$212.80–$327.58
64451 reports injection of anesthetic or steroid around nerves innervating the SI joint; 64625 reports radiofrequency ablation of those nerves.
On this page
CMS RVU26D · Effective 2026-10-01
64625 Radiofrequency ablation Medicare reimbursement rates
Reports image-guided radiofrequency ablation of nerves supplying the sacroiliac joint to treat pain attributed to that joint’s innervation. Compare 64625 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 64625?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$437.58–$668.06
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $230.48 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 64625 pays more and less
109 payment localities
$437.58 to $668.06
Pain management
About 64625: Sacroiliac joint nerve radiofrequency ablation
Reports image-guided radiofrequency ablation of nerves supplying the sacroiliac joint to treat pain attributed to that joint’s innervation.
This procedure uses radiofrequency energy to create lesions in nerves that carry pain signals from the sacroiliac joint. Pain medicine physicians, anesthesiologists, and other clinicians who perform image-guided interventions may use it for persistent SI-joint-related pain after evaluation, often including diagnostic nerve blocks. Fluoroscopy or CT guidance is part of the service; the code covers placement of needles at multiple target nerves, including sacral lateral branches.
Report the service for ablation of nerves innervating the SI joint, not for an SI-joint injection or ablation of lumbar facet nerves. The procedure note should identify the treated side and targets, describe the ablation and imaging guidance, and support the relationship of the treated nerves to the patient’s SI-joint pain. Related postoperative visits are included in the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 reports a bilateral procedure and is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 64625
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.31 · 22%
- Practice expense (office) RVU11.20 · 75%
- Malpractice RVU0.33 · 2%
11.5K
Medicare services in 2024 · #1404 by national volume
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.
64625 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$411.31–$625.74
64635 addresses lumbar or sacral facet-joint nerves. Use 64625 when the ablated targets innervate the SI joint.
No office rate
64628 ablates the intraosseous basivertebral nerve for a different spinal pain target; 64625 treats nerves supplying the SI joint.
See how rates vary across the country
64625 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$437.58
$598.20
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $570.31 | 1 |
| AL | $444.12 | 1 |
| AR | $437.58 | 1 |
| AZ | $482.49 | 1 |
| CA | $528.35–$668.06 | 29 |
| CO | $518.52 | 1 |
| CT | $529.00 | 1 |
| DC | $569.47 | 1 |
| DE | $490.62 | 1 |
| FL | $484.75–$527.86 | 3 |
| GA | $457.38–$504.20 | 2 |
| GU | $542.28 | 1 |
| HI | $542.28 | 1 |
| IA | $457.23 | 1 |
| ID | $459.93 | 1 |
| IL | $469.33–$515.05 | 4 |
| IN | $462.70 | 1 |
| KS | $454.29 | 1 |
| KY | $453.21 | 1 |
| LA | $452.19–$475.10 | 2 |
| MA | $515.03–$571.56 | 2 |
| MD | $500.36–$569.47 | 3 |
| ME | $461.58–$488.24 | 2 |
| MI | $464.55–$490.14 | 2 |
| MN | $498.76 | 1 |
| MO | $443.76–$477.74 | 3 |
| MS | $440.79 | 1 |
| MT | $495.65 | 1 |
| NC | $466.63 | 1 |
| ND | $489.12 | 1 |
| NE | $460.01 | 1 |
| NH | $509.63 | 1 |
| NJ | $535.58–$563.24 | 2 |
| NM | $466.84 | 1 |
| NV | $494.20 | 1 |
| NY | $473.69–$582.89 | 5 |
| OH | $463.21 | 1 |
| OK | $453.18 | 1 |
| OR | $490.90–$536.14 | 2 |
| PA | $464.39–$515.12 | 2 |
| PR | $499.62 | 1 |
| RI | $508.92 | 1 |
| SC | $465.59 | 1 |
| SD | $488.35 | 1 |
| TN | $456.52 | 1 |
| TX | $461.22–$516.33 | 8 |
| UT | $472.10 | 1 |
| VA | $486.07–$569.47 | 2 |
| VI | $499.62 | 1 |
| VT | $486.48 | 1 |
| WA | $514.30–$584.10 | 2 |
| WI | $472.33 | 1 |
| WV | $451.41 | 1 |
| WY | $492.80 | 1 |
Compare 64625 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $444.12 | Facility $165.02 |
| Alaska* | Office $570.31 | Facility $230.60 |
| Arizona | Office $482.49 | Facility $173.40 |
| Arkansas | Office $437.58 | Facility $163.57 |
| Atlanta | Office $504.20 | Facility $180.12 |
| Austin | Office $516.33 | Facility $178.85 |
| Bakersfield | Office $529.37 | Facility $179.77 |
| Baltimore/Surr. Cntys | Office $527.36 | Facility $185.10 |
| Beaumont | Office $461.22 | Facility $170.95 |
| Brazoria | Office $490.76 | Facility $174.65 |
| Chicago | Office $512.59 | Facility $192.01 |
| Chico | Office $528.35 | Facility $178.75 |
| Colorado | Office $518.52 | Facility $179.13 |
| Connecticut | Office $529.00 | Facility $185.46 |
| Dallas | Office $493.60 | Facility $175.90 |
| Dc + Md/Va Suburbs | Office $569.47 | Facility $193.72 |
| Delaware | Office $490.62 | Facility $175.47 |
| Detroit | Office $490.14 | Facility $182.32 |
| East St. Louis | Office $476.92 | Facility $183.46 |
| El Centro | Office $528.40 | Facility $178.80 |
| Fort Lauderdale | Office $509.44 | Facility $186.31 |
| Fort Worth | Office $490.01 | Facility $175.49 |
| Fresno | Office $528.35 | Facility $178.75 |
| Galveston | Office $492.04 | Facility $175.29 |
| Hanford-Corcoran | Office $528.35 | Facility $178.75 |
| Hawaii, Guam | Office $542.28 | Facility $179.60 |
| Houston | Office $498.08 | Facility $181.33 |
| Idaho | Office $459.93 | Facility $166.47 |
| Indiana | Office $462.70 | Facility $167.00 |
| Iowa | Office $457.23 | Facility $165.36 |
| Kansas | Office $454.29 | Facility $165.93 |
| Kentucky | Office $453.21 | Facility $169.64 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $564.96 | Facility $187.61 |
| Madera | Office $528.35 | Facility $178.75 |
| Manhattan | Office $569.81 | Facility $199.15 |
| Merced | Office $528.35 | Facility $178.75 |
| Metropolitan Boston | Office $571.56 | Facility $190.70 |
| Metropolitan Kansas City | Office $472.60 | Facility $173.08 |
| Metropolitan Philadelphia | Office $515.12 | Facility $183.07 |
| Metropolitan St. Louis | Office $477.74 | Facility $174.07 |
| Miami | Office $527.86 | Facility $195.80 |
| Minnesota | Office $498.76 | Facility $170.53 |
| Mississippi | Office $440.79 | Facility $166.15 |
| Modesto | Office $528.35 | Facility $178.75 |
| Montana** | Office $495.65 | Facility $176.67 |
| Napa | Office $616.17 | Facility $195.76 |
| Nebraska | Office $460.01 | Facility $165.59 |
| Nevada** | Office $494.20 | Facility $174.91 |
| New Hampshire | Office $509.63 | Facility $177.57 |
| New Mexico | Office $466.84 | Facility $174.33 |
| New Orleans | Office $475.10 | Facility $174.94 |
| North Carolina | Office $466.63 | Facility $169.02 |
| North Dakota** | Office $489.12 | Facility $170.14 |
| Northern Nj | Office $563.24 | Facility $193.22 |
| Nyc Suburbs/Long Island | Office $582.89 | Facility $203.63 |
| Ohio | Office $463.21 | Facility $171.98 |
| Oklahoma | Office $453.18 | Facility $168.34 |
| Oxnard-Thousand Oaks-Ventura | Office $562.69 | Facility $185.66 |
| Portland | Office $536.14 | Facility $181.76 |
| Poughkpsie/N Nyc Suburbs | Office $538.50 | Facility $189.22 |
| Puerto Rico | Office $499.62 | Facility $177.13 |
| Queens | Office $575.70 | Facility $198.67 |
| Redding | Office $528.35 | Facility $178.75 |
| Rest Of California | Office $528.35 | Facility $178.75 |
| Rest Of Florida | Office $484.75 | Facility $179.81 |
| Rest Of Georgia | Office $457.38 | Facility $172.86 |
| Rest Of Illinois | Office $469.33 | Facility $178.10 |
| Rest Of Louisiana | Office $452.19 | Facility $169.89 |
| Rest Of Maine | Office $461.58 | Facility $168.12 |
| Rest Of Maryland | Office $500.36 | Facility $177.55 |
| Rest Of Massachusetts | Office $515.03 | Facility $179.14 |
| Rest Of Michigan | Office $464.55 | Facility $173.32 |
| Rest Of Missouri | Office $443.76 | Facility $168.80 |
| Rest Of New Jersey | Office $535.58 | Facility $187.25 |
