CPT code 64633: Facet ablation, cervical/thoracic, first joint2026 Medicare rate & RVUs in Virginia
Reports radiofrequency lesioning of nerves supplying one cervical or thoracic facet joint to treat pain attributed to that joint.
In Virginia, Medicare pays $450.19 for 64633 in the office and $168.81 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.
On this page 11 sections
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 Virginia 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. Virginia pays $450.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$450.19
- Los Angeles, CA · California$522.34+$72.15
- Washington, DC area · District of Columbia$526.55+$76.36
- Miami, FL · Florida$488.22+$38.03
- Chicago, IL · Illinois$474.37+$24.18
- Manhattan, NY · New York$526.92+$76.73
- Alaska · Alaska$530.68+$80.49
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $411.99 | $161.53 |
| ArkansasArkansas | $406.03 | $160.15 |
| ArizonaArizona | $446.92 | $169.55 |
| Bakersfield, CACalifornia | $489.77 | $176.05 |
| Chico, CACalifornia | $488.82 | $175.10 |
| El Centro, CACalifornia | $488.87 | $175.15 |
| Fresno, CACalifornia | $488.82 | $175.10 |
| Hanford, CACalifornia | $488.82 | $175.10 |
| Madera, CACalifornia | $488.82 | $175.10 |
| Merced, CACalifornia | $488.82 | $175.10 |
| Modesto, CACalifornia | $488.82 | $175.10 |
| Napa, CACalifornia | $569.16 | $191.88 |
| Oxnard, CACalifornia | $520.19 | $181.84 |
| Redding, CACalifornia | $488.82 | $175.10 |
| Rest of CaliforniaCalifornia | $488.82 | $175.10 |
| Riverside, CACalifornia | $492.11 | $178.38 |
| Sacramento, CACalifornia | $513.71 | $180.80 |
| Salinas, CACalifornia | $511.80 | $180.04 |
| San Diego, CACalifornia | $524.36 | $182.01 |
| Marin County, CACalifornia | $603.47 | $199.86 |
| San Francisco, CACalifornia | $603.13 | $199.52 |
| San Benito County, CACalifornia | $616.77 | $204.00 |
| Santa Clara County, CACalifornia | $615.37 | $202.61 |
| San Luis Obispo, CACalifornia | $503.47 | $177.44 |
| Santa Cruz, CACalifornia | $529.80 | $182.01 |
| Santa Maria, CACalifornia | $513.86 | $180.10 |
| Santa Rosa, CACalifornia | $535.20 | $183.69 |
| Stockton, CACalifornia | $488.82 | $175.10 |
| Vallejo, CACalifornia | $568.66 | $191.39 |
| Visalia, CACalifornia | $488.82 | $175.10 |
| Yuba City, CACalifornia | $488.82 | $175.10 |
| ColoradoColorado | $479.84 | $175.27 |
| ConnecticutConnecticut | $489.43 | $181.14 |
| DelawareDelaware | $454.37 | $171.56 |
| Fort Lauderdale, FLFlorida | $471.45 | $181.49 |
| Rest of FloridaFlorida | $448.98 | $175.33 |
| Atlanta, GAGeorgia | $466.72 | $175.89 |
| Rest of GeorgiaGeorgia | $424.06 | $168.73 |
| Hawaii, Guam, HIHawaii | $501.38 | $175.92 |
| IowaIowa | $423.93 | $162.01 |
| IdahoIdaho | $426.39 | $163.05 |
| East St. Louis, ILIllinois | $441.83 | $178.49 |
| Rest of IllinoisIllinois | $434.93 | $173.59 |
| Suburban Chicago, ILIllinois | $476.62 | $182.65 |
| IndianaIndiana | $428.91 | $163.56 |
| KansasKansas | $421.25 | $162.49 |
| KentuckyKentucky | $420.26 | $165.79 |
| New Orleans, LALouisiana | $440.19 | $170.83 |
| Rest of LouisianaLouisiana | $419.33 | $166.00 |
| Metropolitan Boston, MAMassachusetts | $528.36 | $186.58 |
| Rest of MassachusettsMassachusetts | $476.68 | $175.27 |
| Baltimore area, MDMaryland | $487.90 | $180.76 |
| Rest of MarylandMaryland | $463.28 | $173.60 |
| Rest of MaineMaine | $427.89 | $164.54 |
| Southern Maine, MEMaine | $452.16 | $168.50 |
| Detroit, MIMichigan | $453.88 | $177.65 |
| Rest of MichiganMichigan | $430.58 | $169.24 |
| MinnesotaMinnesota | $461.75 | $167.21 |
| Metropolitan Kansas City, MOMissouri | $437.92 | $169.13 |
| Metropolitan St. Louis, MOMissouri | $442.60 | $170.09 |
| Rest of MissouriMissouri | $411.65 | $164.91 |
| MississippiMississippi | $408.96 | $162.50 |
| MontanaMontana | $458.91 | $172.66 |
| North CarolinaNorth Carolina | $432.48 | $165.42 |
| North DakotaNorth Dakota | $452.98 | $166.73 |
| NebraskaNebraska | $426.46 | $162.26 |
| New HampshireNew Hampshire | $471.64 | $173.66 |
| Northern New JerseyNew Jersey | $520.94 | $188.89 |
| Rest of New JerseyNew Jersey | $495.57 | $182.99 |
| New MexicoNew Mexico | $432.67 | $170.18 |
| NevadaNevada | $457.60 | $171.06 |
| NYC suburbs and Long Island, NYNew York | $538.83 | $198.49 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $498.27 | $184.83 |
| Queens, NYNew York | $532.29 | $193.95 |
| Rest of New YorkNew York | $438.92 | $166.98 |
| OhioOhio | $429.37 | $168.03 |
| OklahomaOklahoma | $420.24 | $164.62 |
| Portland, OROregon | $495.91 | $177.89 |
| Rest of OregonOregon | $454.59 | $169.49 |
| Metropolitan Philadelphia, PAPennsylvania | $476.78 | $178.80 |
| Rest of PennsylvaniaPennsylvania | $430.44 | $167.67 |
| Puerto RicoPuerto Rico | $462.53 | $173.13 |
| Rhode IslandRhode Island | $471.15 | $175.45 |
| South CarolinaSouth Carolina | $431.53 | $167.04 |
| South DakotaSouth Dakota | $452.27 | $166.03 |
| TennesseeTennessee | $423.29 | $163.09 |
| Austin, TXTexas | $477.76 | $174.91 |
| Beaumont, TXTexas | $427.55 | $167.07 |
| Brazoria, TXTexas | $454.52 | $170.85 |
| Dallas, TXTexas | $457.12 | $172.02 |
| Fort Worth, TXTexas | $453.84 | $171.60 |
| Galveston, TXTexas | $455.69 | $171.44 |
| Houston, TXTexas | $461.18 | $176.93 |
| Rest of TexasTexas | $440.58 | $168.93 |
| UtahUtah | $437.46 | $168.39 |
| Virgin Islands, VIUnited States Virgin Islands | $462.53 | $173.13 |
| VermontVermont | $450.57 | $167.19 |
| Rest of WashingtonWashington | $476.00 | $174.58 |
| King County, WAWashington | $539.84 | $188.62 |
| WisconsinWisconsin | $437.69 | $163.46 |
| West VirginiaWest Virginia | $418.62 | $169.87 |
| WyomingWyoming | $456.32 | $170.08 |
64633 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$406.03
$552.80
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $530.68 | 1 |
| AL | $411.99 | 1 |
| AR | $406.03 | 1 |
| AZ | $446.92 | 1 |
| CA | $488.82–$616.77 | 29 |
| CO | $479.84 | 1 |
| CT | $489.43 | 1 |
| DC | $526.55 | 1 |
| DE | $454.37 | 1 |
| FL | $448.98–$488.22 | 3 |
| GA | $424.06–$466.72 | 2 |
| GU | $501.38 | 1 |
| HI | $501.38 | 1 |
| IA | $423.93 | 1 |
| ID | $426.39 | 1 |
| IL | $434.93–$476.62 | 4 |
| IN | $428.91 | 1 |
| KS | $421.25 | 1 |
| KY | $420.26 | 1 |
| LA | $419.33–$440.19 | 2 |
| MA | $476.68–$528.36 | 2 |
| MD | $463.28–$526.55 | 3 |
| ME | $427.89–$452.16 | 2 |
| MI | $430.58–$453.88 | 2 |
| MN | $461.75 | 1 |
| MO | $411.65–$442.60 | 3 |
| MS | $408.96 | 1 |
| MT | $458.91 | 1 |
| NC | $432.48 | 1 |
| ND | $452.98 | 1 |
| NE | $426.46 | 1 |
| NH | $471.64 | 1 |
| NJ | $495.57–$520.94 | 2 |
| NM | $432.67 | 1 |
| NV | $457.60 | 1 |
| NY | $438.92–$538.83 | 5 |
| OH | $429.37 | 1 |
| OK | $420.24 | 1 |
| OR | $454.59–$495.91 | 2 |
| PA | $430.44–$476.78 | 2 |
| PR | $462.53 | 1 |
| RI | $471.15 | 1 |
| SC | $431.53 | 1 |
| SD | $452.27 | 1 |
| TN | $423.29 | 1 |
| TX | $427.55–$477.76 | 8 |
| UT | $437.46 | 1 |
| VA | $450.19–$526.55 | 2 |
| VI | $462.53 | 1 |
| VT | $450.57 | 1 |
| WA | $476.00–$539.84 | 2 |
| WI | $437.69 | 1 |
| WV | $418.62 | 1 |
| WY | $456.32 | 1 |
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.
How the rate is built · 64633
RVUs × geographic indexes × conversion factor
Work3.24
3.24 RVUs× 1.000 GPCI
Practice expense10.20
10.20 RVUs× 1.000 GPCI
Malpractice0.30
0.30 RVUs× 1.000 GPCI
Adjusted RVUs
13.7400
Conversion factor
$33.4009
Medicare rate
$458.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,180
- Code
- 64633
- Physician work
- 3.24
- Practice expense
- 10.20
- Malpractice
- 0.30
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.24 | × 1.000 | 3.2400 |
| Practice expense | 10.20 | × 0.983 | 10.0266 |
| Malpractice | 0.30 | × 0.706 | 0.2118 |
| Total RVUs | 13.4784 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$450.19
Office: (3.24 × 1 + 10.2 × 0.983 + 0.3 × 0.706) × $33.4009 = $450.19
Facility: (3.24 × 1 + 1.63 × 0.983 + 0.3 × 0.706) × $33.4009 = $168.81
Payment rules and modifiers for 64633
64633 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64633
Facet ablation, cervical/thoracic, first joint
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64633
Facet ablation, cervical/thoracic, first joint
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.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64633 without 50 · national office
$458.93
Facet ablation, cervical/thoracic, first joint
64633-50 · Bilateral: 150%
$688.40
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).
How 64633 has changed in Virginia
64633 · Office / nonfacility
$450.19
Effective 2026-10-01
The base rate is $40.20 higher than on 2025-10-01, moving from $409.99 to $450.19 (9.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$409.99changed to$450.19
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.32 changed to 3.24
- Practice expense RVU 9.27 changed to 10.20
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$430.28changed to$409.99
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.51 changed to 9.27
- Malpractice RVU 0.32 changed to 0.30
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$423.25changed to$430.28
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$438.94changed to$423.25
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.48 changed to 9.51
- Malpractice RVU 0.30 changed to 0.32
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$456.04changed to$438.94
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.61 changed to 9.48
- Malpractice RVU 0.33 changed to 0.30
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$434.78changed to$456.04
- Conversion factor 34.8931 changed to 34.6062
- Work RVU 3.84 changed to 3.32
- Practice expense RVU 8.33 changed to 9.61
- Malpractice RVU 0.37 changed to 0.33
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$427.10changed to$434.78
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.73 changed to 8.33
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$423.57changed to$427.10
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.74 changed to 7.73
- Malpractice RVU 0.31 changed to 0.37
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$424.20changed to$423.57
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.78 changed to 7.74
- Malpractice RVU 0.30 changed to 0.31
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$420.35changed to$424.20
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 7.72 changed to 7.78
- Malpractice RVU 0.31 changed to 0.30
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$425.03changed to$420.35
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 7.91 changed to 7.72
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$419.15changed to$425.03
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 7.70 changed to 7.91
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$417.06changed to$419.15
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$432.24changed to$417.06
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 8.14 changed to 7.70
- Malpractice RVU 0.32 changed to 0.31
