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CMS RVU26D · Effective 2026-10-01

64680 in Chico

Office / nonfacility

$368.26

Base rate per service

Facility setting

$148.98

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 64680: Celiac plexus neurolysis by injection

Reports chemical destruction of the celiac plexus, commonly performed to relieve severe upper abdominal visceral pain such as pain from pancreatic cancer.

This service destroys the celiac plexus with a neurolytic agent to reduce severe visceral pain from upper abdominal disease, often pancreatic cancer. Interventional pain physicians, anesthesiologists, and radiologists may perform it in an outpatient procedure suite or hospital setting. The needle is commonly positioned with fluoroscopic or CT monitoring; the code includes the service whether or not radiologic monitoring is used.

Report the code when the documented target is the celiac plexus and the treatment is neurolysis, rather than a temporary anesthetic block. The procedure note should identify the indication, target, neurolytic agent, and technique. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When this and other multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is not appropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 64680

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU2.60 · 25%
  • Practice expense (office) RVU7.52 · 72%
  • Malpractice RVU0.26 · 3%

856

Medicare services in 2024 · #3089 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.

64680 compared with similar codes

Office rates for Chico, from the same CMS release.

64530

Celiac plexus block

Anesthetic injection

$251.58

Choose 64530 for an anesthetic injection or block of the celiac plexus. Choose 64680 when a neurolytic agent is used to destroy the plexus.

64681

Plexus neurolysis

Superior hypogastric plexus

$491.30

64681 targets the superior hypogastric plexus. 64680 targets the celiac plexus, typically for upper abdominal visceral pain.

64640

Nerve treatment

Other peripheral nerve or branch

$284.02

64640 covers neurolytic treatment of another peripheral nerve or branch. Use 64680 when the documented target is specifically the celiac plexus.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 64680 is $369.07—$0.81 higher than the $368.26 rate in Chico. Both use the same code, release and participation basis.

64680 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $368.26

  2. $0.81 higher than Chico

  3. El Centro

    $368.30

    $0.04 higher than Chico

  4. Fresno

    $368.26

    The same base rate than Chico

  5. The same base rate than Chico

  6. $25.05 higher than Chico

  7. Madera

    $368.26

    The same base rate than Chico

Other payment areas listed in California 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, 64680 ranges from $307.07 in Arkansas to $463.24 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
  • Merced

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Modesto

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Napa

    California · 64680

    Office

    $427.77

    Facility

    $164.08

    $59.51 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64680

    Office

    $391.57

    Facility

    $155.09

    $23.31 higher than Chico for the office setting.

  • Redding

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64680

    Office

    $371.10

    Facility

    $151.82

    $2.84 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64680

    Office

    $386.74

    Facility

    $154.06

    $18.48 higher than Chico for the office setting.

  • Salinas

    California · 64680

    Office

    $385.30

    Facility

    $153.42

    $17.04 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64680

    Office

    $394.56

    Facility

    $155.27

    $26.30 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64680

    Office

    $453.23

    Facility

    $171.13

    $84.97 higher than Chico for the office setting.

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

    California · 64680

    Office

    $452.94

    Facility

    $170.84

    $84.68 higher than Chico for the office setting.

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

    California · 64680

    Office

    $463.24

    Facility

    $174.74

    $94.98 higher than Chico for the office setting.

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

    California · 64680

    Office

    $462.04

    Facility

    $173.53

    $93.78 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64680

    Office

    $379.06

    Facility

    $151.18

    $10.80 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 64680

    Office

    $398.50

    Facility

    $155.41

    $30.24 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 64680

    Office

    $386.80

    Facility

    $153.52

    $18.54 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 64680

    Office

    $402.54

    Facility

    $156.86

    $34.28 higher than Chico for the office setting.

  • Stockton

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 64680

    Office

    $427.35

    Facility

    $163.65

    $59.09 higher than Chico for the office setting.

  • Visalia

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 64680

    Office

    $368.26

    Facility

    $148.98

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64680

    Office

    $397.08

    Facility

    $161.40

    $28.82 higher than Chico for the office setting.

