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CMS RVU26D · Effective 2026-10-01

64425 in Austin

Office / nonfacility

$125.57

Base rate per service

Facility setting

$50.30

Base rate per service

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.

Peripheral nerve injection

About 64425: Ilioinguinal and iliohypogastric nerve block

Reports an anesthetic injection targeting the ilioinguinal and/or iliohypogastric nerves for diagnostic evaluation or relief of groin or lower abdominal wall pain.

This service places anesthetic near the ilioinguinal and/or iliohypogastric nerves to evaluate or relieve pain in their distribution. Pain medicine physicians and anesthesiologists commonly perform it for groin or lower abdominal wall pain, including persistent pain after inguinal hernia repair. It may be performed in an office-based pain clinic or a hospital outpatient setting.

Select the code when the documented target is these nerves, rather than another named nerve or an unspecified peripheral nerve branch. The record should identify the nerve target, side, clinical indication, medication injected, and the patient’s response when relevant. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral service, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery, and does not permit co-surgeons or team surgery for this service.

CMS billing rules for 64425

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.98 · 27%
  • Practice expense (office) RVU2.55 · 70%
  • Malpractice RVU0.09 · 2%

5.9K

Medicare services in 2024 · #1766 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.

64425 compared with similar codes

Office rates for Austin, from the same CMS release.

64450

Nerve block

Other peripheral nerve or branch

$83.75

This code identifies the ilioinguinal and/or iliohypogastric target. Code 64450 is for another peripheral nerve or branch without a more specific code.

64430

Nerve block

Pudendal nerve

$98.96

Code 64430 targets the pudendal nerve. Choose based on the nerve documented as the injection target, not simply because the complaint involves pelvic or groin pain.

64420

Intercostal block

Single nerve

$109.54

Code 64420 targets an intercostal nerve. Use this code when the injection targets the ilioinguinal and/or iliohypogastric nerves instead.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 64425 is $113.03—$12.54 lower than the $125.57 rate in Austin. Both use the same code, release and participation basis.

64425 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $125.57

  2. Beaumont

    $113.03

    $12.54 lower than Austin

  3. Brazoria

    $119.75

    $5.82 lower than Austin

  4. Dallas

    $120.44

    $5.13 lower than Austin

  5. Fort Worth

    $119.63

    $5.94 lower than Austin

  6. Galveston

    $120.06

    $5.51 lower than Austin

  7. Houston

    $121.71

    $3.86 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 64425 ranges from $107.44 in Arkansas to $160.76 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 64425

    Office

    $116.28

    Facility

    $48.76

    $9.29 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 64425

    Office

    $136.83

    Facility

    $52.67

    $11.26 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64425

    Office

    $138.18

    Facility

    $54.37

    $12.61 higher than Austin for the office setting.

  • Miami

    Florida · 64425

    Office

    $129.00

    Facility

    $54.94

    $3.43 higher than Austin for the office setting.

  • Chicago

    Illinois · 64425

    Office

    $125.46

    Facility

    $53.96

    $0.11 lower than Austin for the office setting.

  • Manhattan

    New York · 64425

    Office

    $138.57

    Facility

    $55.90

    $13.00 higher than Austin for the office setting.

  • Alaska*

    Alaska · 64425

    Office

    $141.46

    Facility

    $65.70

    $15.89 higher than Austin for the office setting.

  • Alabama

    Alabama · 64425

    Office

    $108.96

    Facility

    $46.71

    $16.61 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 64425

    Office

    $107.44

    Facility

    $46.33

    $18.13 lower than Austin for the office setting.

  • Arizona

    Arizona · 64425

    Office

    $117.84

    Facility

    $48.90

    $7.73 lower than Austin for the office setting.

  • Bakersfield

    California · 64425

    Office

    $128.53

    Facility

    $50.56

    $2.96 higher than Austin for the office setting.