| Rest Of New York | Office $473.69 | Facility $170.66 |
| Rest Of Oregon | Office $490.90 | Facility $173.20 |
| Rest Of Pennsylvania | Office $464.39 | Facility $171.57 |
| Rest Of Texas | Office $475.52 | Facility $172.81 |
| Rest Of Washington | Office $514.30 | Facility $178.41 |
| Rhode Island | Office $508.92 | Facility $179.42 |
| Riverside-San Bernardino-Ontario | Office $531.95 | Facility $182.35 |
| Sacramento-Roseville-Folsom | Office $555.51 | Facility $184.54 |
| Salinas | Office $553.46 | Facility $183.77 |
| San Diego-Chula Vista-Carlsbad | Office $567.26 | Facility $185.76 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $653.59 | Facility $203.83 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $653.21 | Facility $203.45 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $668.06 | Facility $208.10 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $666.53 | Facility $206.56 |
| San Luis Obispo-Paso Robles | Office $544.43 | Facility $181.12 |
| Santa Cruz-Watsonville | Office $573.31 | Facility $185.75 |
| Santa Maria-Santa Barbara | Office $555.75 | Facility $183.82 |
| Santa Rosa-Petaluma | Office $579.16 | Facility $187.46 |
| Seattle (King Cnty) | Office $584.10 | Facility $192.71 |
| South Carolina | Office $465.59 | Facility $170.85 |
| South Dakota** | Office $488.35 | Facility $169.37 |
| Southern Maine | Office $488.24 | Facility $172.13 |
| Stockton | Office $528.35 | Facility $178.75 |
| Suburban Chicago | Office $515.05 | Facility $187.46 |
| Tennessee | Office $456.52 | Facility $166.57 |
| Utah | Office $472.10 | Facility $172.26 |
| Vallejo | Office $615.63 | Facility $195.22 |
| Vermont | Office $486.48 | Facility $170.69 |
| Virgin Islands | Office $499.62 | Facility $177.13 |
| Virginia | Office $486.07 | Facility $172.51 |
| Visalia | Office $528.35 | Facility $178.75 |
| West Virginia | Office $451.41 | Facility $174.22 |
| Wisconsin | Office $472.33 | Facility $166.75 |
| Wyoming** | Office $492.80 | Facility $173.82 |
| Yuba City | Office $528.35 | Facility $178.75 |
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64625 billing questions
How is 64625 different from 64635?
64625 targets nerves innervating the sacroiliac joint. 64635 targets nerves supplying a lumbar or sacral facet joint, so select according to the joint and nerves treated.
Can imaging guidance be billed separately?
No. Imaging guidance, including fluoroscopy or CT, is included in 64625.
How should a bilateral procedure be reported?
Use modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150% under the supplied fee schedule rule.
What documentation supports reporting 64625?
Document the SI-joint-related pain indication, treated side and nerve targets, ablation performed, and imaging guidance. The note should distinguish the SI-joint innervation from lumbar facet targets.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How does the multiple-procedure rule affect 64625?
When 64625 is performed with other procedures in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,17264617,,Chemodener muscle larynx emg,A,,1.85,2.65,,0.64,,0.26,4.76,2.75,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17364620,,Injection treatment of nerve,A,,2.82,3.58,,1.83,,0.36,6.76,5.01,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17464624,,Dstrj nulyt agt gnclr nrv,A,,2.44,9.65,,1.33,,0.22,12.31,3.99,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17564625,,Rf abltj nrv nrvtg si jt,A,,3.31,11.20,,1.65,,0.33,14.84,5.29,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17664628,,Trml dstrj ios bvn 1st 2 l/s,A,,6.97,3.23,NA,3.23,,0.72,10.92,10.92,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17764629,,Trml dstrj ios bvn ea addl,A,,3.68,0.94,NA,0.94,,0.39,5.01,5.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17864630,,Injection treatment of nerve,A,,2.97,4.69,,1.98,,0.55,8.21,5.50,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00