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$407.11changed to$432.24
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 8.07 changed to 8.14
- Malpractice RVU 0.33 changed to 0.32
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $407.11
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $450.19 | $168.81 | RVU26D |
| 2026-07-01 | $450.19 | $168.81 | RVU26C |
| 2026-04-01 | $450.19 | $168.81 | RVU26B |
| 2026-01-01 | $450.19 | $168.81 | RVU26A |
| 2025-10-01 | $409.99 | $183.36 | RVU25D |
| 2025-07-01 | $409.99 | $183.36 | RVU25C |
| 2025-04-01 | $409.99 | $183.36 | RVU25B |
| 2025-01-01 | $409.99 | $183.36 | RVU25A |
| 2024-10-01 | $430.28 | $187.56 | RVU24D |
| 2024-07-01 | $430.28 | $187.56 | RVU24C |
| 2024-04-01 | $430.28 | $187.56 | RVU24B |
| 2024-03-09 | $430.28 | $187.56 | RVU24AR |
| 2024-01-01 | $423.25 | $184.50 | RVU24A |
| 2023-10-01 | $438.94 | $189.01 | RVU23D |
| 2023-07-01 | $438.94 | $189.01 | RVU23C |
| 2023-04-01 | $438.94 | $189.01 | RVU23B |
| 2023-01-01 | $438.94 | $189.01 | RVU23A |
| 2022-10-01 | $456.04 | $192.97 | RVU22D |
| 2022-07-01 | $456.04 | $192.97 | RVU22C |
| 2022-04-01 | $456.04 | $192.97 | RVU22B |
| 2022-01-01 | $456.04 | $192.97 | RVU22A |
| 2021-10-01 | $434.78 | $227.16 | RVU21D |
| 2021-07-01 | $434.78 | $227.16 | RVU21C |
| 2021-04-01 | $434.78 | $227.16 | RVU21B |
| 2021-01-01 | $434.78 | $227.16 | RVU21A |
| 2020-10-01 | $427.10 | $231.11 | RVU20D |
| 2020-07-01 | $427.10 | $231.11 | RVU20C |
| 2020-04-01 | $427.10 | $231.11 | RVU20B |
| 2020-01-01 | $427.10 | $231.11 | RVU20A |
| 2019-10-01 | $423.57 | $229.55 | RVU19D |
| 2019-07-01 | $423.57 | $229.55 | RVU19C |
| 2019-04-01 | $423.57 | $229.55 | RVU19B |
| 2019-01-01 | $423.57 | $229.55 | RVU19A |
| 2018-10-01 | $424.20 | $230.39 | RVU18D |
| 2018-07-01 | $424.20 | $230.39 | RVU18C |
| 2018-04-01 | $424.20 | $230.39 | RVU18B |
| 2018-01-01 | $424.20 | $230.39 | RVU18AR1 |
| 2017-10-01 | $420.35 | $229.46 | RVU17D |
| 2017-07-01 | $420.35 | $229.46 | RVU17C |
| 2017-04-01 | $420.35 | $229.46 | RVU17B |
| 2017-01-01 | $420.35 | $229.46 | RVU17A |
| 2016-10-01 | $425.03 | $230.75 | RVU16D |
| 2016-07-01 | $425.03 | $230.75 | RVU16C |
| 2016-04-01 | $425.03 | $230.75 | RVU16B |
| 2016-01-01 | $425.03 | $230.75 | RVU16A |
| 2015-10-01 | $419.15 | $231.23 | RVU15D |
| 2015-07-01 | $419.15 | $231.23 | RVU15C |
| 2015-04-01 | $417.06 | $230.08 | RVU15B |
| 2015-01-01 | $417.06 | $230.08 | RVU15A |
| 2014-10-01 | $432.24 | $231.44 | RVU14D |
| 2014-07-01 | $432.24 | $231.44 | RVU14C |
| 2014-04-01 | $432.24 | $231.44 | RVU14B |
| 2014-01-01 | $432.24 | $231.44 | RVU14A |
| 2013-10-01 | $407.11 | $217.30 | RVU13D |
| 2013-07-01 | $407.11 | $217.30 | RVU13C |
| 2013-04-01 | $407.11 | $217.30 | RVU13B |
| 2013-01-01 | $407.11 | $217.30 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
64633 billing questions
When should 64634 be reported with 64633?
Use 64633 for the first treated cervical or thoracic facet joint and 64634 for each additional joint in that region. The additional-joint code is not for another nerve or lesion at the same joint.
Does the code include imaging guidance?
Yes. Imaging guidance is included in the facet nerve lesioning service and is not separately reported as guidance for that procedure.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Does 64633 describe a diagnostic medial branch block?
No. It describes nerve lesioning. A diagnostic block, such as the cervical or thoracic facet nerve injection reported with 64490, is a different service.
What documentation supports reporting 64633?
Document the cervical or thoracic levels and side treated, the nerves targeted, imaging guidance, and the lesioning performed. Identify the first treated joint separately from any additional joints reported with 64634.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
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
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