  • Miami

    Florida · 64680

    Office

    $370.28

    Facility

    $162.00

    $2.02 higher than Chico for the office setting.

  • Chicago

    Illinois · 64680

    Office

    $359.81

    Facility

    $158.74

    $8.45 lower than Chico for the office setting.

  • Manhattan

    New York · 64680

    Office

    $398.04

    Facility

    $165.56

    $29.78 higher than Chico for the office setting.

  • Alaska*

    Alaska · 64680

    Office

    $402.55

    Facility

    $189.47

    $34.29 higher than Chico for the office setting.

  • Alabama

    Alabama · 64680

    Office

    $311.54

    Facility

    $136.47

    $56.72 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 64680

    Office

    $307.07

    Facility

    $135.21

    $61.19 lower than Chico for the office setting.

  • Arizona

    Arizona · 64680

    Office

    $337.66

    Facility

    $143.80

    $30.60 lower than Chico for the office setting.

  • Colorado

    Colorado · 64680

    Office

    $361.92

    Facility

    $149.04

    $6.34 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 64680

    Office

    $369.60

    Facility

    $154.13

    $1.34 higher than Chico for the office setting.

  • Delaware

    Delaware · 64680

    Office

    $343.24

    Facility

    $145.57

    $25.02 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 64680

    Office

    $356.98

    Facility

    $154.31

    $11.28 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 64680

    Office

    $340.02

    Facility

    $148.75

    $28.24 lower than Chico for the office setting.

  • Atlanta

    Georgia · 64680

    Office

    $352.73

    Facility

    $149.45

    $15.53 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 64680

    Office

    $321.24

    Facility

    $142.78

    $47.02 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 64680

    Office

    $377.46

    Facility

    $149.98

    $9.20 higher than Chico for the office setting.

  • Iowa

    Iowa · 64680

    Office

    $320.11

    Facility

    $137.05

    $48.15 lower than Chico for the office setting.

  • Idaho

    Idaho · 64680

    Office

    $322.03

    Facility

    $137.97

    $46.23 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 64680

    Office

    $335.41

    Facility

    $151.35

    $32.85 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 64680

    Office

    $329.74

    Facility

    $147.07

    $38.52 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 64680

    Office

    $360.80

    Facility

    $155.32

    $7.46 lower than Chico for the office setting.

  • Indiana

    Indiana · 64680

    Office

    $323.90

    Facility

    $138.44

    $44.36 lower than Chico for the office setting.

  • Kansas

    Kansas · 64680

    Office

    $318.28

    Facility

    $137.42

    $49.98 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 64680

    Office

    $318.08

    Facility

    $140.22

    $50.18 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 64680

    Office

    $333.06

    Facility

    $144.80

    $35.20 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 64680

    Office

    $317.45

    Facility

    $140.39

    $50.81 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 64680

    Office

    $398.03

    Facility

    $159.15

    $29.77 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64680

    Office

    $359.64

    Facility

    $148.97

    $8.62 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64680

    Office

    $368.48

    Facility

    $153.81

    $0.22 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 64680

    Office

    $349.87

    Facility

    $147.40

    $18.39 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 64680

    Office

    $323.32

    Facility

    $139.26

    $44.94 lower than Chico for the office setting.

  • Southern Maine

    Maine · 64680

    Office

    $341.24

    Facility

    $142.97

    $27.02 lower than Chico for the office setting.

  • Detroit

    Michigan · 64680

    Office

    $343.87

    Facility

    $150.80

    $24.39 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 64680

    Office

    $325.97

    Facility

    $143.30

    $42.29 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 64680

    Office

    $347.87

    Facility

    $142.00

    $20.39 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 64680

    Office

    $331.18

    Facility

    $143.31

    $37.08 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 64680

    Office

    $334.66

    Facility

    $144.19

    $33.60 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 64680

    Office

    $311.81

    Facility

    $139.35

    $56.45 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 64680

    Office

    $309.52

    Facility

    $137.26

    $58.74 lower than Chico for the office setting.

  • Montana**

    Montana · 64680

    Office

    $346.68

    Facility

    $146.61

    $21.58 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 64680

    Office

    $326.74

    Facility

    $140.07

    $41.52 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 64680

    Office

    $341.54

    Facility

    $141.47

    $26.72 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 64680

    Office

    $321.96

    Facility

    $137.29

    $46.30 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 64680

    Office

    $355.91

    Facility

    $147.64

    $12.35 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 64680

    Office

    $392.95

    Facility

    $160.87

    $24.69 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 64680

    Office

    $374.13

    Facility

    $155.65

    $5.87 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 64680

    Office

    $327.60

    Facility

    $144.13

    $40.66 lower than Chico for the office setting.

  • Nevada**

    Nevada · 64680

    Office

    $345.50

    Facility

    $145.23

    $22.76 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64680

    Office

    $407.17

    Facility

    $169.29

    $38.91 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64680

    Office

    $376.29

    Facility

    $157.22

    $8.03 higher than Chico for the office setting.

  • Queens

    New York · 64680

    Office

    $401.81

    Facility

    $165.33

    $33.55 higher than Chico for the office setting.

  • Rest Of New York

    New York · 64680

    Office

    $331.56

    Facility

    $141.50

    $36.70 lower than Chico for the office setting.

  • Ohio

    Ohio · 64680

    Office

    $324.92

    Facility

    $142.25

    $43.34 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 64680

    Office

    $317.89

    Facility

    $139.23

    $50.37 lower than Chico for the office setting.

  • Portland

    Oregon · 64680

    Office

    $373.75

    Facility

    $151.47

    $5.49 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 64680

    Office

    $343.12

    Facility

    $143.85

    $25.14 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64680

    Office

    $360.24

    Facility

    $151.96

    $8.02 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64680

    Office

    $325.63

    Facility

    $141.96

    $42.63 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 64680

    Office

    $349.33

    Facility

    $147.06

    $18.93 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 64680

    Office

    $355.70

    Facility

    $149.03

    $12.56 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 64680

    Office

    $326.31

    Facility

    $141.44

    $41.95 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 64680

    Office

    $340.94

    Facility

    $140.86

    $27.32 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 64680

    Office

    $319.82

    Facility

    $137.96

    $48.44 lower than Chico for the office setting.

  • Austin

    Texas · 64680

    Office

    $360.45

    Facility

    $148.78

    $7.81 lower than Chico for the office setting.

  • Beaumont

    Texas · 64680

    Office

    $323.48

    Facility

    $141.41

    $44.78 lower than Chico for the office setting.

  • Brazoria

    Texas · 64680

    Office

    $343.22

    Facility

    $144.95

    $25.04 lower than Chico for the office setting.

  • Dallas

    Texas · 64680

    Office

    $345.25

    Facility

    $145.97

    $23.01 lower than Chico for the office setting.

  • Fort Worth

    Texas · 64680

    Office

    $342.85

    Facility

    $145.58

    $25.41 lower than Chico for the office setting.

  • Galveston

    Texas · 64680

    Office

    $344.14

    Facility

    $145.47

    $24.12 lower than Chico for the office setting.

  • Houston

    Texas · 64680

    Office

    $348.90

    Facility

    $150.23

    $19.36 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 64680

    Office

    $333.05

    Facility

    $143.18

    $35.21 lower than Chico for the office setting.

  • Utah

    Utah · 64680

    Office

    $330.75

    Facility

    $142.68

    $37.51 lower than Chico for the office setting.

  • Virginia

    Virginia · 64680

    Office

    $339.88

    Facility

    $143.21

    $28.38 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64680

    Office

    $349.33

    Facility

    $147.06

    $18.93 lower than Chico for the office setting.

  • Vermont

    Vermont · 64680

    Office

    $339.90

    Facility

    $141.83

    $28.36 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 64680

    Office

    $359.07

    Facility

    $148.39

    $9.19 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 64680

    Office

    $406.47

    Facility

    $160.98

    $38.21 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 64680

    Office

    $330.14

    Facility

    $138.47

    $38.12 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 64680

    Office

    $317.54

    Facility

    $143.68

    $50.72 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 64680

    Office

    $344.44

    Facility

    $144.37

    $23.82 lower than Chico for the office setting.

See how rates vary across the country

64680 · 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.

$307.07

$415.75

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$402.551
AL$311.541
AR$307.071
AZ$337.661
CA$368.26–$463.2429
CO$361.921
CT$369.601
DC$397.081
DE$343.241
FL$340.02–$370.283
GA$321.24–$352.732
GU$377.461
HI$377.461
IA$320.111
ID$322.031
IL$329.74–$360.804
IN$323.901
KS$318.281
KY$318.081
LA$317.45–$333.062
MA$359.64–$398.032
MD$349.87–$397.083
ME$323.32–$341.242
MI$325.97–$343.872
MN$347.871
MO$311.81–$334.663
MS$309.521
MT$346.681
NC$326.741
ND$341.541
NE$321.961
NH$355.911
NJ$374.13–$392.952
NM$327.601
NV$345.501
NY$331.56–$407.175
OH$324.921
OK$317.891
OR$343.12–$373.752
PA$325.63–$360.242
PR$349.331
RI$355.701
SC$326.311
SD$340.941
TN$319.821
TX$323.48–$360.458
UT$330.751
VA$339.88–$397.082
VI$349.331
VT$339.901
WA$359.07–$406.472
WI$330.141
WV$317.541
WY$344.441

Explore 64680 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.

Why are the office and facility amounts different?

For 64680 in Chico, the physician’s office rate is $368.26 and the facility-setting rate is $148.98: a difference of $219.28.

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 64680 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$405.09

$368.26 × 110% = $405.09

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 64680 in Chico.

PPRRVU2026_Oct_nonQPP.csv

7,199

Code
64680
Physician work
2.60
Practice expense
7.52
Malpractice
0.26

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64680 in Chico
ComponentRVULocality factorAdjusted
Physician work2.60× 1.0172.6442
Practice expense7.52× 1.0968.2419
Malpractice0.26× 0.5360.1394
Total RVUs11.0255
Conversion factor× 33.4009

Office / nonfacility rate, Chico$368.26

Open 64680 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.61.017
Practice expense7.521.096
Malpractice0.260.536

(2.6 × 1.017 + 7.52 × 1.096 + 0.26 × 0.536) × $33.4009 = $368.26

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.61.017
Practice expense1.531.096
Malpractice0.260.536

(2.6 × 1.017 + 1.53 × 1.096 + 0.26 × 0.536) × $33.4009 = $148.98

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

64680 · Office / nonfacility

$368.26

Effective 2026-10-01

The base rate is $24.07 higher than on 2025-10-01, moving from $344.19 to $368.26 (7.0%).

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

    $344.19changed to$368.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.67 changed to 2.60
    • Practice expense RVU 7.12 changed to 7.52
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $344.19

    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$368.26$148.98RVU26D
2026-07-01$368.26$148.98RVU26C
2026-04-01$368.26$148.98RVU26B
2026-01-01$368.26$148.98RVU26A
2025-10-01$344.19$159.99RVU25D
2025-07-01$344.19$159.99RVU25C
2025-04-01$344.19$159.99RVU25B
2025-01-01$344.19$159.99RVU25A

64680 billing questions

How is this different from a celiac plexus block?

64680 is for neurolytic treatment intended to destroy the celiac plexus. A celiac plexus injection with an anesthetic agent, such as 64530, is a block rather than neurolysis.

Does radiologic monitoring change the code?

No. The service is reported whether or not radiologic monitoring is used; document the technique and target in the procedure note.

Can modifier 50 be used for bilateral treatment?

No. Modifier 50 is inappropriate for this celiac plexus service.

Are related postoperative visits included?

Yes. The 10-day global period includes related postoperative visits during that period.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this procedure. Co-surgeon and team-surgery reporting are not permitted.

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 64680PPRRVU2026_Oct_nonQPP.csv, line 7,199 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)