  • Chico

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • El Centro

    California · 64425

    Office

    $128.26

    Facility

    $50.29

    $2.69 higher than Austin for the office setting.

  • Fresno

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Madera

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Merced

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Modesto

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Napa

    California · 64425

    Office

    $148.58

    Facility

    $54.81

    $23.01 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64425

    Office

    $136.20

    Facility

    $52.10

    $10.63 higher than Austin for the office setting.

  • Redding

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Rest Of California

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64425

    Office

    $129.24

    Facility

    $51.26

    $3.67 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64425

    Office

    $134.58

    Facility

    $51.84

    $9.01 higher than Austin for the office setting.

  • Salinas

    California · 64425

    Office

    $134.07

    Facility

    $51.62

    $8.50 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64425

    Office

    $137.21

    Facility

    $52.12

    $11.64 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64425

    Office

    $157.32

    Facility

    $57.00

    $31.75 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 64425

    Office

    $157.21

    Facility

    $56.90

    $31.64 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 64425

    Office

    $160.76

    Facility

    $58.17

    $35.19 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 64425

    Office

    $160.35

    Facility

    $57.76

    $34.78 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64425

    Office

    $131.91

    Facility

    $50.88

    $6.34 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 64425

    Office

    $138.52

    Facility

    $52.08

    $12.95 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 64425

    Office

    $134.57

    Facility

    $51.62

    $9.00 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 64425

    Office

    $139.92

    Facility

    $52.55

    $14.35 higher than Austin for the office setting.

  • Stockton

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Vallejo

    California · 64425

    Office

    $148.43

    Facility

    $54.66

    $22.86 higher than Austin for the office setting.

  • Visalia

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Yuba City

    California · 64425

    Office

    $128.25

    Facility

    $50.28

    $2.68 higher than Austin for the office setting.

  • Colorado

    Colorado · 64425

    Office

    $126.10

    Facility

    $50.40

    $0.53 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 64425

    Office

    $128.76

    Facility

    $52.13

    $3.19 higher than Austin for the office setting.

  • Delaware

    Delaware · 64425

    Office

    $119.75

    Facility

    $49.46

    $5.82 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 64425

    Office

    $124.45

    Facility

    $52.38

    $1.12 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 64425

    Office

    $118.68

    Facility

    $50.66

    $6.89 lower than Austin for the office setting.

  • Atlanta

    Georgia · 64425

    Office

    $122.98

    Facility

    $50.69

    $2.59 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 64425

    Office

    $112.29

    Facility

    $48.83

    $13.28 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 64425

    Office

    $131.31

    Facility

    $50.42

    $5.74 higher than Austin for the office setting.

  • Iowa

    Iowa · 64425

    Office

    $111.86

    Facility

    $46.76

    $13.71 lower than Austin for the office setting.

  • Idaho

    Idaho · 64425

    Office

    $112.51

    Facility

    $47.06

    $13.06 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 64425

    Office

    $117.15

    Facility

    $51.69

    $8.42 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 64425

    Office

    $115.19

    Facility

    $50.24

    $10.38 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 64425

    Office

    $125.76

    Facility

    $52.70

    $0.19 higher than Austin for the office setting.

  • Indiana

    Indiana · 64425

    Office

    $113.15

    Facility

    $47.20

    $12.42 lower than Austin for the office setting.

  • Kansas

    Kansas · 64425

    Office

    $111.24

    Facility

    $46.93

    $14.33 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 64425

    Office

    $111.20

    Facility

    $47.95

    $14.37 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 64425

    Office

    $116.29

    Facility

    $49.35

    $9.28 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 64425

    Office

    $110.99

    Facility

    $48.03

    $14.58 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 64425

    Office

    $138.45

    Facility

    $53.50

    $12.88 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64425

    Office

    $125.34

    Facility

    $50.42

    $0.23 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64425

    Office

    $128.37

    Facility

    $52.03

    $2.80 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 64425

    Office

    $122.01

    Facility

    $50.02

    $3.56 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 64425

    Office

    $112.96

    Facility

    $47.51

    $12.61 lower than Austin for the office setting.

  • Southern Maine

    Maine · 64425

    Office

    $119.04

    Facility

    $48.53

    $6.53 lower than Austin for the office setting.

  • Detroit

    Michigan · 64425

    Office

    $119.99

    Facility

    $51.34

    $5.58 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 64425

    Office

    $113.89

    Facility

    $48.93

    $11.68 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 64425

    Office

    $121.26

    Facility

    $48.06

    $4.31 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 64425

    Office

    $115.65

    Facility

    $48.84

    $9.92 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 64425

    Office

    $116.83

    Facility

    $49.10

    $8.74 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 64425

    Office

    $109.08

    Facility

    $47.75

    $16.49 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 64425

    Office

    $108.29

    Facility

    $47.03

    $17.28 lower than Austin for the office setting.

  • Montana**

    Montana · 64425

    Office

    $120.91

    Facility

    $49.76

    $4.66 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 64425

    Office

    $114.12

    Facility

    $47.74

    $11.45 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 64425

    Office

    $119.13

    Facility

    $47.98

    $6.44 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 64425

    Office

    $112.48

    Facility

    $46.82

    $13.09 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 64425

    Office

    $124.03

    Facility

    $49.97

    $1.54 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 64425

    Office

    $136.81

    Facility

    $54.28

    $11.24 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 64425

    Office

    $130.35

    Facility

    $52.66

    $4.78 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 64425

    Office

    $114.45

    Facility

    $49.21

    $11.12 lower than Austin for the office setting.

  • Nevada**

    Nevada · 64425

    Office

    $120.49

    Facility

    $49.28

    $5.08 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64425

    Office

    $141.68

    Facility

    $57.09

    $16.11 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64425

    Office

    $131.11

    Facility

    $53.20

    $5.54 higher than Austin for the office setting.

  • Queens

    New York · 64425

    Office

    $139.84

    Facility

    $55.74

    $14.27 higher than Austin for the office setting.

  • Rest Of New York

    New York · 64425

    Office

    $115.76

    Facility

    $48.17

    $9.81 lower than Austin for the office setting.

  • Ohio

    Ohio · 64425

    Office

    $113.53

    Facility

    $48.57

    $12.04 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 64425

    Office

    $111.13

    Facility

    $47.60

    $14.44 lower than Austin for the office setting.

  • Portland

    Oregon · 64425

    Office

    $130.12

    Facility

    $51.08

    $4.55 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 64425

    Office

    $119.68

    Facility

    $48.82

    $5.89 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64425

    Office

    $125.57

    Facility

    $51.51

    The same base rate than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64425

    Office

    $113.76

    Facility

    $48.45

    $11.81 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 64425

    Office

    $121.80

    Facility

    $49.88

    $3.77 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 64425

    Office

    $124.02

    Facility

    $50.53

    $1.55 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 64425

    Office

    $113.99

    Facility

    $48.25

    $11.58 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 64425

    Office

    $118.92

    Facility

    $47.77

    $6.65 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 64425

    Office

    $111.77

    Facility

    $47.10

    $13.80 lower than Austin for the office setting.

  • Utah

    Utah · 64425

    Office

    $115.49

    Facility

    $48.62

    $10.08 lower than Austin for the office setting.

  • Virginia

    Virginia · 64425

    Office

    $118.58

    Facility

    $48.65

    $6.99 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64425

    Office

    $121.80

    Facility

    $49.88

    $3.77 lower than Austin for the office setting.

  • Vermont

    Vermont · 64425

    Office

    $118.57

    Facility

    $48.14

    $7.00 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 64425

    Office

    $125.13

    Facility

    $50.22

    $0.44 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 64425

    Office

    $141.33

    Facility

    $54.04

    $15.76 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 64425

    Office

    $115.25

    Facility

    $47.10

    $10.32 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 64425

    Office

    $111.05

    Facility

    $49.23

    $14.52 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 64425

    Office

    $120.13

    Facility

    $48.99

    $5.44 lower than Austin for the office setting.

See how rates vary across the country

64425 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$107.44

$144.51

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$141.461
AL$108.961
AR$107.441
AZ$117.841
CA$128.25–$160.7629
CO$126.101
CT$128.761
DC$138.181
DE$119.751
FL$118.68–$129.003
GA$112.29–$122.982
GU$131.311
HI$131.311
IA$111.861
ID$112.511
IL$115.19–$125.764
IN$113.151
KS$111.241
KY$111.201
LA$110.99–$116.292
MA$125.34–$138.452
MD$122.01–$138.183
ME$112.96–$119.042
MI$113.89–$119.992
MN$121.261
MO$109.08–$116.833
MS$108.291
MT$120.911
NC$114.121
ND$119.131
NE$112.481
NH$124.031
NJ$130.35–$136.812
NM$114.451
NV$120.491
NY$115.76–$141.685
OH$113.531
OK$111.131
OR$119.68–$130.122
PA$113.76–$125.572
PR$121.801
RI$124.021
SC$113.991
SD$118.921
TN$111.771
TX$113.03–$125.578
UT$115.491
VA$118.58–$138.182
VI$121.801
VT$118.571
WA$125.13–$141.332
WI$115.251
WV$111.051
WY$120.131

Explore 64425 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 64425 in Austin, the physician’s office rate is $125.57 and the facility-setting rate is $50.30: a difference of $75.27.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 64425 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$138.13

$125.57 × 110% = $138.13

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64425 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,105

Code
64425
Physician work
0.98
Practice expense
2.55
Malpractice
0.09

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 64425 in Austin
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0020.9820
Practice expense2.55× 1.0582.6979
Malpractice0.09× 0.8860.0797
Total RVUs3.7596
Conversion factor× 33.4009

Office / nonfacility rate, Austin$125.57

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 64425 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.981.002
Practice expense2.551.058
Malpractice0.090.886

(0.98 × 1.002 + 2.55 × 1.058 + 0.09 × 0.886) × $33.4009 = $125.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.981.002
Practice expense0.421.058
Malpractice0.090.886

(0.98 × 1.002 + 0.42 × 1.058 + 0.09 × 0.886) × $33.4009 = $50.30

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

64425 · Office / nonfacility

$125.57

Effective 2026-10-01

The base rate is $16.51 higher than on 2025-10-01, moving from $109.06 to $125.57 (15.1%).

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

    $109.06changed to$125.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.00 changed to 0.98
    • Practice expense RVU 2.18 changed to 2.55
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $109.06

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$125.57$50.30RVU26D
2026-07-01$125.57$50.30RVU26C
2026-04-01$125.57$50.30RVU26B
2026-01-01$125.57$50.30RVU26A
2025-10-01$109.06$53.24RVU25D
2025-07-01$109.06$53.24RVU25C
2025-04-01$109.06$53.24RVU25B
2025-01-01$109.06$53.24RVU25A

64425 billing questions

When should this code be selected instead of 64450?

Use this code when the documented target is the ilioinguinal and/or iliohypogastric nerves. Code 64450 describes an injection for another peripheral nerve or branch not identified by a more specific code.

Can both nerves be addressed under this code?

The code identifies the ilioinguinal and iliohypogastric nerve targets. Document which nerve or nerves were injected and the side treated.

How is a bilateral injection reported under the CMS facts?

For bilateral service, modifier 50 is paid at 150%. The documentation should support treatment on both sides.

Is same-day evaluation or postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How does CMS handle another procedure performed in the same session?

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

What documentation supports reporting this nerve block?

Record the clinical indication, the ilioinguinal and/or iliohypogastric target, the side, the medication injected, and the response when relevant.

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.

RVUs for 64425PPRRVU2026_Oct_nonQPP.csv, line 7,105 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet