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CMS RVU26D · Effective 2026-10-01

64640 in Austin

Office / nonfacility

$278.18

Base rate per service

Facility setting

$113.16

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.

Pain management

About 64640: Other peripheral nerve neurolytic treatment

Reports neurolytic treatment directed at a peripheral nerve or branch when the target is not covered by a more specifically named nerve code.

This service involves intentionally disabling a targeted peripheral nerve or branch to reduce pain, commonly by injecting a neurolytic agent. Interventional pain physicians and other qualified clinicians may perform it for selected cases of persistent neuralgia or nerve pain, including pain associated with an injured nerve or neuroma. The specific nerve and treatment approach distinguish this service from codes assigned to particular nerves or nerve groups.

Select the code based on the nerve treated and the documented procedure, not simply the presence of an injection or nerve block. The record should identify the target nerve or branch, the condition treated, and the neurolytic method. 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 the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 64640

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 RVU1.93 · 24%
  • Practice expense (office) RVU5.86 · 73%
  • Malpractice RVU0.22 · 3%

102.8K

Medicare services in 2024 · #547 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.

64640 compared with similar codes

Office rates for Austin, from the same CMS release.

64630

Nerve neurolysis

Pudendal nerve

$281.41

Choose 64630 for neurolytic treatment of the pudendal nerve. Code 64640 is for another peripheral nerve or branch.

64632

Nerve destruction

Plantar common digital nerve

$92.65

Choose 64632 for treatment of a common digital nerve. Code 64640 covers other peripheral nerves or branches.

64624

Genicular nerve ablation

Three or more branches

$429.18

Choose 64624 for the specified genicular nerve treatment; 64640 is the broader code for other peripheral nerve targets.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 64640 is $249.40—$28.78 lower than the $278.18 rate in Austin. Both use the same code, release and participation basis.

64640 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $278.18

  2. Beaumont

    $249.40

    $28.78 lower than Austin

  3. Brazoria

    $264.68

    $13.50 lower than Austin

  4. Dallas

    $266.30

    $11.88 lower than Austin

  5. Fort Worth

    $264.43

    $13.75 lower than Austin

  6. Galveston

    $265.42

    $12.76 lower than Austin

  7. Houston

    $269.45

    $8.73 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, 64640 ranges from $236.38 in Arkansas to $357.73 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 · 64640

    Office

    $256.85

    Facility

    $108.82

    $21.33 lower than Austin for the office setting.

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

    California · 64640

    Office

    $303.53

    Facility

    $119.01

    $25.35 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64640

    Office

    $306.69

    Facility

    $122.95

    $28.51 higher than Austin for the office setting.

  • Miami

    Florida · 64640

    Office

    $286.80

    Facility

    $124.42

    $8.62 higher than Austin for the office setting.

  • Chicago

    Illinois · 64640

    Office

    $278.49

    Facility

    $121.72

    $0.31 higher than Austin for the office setting.

  • Manhattan

    New York · 64640

    Office

    $307.68

    Facility

    $126.43

    $29.50 higher than Austin for the office setting.

  • Alaska*

    Alaska · 64640

    Office

    $309.20

    Facility

    $143.08

    $31.02 higher than Austin for the office setting.

  • Alabama

    Alabama · 64640

    Office

    $239.89

    Facility

    $103.40

    $38.29 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 64640

    Office

    $236.38

    Facility

    $102.39

    $41.80 lower than Austin for the office setting.

  • Arizona

    Arizona · 64640

    Office

    $260.42

    Facility

    $109.27

    $17.76 lower than Austin for the office setting.

  • Bakersfield

    California · 64640

    Office

    $284.68

    Facility

    $113.73

    $6.50 higher than Austin for the office setting.

  • Chico

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • El Centro

    California · 64640

    Office

    $284.05

    Facility

    $113.10

    $5.87 higher than Austin for the office setting.

  • Fresno

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Madera

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Merced

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Modesto

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Napa

    California · 64640

    Office

    $330.23

    Facility

    $124.64

    $52.05 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64640

    Office

    $302.20

    Facility

    $117.83

    $24.02 higher than Austin for the office setting.

  • Redding

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Rest Of California

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64640

    Office

    $286.41

    Facility

    $115.45

    $8.23 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64640

    Office

    $298.36

    Facility

    $116.95

    $20.18 higher than Austin for the office setting.

  • Salinas

    California · 64640

    Office

    $297.25

    Facility

    $116.47

    $19.07 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64640

    Office

    $304.47

    Facility

    $117.92

    $26.29 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64640

    Office

    $349.94

    Facility

    $130.00

    $71.76 higher than Austin for the office setting.

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

    California · 64640

    Office

    $349.69

    Facility

    $129.75

    $71.51 higher than Austin for the office setting.

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

    California · 64640

    Office

    $357.73

    Facility

    $132.81

    $79.55 higher than Austin for the office setting.

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

    California · 64640

    Office

    $356.71

    Facility

    $131.79

    $78.53 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64640

    Office

    $292.43

    Facility

    $114.77

    $14.25 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 64640

    Office

    $307.57

    Facility

    $118.05

    $29.39 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 64640

    Office

    $298.43

    Facility

    $116.55

    $20.25 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 64640

    Office

    $310.69

    Facility

    $119.15

    $32.51 higher than Austin for the office setting.

  • Stockton

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Vallejo

    California · 64640

    Office

    $329.87

    Facility

    $124.28

    $51.69 higher than Austin for the office setting.

  • Visalia

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Yuba City

    California · 64640

    Office

    $284.02

    Facility

    $113.06

    $5.84 higher than Austin for the office setting.

  • Colorado

    Colorado · 64640

    Office

    $279.23

    Facility

    $113.27

    $1.05 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 64640

    Office

    $285.44

    Facility

    $117.45

    $7.26 higher than Austin for the office setting.

  • Delaware

    Delaware · 64640

    Office

    $264.77

    Facility

    $110.66

    $13.41 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 64640

    Office

    $276.02

    Facility

    $118.01

    $2.16 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 64640

    Office

    $262.63

    Facility

    $113.51

    $15.55 lower than Austin for the office setting.

  • Atlanta

    Georgia · 64640

    Office

    $272.34

    Facility

    $113.87

    $5.84 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 64640

    Office

    $247.81

    Facility

    $108.68

    $30.37 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 64640

    Office

    $291.26

    Facility

    $113.91

    $13.08 higher than Austin for the office setting.

  • Iowa

    Iowa · 64640

    Office

    $246.47

    Facility

    $103.75

    $31.71 lower than Austin for the office setting.

  • Idaho

    Idaho · 64640

    Office

    $248.01

    Facility

    $104.51

    $30.17 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 64640

    Office

    $259.33

    Facility

    $115.83

    $18.85 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 64640

    Office

    $254.65

    Facility

    $112.24

    $23.53 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 64640

    Office

    $278.95

    Facility

    $118.76

    $0.77 higher than Austin for the office setting.

  • Indiana

    Indiana · 64640

    Office

    $249.48

    Facility

    $104.88

    $28.70 lower than Austin for the office setting.

  • Kansas

    Kansas · 64640

    Office

    $245.11

    Facility

    $104.10

    $33.07 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 64640

    Office

    $245.19

    Facility

    $106.52

    $32.99 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 64640

    Office

    $256.99

    Facility

    $110.21

    $21.19 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 64640

    Office

    $244.72

    Facility

    $106.68

    $33.46 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 64640

    Office

    $307.35

    Facility

    $121.10

    $29.17 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64640

    Office

    $277.45

    Facility

    $113.21

    $0.73 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64640

    Office

    $284.60

    Facility

    $117.23

    $6.42 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 64640

    Office

    $269.93

    Facility

    $112.08

    $8.25 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 64640

    Office

    $249.11

    Facility

    $105.60

    $29.07 lower than Austin for the office setting.

  • Southern Maine

    Maine · 64640

    Office

    $263.07

    Facility

    $108.49

    $15.11 lower than Austin for the office setting.

  • Detroit

    Michigan · 64640

    Office

    $265.73

    Facility

    $115.21

    $12.45 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 64640

    Office

    $251.46

    Facility

    $109.05

    $26.72 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 64640

    Office

    $268.04

    Facility

    $107.54

    $10.14 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 64640

    Office

    $255.43

    Facility

    $108.97

    $22.75 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 64640

    Office

    $258.16

    Facility

    $109.67

    $20.02 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 64640

    Office

    $240.34

    Facility

    $105.88

    $37.84 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 64640

    Office

    $238.42

    Facility

    $104.12

    $39.76 lower than Austin for the office setting.

  • Montana**

    Montana · 64640

    Office

    $267.53

    Facility

    $111.54

    $10.65 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 64640

    Office

    $251.77

    Facility

    $106.24

    $26.41 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 64640

    Office

    $263.18

    Facility

    $107.19

    $15.00 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 64640

    Office

    $247.90

    Facility

    $103.93

    $30.28 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 64640

    Office

    $274.65

    Facility

    $112.27

    $3.53 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 64640

    Office

    $303.42

    Facility

    $122.48

    $25.24 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 64640

    Office

    $288.84

    Facility

    $118.51

    $10.66 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 64640

    Office

    $252.77

    Facility

    $109.74

    $25.41 lower than Austin for the office setting.

  • Nevada**

    Nevada · 64640

    Office

    $266.51

    Facility

    $110.37

    $11.67 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64640

    Office

    $314.96

    Facility

    $129.49

    $36.78 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64640

    Office

    $290.58

    Facility

    $119.78

    $12.40 higher than Austin for the office setting.

  • Queens

    New York · 64640

    Office

    $310.54

    Facility

    $126.17

    $32.36 higher than Austin for the office setting.

  • Rest Of New York

    New York · 64640

    Office

    $255.57

    Facility

    $107.39

    $22.61 lower than Austin for the office setting.

  • Ohio

    Ohio · 64640

    Office

    $250.57

    Facility

    $108.16

    $27.61 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 64640

    Office

    $244.96

    Facility

    $105.67

    $33.22 lower than Austin for the office setting.

  • Portland

    Oregon · 64640

    Office

    $288.42

    Facility

    $115.12

    $10.24 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 64640

    Office

    $264.58

    Facility

    $109.22

    $13.60 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64640

    Office

    $278.14

    Facility

    $115.77

    $0.04 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64640

    Office

    $251.09

    Facility

    $107.90

    $27.09 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 64640

    Office

    $269.58

    Facility

    $111.89

    $8.60 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 64640

    Office

    $274.43

    Facility

    $113.30

    $3.75 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 64640

    Office

    $251.56

    Facility

    $107.44

    $26.62 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 64640

    Office

    $262.66

    Facility

    $106.68

    $15.52 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 64640

    Office

    $246.33

    Facility

    $104.54

    $31.85 lower than Austin for the office setting.

  • Utah

    Utah · 64640

    Office

    $255.05

    Facility

    $108.42

    $23.13 lower than Austin for the office setting.

  • Virginia

    Virginia · 64640

    Office

    $262.05

    Facility

    $108.72

    $16.13 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64640

    Office

    $269.58

    Facility

    $111.89

    $8.60 lower than Austin for the office setting.

  • Vermont

    Vermont · 64640

    Office

    $261.95

    Facility

    $107.53

    $16.23 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 64640

    Office

    $277.00

    Facility

    $112.75

    $1.18 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 64640

    Office

    $313.85

    Facility

    $122.46

    $35.67 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 64640

    Office

    $254.24

    Facility

    $104.80

    $23.94 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 64640

    Office

    $245.07

    Facility

    $109.52

    $33.11 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 64640

    Office

    $265.63

    Facility

    $109.65

    $12.55 lower than Austin for the office setting.

See how rates vary across the country

64640 · 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.

$236.38

$320.88

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$309.201
AL$239.891
AR$236.381
AZ$260.421
CA$284.02–$357.7329
CO$279.231
CT$285.441
DC$306.691
DE$264.771
FL$262.63–$286.803
GA$247.81–$272.342
GU$291.261
HI$291.261
IA$246.471
ID$248.011
IL$254.65–$278.954
IN$249.481
KS$245.111
KY$245.191
LA$244.72–$256.992
MA$277.45–$307.352
MD$269.93–$306.693
ME$249.11–$263.072
MI$251.46–$265.732
MN$268.041
MO$240.34–$258.163
MS$238.421
MT$267.531
NC$251.771
ND$263.181
NE$247.901
NH$274.651
NJ$288.84–$303.422
NM$252.771
NV$266.511
NY$255.57–$314.965
OH$250.571
OK$244.961
OR$264.58–$288.422
PA$251.09–$278.142
PR$269.581
RI$274.431
SC$251.561
SD$262.661
TN$246.331
TX$249.40–$278.188
UT$255.051
VA$262.05–$306.692
VI$269.581
VT$261.951
WA$277.00–$313.852
WI$254.241
WV$245.071
WY$265.631

Explore 64640 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 64640 in Austin, the physician’s office rate is $278.18 and the facility-setting rate is $113.16: a difference of $165.02.

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 64640 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$306.00

$278.18 × 110% = $306.00

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.

Compare your contract offer →

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 64640 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,184

Code
64640
Physician work
1.93
Practice expense
5.86
Malpractice
0.22

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 64640 in Austin
ComponentRVULocality factorAdjusted
Physician work1.93× 1.0021.9339
Practice expense5.86× 1.0586.1999
Malpractice0.22× 0.8860.1949
Total RVUs8.3287
Conversion factor× 33.4009

Office / nonfacility rate, Austin$278.18

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

Open 64640 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.931.002
Practice expense5.861.058
Malpractice0.220.886

(1.93 × 1.002 + 5.86 × 1.058 + 0.22 × 0.886) × $33.4009 = $278.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.931.002
Practice expense1.191.058
Malpractice0.220.886

(1.93 × 1.002 + 1.19 × 1.058 + 0.22 × 0.886) × $33.4009 = $113.16

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

64640 · Office / nonfacility

$278.18

Effective 2026-10-01

The base rate is $29.96 higher than on 2025-10-01, moving from $248.22 to $278.18 (12.1%).

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

    $248.22changed to$278.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.98 changed to 1.93
    • Practice expense RVU 5.26 changed to 5.86
    • Malpractice RVU 0.21 changed to 0.22
    • 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: $248.22

    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$278.18$113.16RVU26D
2026-07-01$278.18$113.16RVU26C
2026-04-01$278.18$113.16RVU26B
2026-01-01$278.18$113.16RVU26A
2025-10-01$248.22$118.64RVU25D
2025-07-01$248.22$118.64RVU25C
2025-04-01$248.22$118.64RVU25B
2025-01-01$248.22$118.64RVU25A

64640 billing questions

When should 64640 be selected instead of a nerve-specific code?

Use 64640 for neurolytic treatment of another peripheral nerve or branch. Use a more specific code when the treated nerve is named in a separate code, such as the pudendal or common digital nerve.

Does an ordinary nerve block support 64640?

A diagnostic or therapeutic nerve block alone is not the neurolytic treatment reported by this code. The documentation should support intentional neurolytic treatment of the identified nerve or branch.

What should the procedure note identify?

Document the nerve or branch treated, the clinical condition, and the neurolytic method. The note should distinguish the treatment from a temporary anesthetic block.

How is bilateral treatment reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

How are multiple procedures in one session paid?

CMS pays the highest-valued procedure in full and the other procedures at 50% when performed in the same session.

Are related postoperative visits separately included?

Related postoperative visits during the 10-day global period are included in this procedure's 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 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 64640PPRRVU2026_Oct_nonQPP.csv, line 7,184 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet