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CMS RVU26D · Effective 2026-10-01

64517 in Delaware

Office / nonfacility

$200.94

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 64517: Hypogastric plexus anesthetic injection

An anesthetic injection targeting the hypogastric plexus is reported for diagnostic or therapeutic management of visceral pelvic pain.

This procedure places an anesthetic agent at the hypogastric plexus to interrupt pain signaling from pelvic viscera. Pain medicine physicians, anesthesiologists, and other clinicians who perform image-guided pain procedures commonly use it for persistent pelvic pain, including pain associated with pelvic malignancy. The treatment target is the hypogastric plexus, not the celiac plexus or a lumbar sympathetic chain target.

Report the code when the documented service is an anesthetic injection directed to the hypogastric plexus. The record should identify the pain indication, intended plexus, injection performed, and relevant response or outcome. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 64517

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 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 RVU2.15 · 35%
  • Practice expense (office) RVU3.72 · 61%
  • Malpractice RVU0.20 · 3%

975

Medicare services in 2024 · #2990 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.

64517 compared with similar codes

Office rates for Delaware, from the same CMS release.

64530

Celiac plexus block

Anesthetic injection

$233.41

Choose 64517 for an injection directed to the hypogastric plexus in pelvic pain management. Choose 64530 when the target is the celiac plexus.

64520

Sympathetic block

Lumbar or thoracic

$239.64

64520 describes injection at a lumbar or thoracic sympathetic target. It is not the code for an injection directed to the hypogastric plexus.

64510

Nerve block

Stellate ganglion

$152.48

64510 is for injection at the stellate ganglion, a different target from the hypogastric plexus.

The same code, a different location

How does Delaware compare?

64517 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $200.94

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $226.18

    $25.24 higher than Delaware

  3. Dc + Md/Va Suburbs

    $229.49

    $28.55 higher than Delaware

  4. Miami

    $218.05

    $17.11 higher than Delaware

  5. Chicago

    $212.52

    $11.58 higher than Delaware

  6. Manhattan

    $231.38

    $30.44 higher than Delaware

  7. Alaska*

    $243.73

    $42.79 higher than Delaware

Other payment areas listed in Delaware 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, 64517 ranges from $181.98 in Arkansas to $262.46 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

  • Alabama

    Alabama · 64517

    Office

    $184.31

    Facility

    $106.57

    $16.63 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 64517

    Office

    $181.98

    Facility

    $105.67

    $18.96 lower than Delaware for the office setting.

  • Arizona

    Arizona · 64517

    Office

    $197.93

    Facility

    $111.84

    $3.01 lower than Delaware for the office setting.

  • Bakersfield

    California · 64517

    Office

    $213.42

    Facility

    $116.05

    $12.48 higher than Delaware for the office setting.

  • Chico

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • El Centro

    California · 64517

    Office

    $212.83

    Facility

    $115.45

    $11.89 higher than Delaware for the office setting.

  • Fresno

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Madera

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Merced

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Modesto

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Napa

    California · 64517

    Office

    $243.49

    Facility

    $126.39

    $42.55 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64517

    Office

    $224.85

    Facility

    $119.83

    $23.91 higher than Delaware for the office setting.

  • Redding

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Rest Of California

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64517

    Office

    $214.98

    Facility

    $117.61

    $14.04 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64517

    Office

    $222.48

    Facility

    $119.15

    $21.54 higher than Delaware for the office setting.

  • Salinas

    California · 64517

    Office

    $221.63

    Facility

    $118.65

    $20.69 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64517

    Office

    $226.19

    Facility

    $119.93

    $25.25 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64517

    Office

    $256.89

    Facility

    $131.62

    $55.95 higher than Delaware for the office setting.

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

    California · 64517

    Office

    $256.67

    Facility

    $131.39

    $55.73 higher than Delaware for the office setting.

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

    California · 64517

    Office

    $262.46

    Facility

    $134.35

    $61.52 higher than Delaware for the office setting.

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

    California · 64517

    Office

    $261.53

    Facility

    $133.42

    $60.59 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64517

    Office

    $218.14

    Facility

    $116.94

    $17.20 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 64517

    Office

    $227.87

    Facility

    $119.92

    $26.93 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 64517

    Office

    $222.28

    Facility

    $118.69

    $21.34 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 64517

    Office

    $230.13

    Facility

    $121.02

    $29.19 higher than Delaware for the office setting.

  • Stockton

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Vallejo

    California · 64517

    Office

    $243.17

    Facility

    $126.07

    $42.23 higher than Delaware for the office setting.

  • Visalia

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Yuba City

    California · 64517

    Office

    $212.79

    Facility

    $115.42

    $11.85 higher than Delaware for the office setting.

  • Colorado

    Colorado · 64517

    Office

    $210.09

    Facility

    $115.56

    $9.15 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 64517

    Office

    $215.15

    Facility

    $119.46

    $14.21 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 64517

    Office

    $209.76

    Facility

    $119.75

    $8.82 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 64517

    Office

    $200.64

    Facility

    $115.70

    $0.30 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 64517

    Office

    $206.29

    Facility

    $116.02

    $5.35 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 64517

    Office

    $190.61

    Facility

    $111.36

    $10.33 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 64517

    Office

    $216.95

    Facility

    $115.94

    $16.01 higher than Delaware for the office setting.

  • Iowa

    Iowa · 64517

    Office

    $188.15

    Facility

    $106.86

    $12.79 lower than Delaware for the office setting.

  • Idaho

    Idaho · 64517

    Office

    $189.28

    Facility

    $107.54

    $11.66 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 64517

    Office

    $199.58

    Facility

    $117.84

    $1.36 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 64517

    Office

    $195.69

    Facility

    $114.58

    $5.25 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 64517

    Office

    $211.76

    Facility

    $120.51

    $10.82 higher than Delaware for the office setting.

  • Indiana

    Indiana · 64517

    Office

    $190.24

    Facility

    $107.88

    $10.70 lower than Delaware for the office setting.

  • Kansas

    Kansas · 64517

    Office

    $187.50

    Facility

    $107.18

    $13.44 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 64517

    Office

    $188.38

    Facility

    $109.40

    $12.56 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 64517

    Office

    $196.32

    Facility

    $112.72

    $4.62 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 64517

    Office

    $188.17

    Facility

    $109.54

    $12.77 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 64517

    Office

    $229.06

    Facility

    $122.98

    $28.12 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64517

    Office

    $209.12

    Facility

    $115.57

    $8.18 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64517

    Office

    $214.55

    Facility

    $119.21

    $13.61 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 64517

    Office

    $204.40

    Facility

    $114.49

    $3.46 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 64517

    Office

    $190.28

    Facility

    $108.54

    $10.66 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 64517

    Office

    $199.16

    Facility

    $111.11

    $1.78 lower than Delaware for the office setting.

  • Detroit

    Michigan · 64517

    Office

    $202.98

    Facility

    $117.24

    $2.04 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 64517

    Office

    $192.80

    Facility

    $111.68

    $8.14 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 64517

    Office

    $201.64

    Facility

    $110.22

    $0.70 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 64517

    Office

    $195.01

    Facility

    $111.58

    $5.93 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 64517

    Office

    $196.79

    Facility

    $112.21

    $4.15 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 64517

    Office

    $185.42

    Facility

    $108.84

    $15.52 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 64517

    Office

    $183.73

    Facility

    $107.23

    $17.21 lower than Delaware for the office setting.

  • Montana**

    Montana · 64517

    Office

    $202.73

    Facility

    $113.88

    $1.79 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 64517

    Office

    $192.01

    Facility

    $109.11

    $8.93 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 64517

    Office

    $198.78

    Facility

    $109.93

    $2.16 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 64517

    Office

    $189.02

    Facility

    $107.02

    $11.92 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 64517

    Office

    $207.00

    Facility

    $114.51

    $6.06 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 64517

    Office

    $227.60

    Facility

    $124.54

    $26.66 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 64517

    Office

    $217.70

    Facility

    $120.67

    $16.76 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 64517

    Office

    $193.77

    Facility

    $112.30

    $7.17 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 64517

    Office

    $201.75

    Facility

    $112.82

    $0.81 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64517

    Office

    $236.55

    Facility

    $130.91

    $35.61 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64517

    Office

    $219.18

    Facility

    $121.89

    $18.24 higher than Delaware for the office setting.

  • Queens

    New York · 64517

    Office

    $232.91

    Facility

    $127.89

    $31.97 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 64517

    Office

    $194.55

    Facility

    $110.14

    $6.39 lower than Delaware for the office setting.

  • Ohio

    Ohio · 64517

    Office

    $191.99

    Facility

    $110.87

    $8.95 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 64517

    Office

    $187.96

    Facility

    $108.62

    $12.98 lower than Delaware for the office setting.

  • Portland

    Oregon · 64517

    Office

    $215.97

    Facility

    $117.27

    $15.03 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 64517

    Office

    $200.26

    Facility

    $111.77

    $0.68 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64517

    Office

    $210.42

    Facility

    $117.93

    $9.48 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64517

    Office

    $192.19

    Facility

    $110.63

    $8.75 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 64517

    Office

    $204.01

    Facility

    $114.19

    $3.07 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 64517

    Office

    $207.49

    Facility

    $115.71

    $6.55 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 64517

    Office

    $192.30

    Facility

    $110.20

    $8.64 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 64517

    Office

    $198.31

    Facility

    $109.46

    $2.63 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 64517

    Office

    $188.34

    Facility

    $107.58

    $12.60 lower than Delaware for the office setting.

  • Austin

    Texas · 64517

    Office

    $209.33

    Facility

    $115.33

    $8.39 higher than Delaware for the office setting.

  • Beaumont

    Texas · 64517

    Office

    $191.09

    Facility

    $110.24

    $9.85 lower than Delaware for the office setting.

  • Brazoria

    Texas · 64517

    Office

    $200.73

    Facility

    $112.68

    $0.21 lower than Delaware for the office setting.

  • Dallas

    Texas · 64517

    Office

    $201.94

    Facility

    $113.45

    $1.00 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 64517

    Office

    $200.79

    Facility

    $113.19

    $0.15 lower than Delaware for the office setting.

  • Galveston

    Texas · 64517

    Office

    $201.30

    Facility

    $113.07

    $0.36 higher than Delaware for the office setting.

  • Houston

    Texas · 64517

    Office

    $204.96

    Facility

    $116.74

    $4.02 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 64517

    Office

    $195.76

    Facility

    $111.44

    $5.18 lower than Delaware for the office setting.

  • Utah

    Utah · 64517

    Office

    $194.61

    Facility

    $111.09

    $6.33 lower than Delaware for the office setting.

  • Virginia

    Virginia · 64517

    Office

    $198.67

    Facility

    $111.33

    $2.27 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64517

    Office

    $204.01

    Facility

    $114.19

    $3.07 higher than Delaware for the office setting.

  • Vermont

    Vermont · 64517

    Office

    $198.20

    Facility

    $110.24

    $2.74 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 64517

    Office

    $208.67

    Facility

    $115.11

    $7.73 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 64517

    Office

    $233.32

    Facility

    $124.30

    $32.38 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 64517

    Office

    $192.90

    Facility

    $107.79

    $8.04 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 64517

    Office

    $189.35

    Facility

    $112.14

    $11.59 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 64517

    Office

    $201.01

    Facility

    $112.16

    $0.07 higher than Delaware for the office setting.

See how rates vary across the country

64517 · 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.

$181.98

$243.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$243.731
AL$184.311
AR$181.981
AZ$197.931
CA$212.79–$262.4629
CO$210.091
CT$215.151
DC$229.491
DE$200.941
FL$200.64–$218.053
GA$190.61–$206.292
GU$216.951
HI$216.951
IA$188.151
ID$189.281
IL$195.69–$212.524
IN$190.241
KS$187.501
KY$188.381
LA$188.17–$196.322
MA$209.12–$229.062
MD$204.40–$229.493
ME$190.28–$199.162
MI$192.80–$202.982
MN$201.641
MO$185.42–$196.793
MS$183.731
MT$202.731
NC$192.011
ND$198.781
NE$189.021
NH$207.001
NJ$217.70–$227.602
NM$193.771
NV$201.751
NY$194.55–$236.555
OH$191.991
OK$187.961
OR$200.26–$215.972
PA$192.19–$210.422
PR$204.011
RI$207.491
SC$192.301
SD$198.311
TN$188.341
TX$191.09–$209.338
UT$194.611
VA$198.67–$229.492
VI$204.011
VT$198.201
WA$208.67–$233.322
WI$192.901
WV$189.351
WY$201.011

Explore 64517 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 64517 in Delaware, the physician’s office rate is $200.94 and the facility-setting rate is $113.16: a difference of $87.78.

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 64517 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$221.03

$200.94 × 110% = $221.03

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 64517 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

7,142

Code
64517
Physician work
2.15
Practice expense
3.72
Malpractice
0.20

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 64517 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.15× 1.0052.1607
Practice expense3.72× 0.9883.6754
Malpractice0.20× 0.8990.1798
Total RVUs6.0159
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$200.94

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

Open 64517 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.151.005
Practice expense3.720.988
Malpractice0.20.899

(2.15 × 1.005 + 3.72 × 0.988 + 0.2 × 0.899) × $33.4009 = $200.94

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.151.005
Practice expense1.060.988
Malpractice0.20.899

(2.15 × 1.005 + 1.06 × 0.988 + 0.2 × 0.899) × $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

64517 · Office / nonfacility

$200.94

Effective 2026-10-01

The base rate is $13.90 higher than on 2025-10-01, moving from $187.04 to $200.94 (7.4%).

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

    $187.04changed to$200.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.20 changed to 2.15
    • Practice expense RVU 3.40 changed to 3.72
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $187.04

    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$200.94$113.16RVU26D
2026-07-01$200.94$113.16RVU26C
2026-04-01$200.94$113.16RVU26B
2026-01-01$200.94$113.16RVU26A
2025-10-01$187.04$122.86RVU25D
2025-07-01$187.04$122.86RVU25C
2025-04-01$187.04$122.86RVU25B
2025-01-01$187.04$122.86RVU25A

64517 billing questions

How is this code distinguished from a celiac plexus injection?

Use this code when the injection targets the hypogastric plexus for pelvic visceral pain. A celiac plexus injection targets a different plexus and is reported with 64530.

Should modifier 50 be appended for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code, so do not report modifier 50.

Is same-day postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care.

How does the multiple-procedure reduction affect payment?

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

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery 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 64517PPRRVU2026_Oct_nonQPP.csv, line 7,142 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet