Billing code 64455: Nerve injectionMedicare rate & RVUs
Report this injection of anesthetic and/or steroid around a plantar common digital nerve, commonly to diagnose or treat pain from Morton's neuroma.
Medicare pays $50.10 for 64455 nationally in the office and $30.06 in a hospital or facility. Local office rates run $45.67–$62.76.
Medicare rate · 64455
Nerve injection
- Work RVUs
- 0.73
- Total RVUs
- 1.50
- Global days
- 000
National rate · 2026
$50.10
Office setting, before claim adjustments.
See every locality for 64455 →Billed by an NP, PA or therapist? →
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 10 sections
What 64455 covers
A clinician injects anesthetic, steroid, or both around a plantar common digital nerve in the forefoot. The service is commonly performed in an office by a podiatrist, orthopedic clinician, or pain specialist for symptoms such as burning or radiating pain in the ball of the foot associated with suspected Morton's neuroma. The record should identify the treated nerve and side, the clinical indication, and the medication and injection performed.
Report 64455 for the plantar common digital nerve injection, rather than for an injection targeting a different peripheral nerve. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant is paid only when medical necessity is documented; 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 64455 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$45.67 to $62.76
109 of 109 payment localities
64455 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.
$45.67
$62.76
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 | $62.76 | 1 |
| AL | $46.16 | 1 |
| AR | $45.67 | 1 |
| AZ | $49.04 | 1 |
| CA | $51.68–$62.03 | 29 |
| CO | $51.38 | 1 |
| CT | $52.88 | 1 |
| DC | $55.84 | 1 |
| DE | $49.71 | 1 |
| FL | $50.25–$54.63 | 3 |
| GA | $48.03–$51.02 | 2 |
| GU | $52.32 | 1 |
| HI | $52.32 | 1 |
| IA | $46.70 | 1 |
| ID | $47.00 | 1 |
| IL | $49.38–$53.42 | 4 |
| IN | $47.19 | 1 |
| KS | $46.70 | 1 |
| KY | $47.31 | 1 |
| LA | $47.31–$49.04 | 2 |
| MA | $51.26–$55.38 | 2 |
| MD | $50.43–$55.84 | 3 |
| ME | $47.35–$49.03 | 2 |
| MI | $48.37–$50.89 | 2 |
| MN | $49.13 | 1 |
| MO | $46.81–$48.98 | 3 |
| MS | $46.24 | 1 |
| MT | $50.10 | 1 |
| NC | $47.69 | 1 |
| ND | $48.71 | 1 |
| NE | $46.85 | 1 |
| NH | $50.77 | 1 |
| NJ | $53.45–$55.54 | 2 |
| NM | $48.63 | 1 |
| NV | $49.73 | 1 |
| NY | $48.24–$58.08 | 5 |
| OH | $48.09 | 1 |
| OK | $47.08 | 1 |
| OR | $49.31–$52.49 | 2 |
| PA | $48.06–$51.95 | 2 |
| PR | $50.32 | 1 |
| RI | $51.08 | 1 |
| SC | $47.97 | 1 |
| SD | $48.55 | 1 |
| TN | $46.89 | 1 |
| TX | $47.83–$51.24 | 8 |
| UT | $48.46 | 1 |
| VA | $49.02–$55.84 | 2 |
| VI | $50.32 | 1 |
| VT | $48.71 | 1 |
| WA | $51.10–$56.20 | 2 |
| WI | $47.50 | 1 |
| WV | $48.05 | 1 |
| WY | $49.49 | 1 |
How the 64455 rate is calculated
Each of 64455’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 · 64455
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense0.70
0.70 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.5000
Conversion factor
$33.4009
Medicare rate
$50.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 64455
The CMS indicators that decide how 64455 is paid alongside other services.
CMS payment indicators · 64455
Nerve injection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64455 without 50 · national office
$50.10
Nerve injection
64455-50 · Bilateral: 150%
$75.15
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).
64455 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 64450Nerve block
- Choose 64455 for injection of a plantar common digital nerve. 64450 describes injection of another peripheral nerve or branch.
- 64632Nerve destruction
- 64455 reports an anesthetic and/or steroid injection. 64632 describes neurolytic destruction of the plantar common digital nerve.
- 28080Neuroma excision
- 64455 is an injection treatment for plantar common digital nerve symptoms; 28080 is surgical excision of an interdigital neuroma.
64455 billing questions
When should 64455 be used instead of 64450?
Use 64455 for an injection targeting a plantar common digital nerve, such as for Morton's neuroma. Use 64450 when the injected peripheral nerve or branch is not one of those nerves.
Is this code limited to steroid injections?
No. The service may involve anesthetic, steroid, or both. Document the medication administered and the plantar common digital nerve treated.
How is bilateral treatment reported?
CMS recognizes bilateral reporting with modifier 50 and pays it at 150%. Document the treated nerve and side for each foot.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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 for this code.
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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