CPT code 64633: Facet ablation, cervical/thoracic, first joint2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $452.27 for 64633 in the office and $166.03 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64633 nationwide

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

What 64633 covers

The physician uses a needle electrode to create a thermal lesion in the nerves supplying a cervical or thoracic facet joint, commonly for persistent axial neck or upper-back pain attributed to facet joints. Pain medicine physicians, anesthesiologists, and other appropriately trained specialists typically perform the procedure in an office procedure room or outpatient facility. Imaging guidance is part of the service, rather than a separately reported guidance service.

Report this code for the first treated cervical or thoracic facet joint; use 64634 for each additional joint in that region. Documentation should identify the treated levels and side, nerves targeted, imaging guidance, and the lesioning performed. The procedure has 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 is paid in full and others at 50%. Assistant-at-surgery payment is restricted, and 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 Dakota compares for 64633

Across 109 of 109 payment localities, the office rate for 64633 runs from $406.03 in Arkansas to $616.77 in San Benito County, CA. South Dakota pays $452.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64633 rates by state

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

See 64633 in every payment locality

How the 64633 rate is calculated

Each of 64633’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 64633

64633 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

Codes related to 64633

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

How 64633 has changed in South Dakota

Price 64633 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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