifier

64632 without 50 · national office

$90.18

Nerve destruction, plantar common digital nerve

64632-50 · Bilateral: 150%

$135.27

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 64632

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

Codes related to 64632
CodeHow it relatesOffice range, Houston, TX
Used instead
64455Nerve injection, plantar common digital nerveInjection treatment for plantar common digital nerve pain using anesthetic and/or steroid rather than neurolytic destruction.$51.01
64450Nerve block, other peripheral nerve or branchAnesthetic injection for another peripheral nerve or branch, not neurolytic destruction of the plantar common digital nerve.$81.53
64640Nerve treatment, other peripheral nerve or branchNeurolytic destruction of a peripheral nerve or branch other than the plantar common digital nerve.$269.45

How 64632 has changed in Houston, TX

64632 · Office / nonfacility

$91.30

Effective 2026-10-01

The base rate is $0.33 higher than on 2025-10-01, moving from $90.97 to $91.30 (0.4%).

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

    $90.97changed to$91.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.23 changed to 1.20
    • Practice expense RVU 1.42 changed to 1.41
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $92.95changed to$90.97

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.40 changed to 1.42

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $91.43changed to$92.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $93.03changed to$91.43

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.35 changed to 1.40
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $94.40changed to$93.03

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.33 changed to 1.35
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $93.03changed to$94.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.27 changed to 1.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $91.96changed to$93.03

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.18 changed to 1.27
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $89.49changed to$91.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.14 changed to 1.18
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $89.00changed to$89.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.12 changed to 1.14
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $88.30changed to$89.00

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $87.95changed to$88.30

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $88.61changed to$87.95

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $88.17changed to$88.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $87.97changed to$88.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.11 changed to 1.12
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $86.27changed to$87.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.20 changed to 1.11
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $86.27

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$91.30$63.11RVU26D
2026-07-01$91.30$63.11RVU26C
2026-04-01$91.30$63.11RVU26B
2026-01-01$91.30$63.11RVU26A
2025-10-01$90.97$67.94RVU25D
2025-07-01$90.97$67.94RVU25C
2025-04-01$90.97$67.94RVU25B
2025-01-01$90.97$67.94RVU25A
2024-10-01$92.95$68.91RVU24D
2024-07-01$92.95$68.91RVU24C
2024-04-01$92.95$68.91RVU24B
2024-03-09$92.95$68.91RVU24AR
2024-01-01$91.43$67.79RVU24A
2023-10-01$93.03$68.93RVU23D
2023-07-01$93.03$68.93RVU23C
2023-04-01$93.03$68.93RVU23B
2023-01-01$93.03$68.93RVU23A
2022-10-01$94.40$69.12RVU22D
2022-07-01$94.40$69.12RVU22C
2022-04-01$94.40$69.12RVU22B
2022-01-01$94.40$69.12RVU22A
2021-10-01$93.03$69.33RVU21D
2021-07-01$93.03$69.33RVU21C
2021-04-01$93.03$69.33RVU21B
2021-01-01$93.03$69.33RVU21A
2020-10-01$91.96$71.35RVU20D
2020-07-01$91.96$71.35RVU20C
2020-04-01$91.96$71.35RVU20B
2020-01-01$91.96$71.35RVU20A
2019-10-01$89.49$71.62RVU19D
2019-07-01$89.49$71.62RVU19C
2019-04-01$89.49$71.62RVU19B
2019-01-01$89.49$71.62RVU19A
2018-10-01$89.00$72.24RVU18D
2018-07-01$89.00$72.24RVU18C
2018-04-01$89.00$72.24RVU18B
2018-01-01$89.00$72.24RVU18AR1
2017-10-01$88.30$71.64RVU17D
2017-07-01$88.30$71.64RVU17C
2017-04-01$88.30$71.64RVU17B
2017-01-01$88.30$71.64RVU17A
2016-10-01$87.95$71.38RVU16D
2016-07-01$87.95$71.38RVU16C
2016-04-01$87.95$71.38RVU16B
2016-01-01$87.95$71.38RVU16A
2015-10-01$88.61$71.98RVU15D
2015-07-01$88.61$71.98RVU15C
2015-04-01$88.17$71.63RVU15B
2015-01-01$88.17$71.63RVU15A
2014-10-01$87.97$71.78RVU14D
2014-07-01$87.97$71.78RVU14C
2014-04-01$87.97$71.78RVU14B
2014-01-01$87.97$71.78RVU14A
2013-10-01$86.27$69.23RVU13D
2013-07-01$86.27$69.23RVU13C
2013-04-01$86.27$69.23RVU13B
2013-01-01$86.27$69.23RVU13AR

Price 64632 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

64632 billing questions

How does this differ from a Morton's neuroma injection?

This code is for neurolytic destruction of the plantar common digital nerve. CPT 64455 describes an injection using anesthetic and/or steroid, rather than neurolytic destruction.

What documentation supports reporting this code?

Document the plantar common digital nerve treated, the side, the clinical indication, and the neurolytic treatment performed.

How is bilateral treatment reported?

Use modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.

Are postoperative visits separately reported during the global period?

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

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple procedure reduction.

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 64632PPRRVU2026_Oct_nonQPP.csv, line 7,179 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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