FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

64633 in El Centro

Office / nonfacility

$488.87

Base rate per service

Facility setting

$175.15

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.

Interventional pain

About 64633: Cervical or thoracic facet radiofrequency ablation

Reports radiofrequency lesioning of nerves supplying one cervical or thoracic facet joint to treat pain attributed to that joint.

The physician uses a needle electrode to create a thermal lesion in the nerves supplying a cervical or thoracic facet joint, commonly for persistent axial neck or upper-back pain attributed to facet joints. Pain medicine physicians, anesthesiologists, and other appropriately trained specialists typically perform the procedure in an office procedure room or outpatient facility. Imaging guidance is part of the service, rather than a separately reported guidance service.

Report this code for the first treated cervical or thoracic facet joint; use 64634 for each additional joint in that region. Documentation should identify the treated levels and side, nerves targeted, imaging guidance, and the lesioning performed. The procedure has a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 64633

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.24 · 24%
  • Practice expense (office) RVU10.20 · 74%
  • Malpractice RVU0.30 · 2%

111.1K

Medicare services in 2024 · #528 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.

64633 compared with similar codes

Office rates for El Centro, from the same CMS release.

64634

Facet ablation

Each additional facet joint

$286.50

64633 is for the first cervical or thoracic facet joint treated; 64634 identifies each additional joint in that region.

64635

Facet nerve ablation

First lumbar or sacral joint

$495.65

Both describe facet nerve lesioning, but 64635 is for lumbar or sacral facet joints; 64633 is for cervical or thoracic joints.

64490

Facet injection

Cervical or thoracic, one level

$216.95

64490 reports a cervical or thoracic facet nerve injection, commonly used as a diagnostic block; 64633 reports nerve lesioning.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 64633 is $489.77—$0.90 higher than the $488.87 rate in El Centro. Both use the same code, release and participation basis.

64633 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $488.87

  2. Bakersfield

    $489.77

    $0.90 higher than El Centro

  3. Chico

    $488.82

    $0.05 lower than El Centro

  4. Fresno

    $488.82

    $0.05 lower than El Centro

  5. Hanford-Corcoran

    $488.82

    $0.05 lower than El Centro

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

    $522.34

    $33.47 higher than El Centro

  7. Madera

    $488.82

    $0.05 lower than El Centro

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, 64633 ranges from $406.03 in Arkansas to $616.77 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 · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Modesto

    California · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Napa

    California · 64633

    Office

    $569.16

    Facility

    $191.88

    $80.29 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64633

    Office

    $520.19

    Facility

    $181.84

    $31.32 higher than El Centro for the office setting.

  • Redding

    California · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Rest Of California

    California · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64633

    Office

    $492.11

    Facility

    $178.38

    $3.24 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64633

    Office

    $513.71

    Facility

    $180.80

    $24.84 higher than El Centro for the office setting.

  • Salinas

    California · 64633

    Office

    $511.80

    Facility

    $180.04

    $22.93 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64633

    Office

    $524.36

    Facility

    $182.01

    $35.49 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64633

    Office

    $603.47

    Facility

    $199.86

    $114.60 higher than El Centro for the office setting.

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

    California · 64633

    Office

    $603.13

    Facility

    $199.52

    $114.26 higher than El Centro for the office setting.

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

    California · 64633

    Office

    $616.77

    Facility

    $204.00

    $127.90 higher than El Centro for the office setting.

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

    California · 64633

    Office

    $615.37

    Facility

    $202.61

    $126.50 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64633

    Office

    $503.47

    Facility

    $177.44

    $14.60 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 64633

    Office

    $529.80

    Facility

    $182.01

    $40.93 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 64633

    Office

    $513.86

    Facility

    $180.10

    $24.99 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 64633

    Office

    $535.20

    Facility

    $183.69

    $46.33 higher than El Centro for the office setting.

  • Stockton

    California · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Vallejo

    California · 64633

    Office

    $568.66

    Facility

    $191.39

    $79.79 higher than El Centro for the office setting.

  • Visalia

    California · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Yuba City

    California · 64633

    Office

    $488.82

    Facility

    $175.10

    $0.05 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64633

    Office

    $526.55

    Facility

    $189.35

    $37.68 higher than El Centro for the office setting.

  • Miami

    Florida · 64633

    Office

    $488.22

    Facility

    $190.24

    $0.65 lower than El Centro for the office setting.

  • Chicago

    Illinois · 64633

    Office

    $474.37

    Facility

    $186.69

    $14.50 lower than El Centro for the office setting.

  • Manhattan

    New York · 64633

    Office

    $526.92

    Facility

    $194.30

    $38.05 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 64633

    Office

    $530.68

    Facility

    $225.83

    $41.81 higher than El Centro for the office setting.

  • Alabama

    Alabama · 64633

    Office

    $411.99

    Facility

    $161.53

    $76.88 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 64633

    Office

    $406.03

    Facility

    $160.15

    $82.84 lower than El Centro for the office setting.

  • Arizona

    Arizona · 64633

    Office

    $446.92

    Facility

    $169.55

    $41.95 lower than El Centro for the office setting.

  • Colorado

    Colorado · 64633

    Office

    $479.84

    Facility

    $175.27

    $9.03 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 64633

    Office

    $489.43

    Facility

    $181.14

    $0.56 higher than El Centro for the office setting.

  • Delaware

    Delaware · 64633

    Office

    $454.37

    Facility

    $171.56

    $34.50 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 64633

    Office

    $471.45

    Facility

    $181.49

    $17.42 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 64633

    Office

    $448.98

    Facility

    $175.33

    $39.89 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 64633

    Office

    $466.72

    Facility

    $175.89

    $22.15 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 64633

    Office

    $424.06

    Facility

    $168.73

    $64.81 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 64633

    Office

    $501.38

    Facility

    $175.92

    $12.51 higher than El Centro for the office setting.

  • Iowa

    Iowa · 64633

    Office

    $423.93

    Facility

    $162.01

    $64.94 lower than El Centro for the office setting.

  • Idaho

    Idaho · 64633

    Office

    $426.39

    Facility

    $163.05

    $62.48 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 64633

    Office

    $441.83

    Facility

    $178.49

    $47.04 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 64633

    Office

    $434.93

    Facility

    $173.59

    $53.94 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 64633

    Office

    $476.62

    Facility

    $182.65

    $12.25 lower than El Centro for the office setting.

  • Indiana

    Indiana · 64633

    Office

    $428.91

    Facility

    $163.56

    $59.96 lower than El Centro for the office setting.

  • Kansas

    Kansas · 64633

    Office

    $421.25

    Facility

    $162.49

    $67.62 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 64633

    Office

    $420.26

    Facility

    $165.79

    $68.61 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 64633

    Office

    $440.19

    Facility

    $170.83

    $48.68 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 64633

    Office

    $419.33

    Facility

    $166.00

    $69.54 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 64633

    Office

    $528.36

    Facility

    $186.58

    $39.49 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64633

    Office

    $476.68

    Facility

    $175.27

    $12.19 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64633

    Office

    $487.90

    Facility

    $180.76

    $0.97 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 64633

    Office

    $463.28

    Facility

    $173.60

    $25.59 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 64633

    Office

    $427.89

    Facility

    $164.54

    $60.98 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 64633

    Office

    $452.16

    Facility

    $168.50

    $36.71 lower than El Centro for the office setting.

  • Detroit

    Michigan · 64633

    Office

    $453.88

    Facility

    $177.65

    $34.99 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 64633

    Office

    $430.58

    Facility

    $169.24

    $58.29 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 64633

    Office

    $461.75

    Facility

    $167.21

    $27.12 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 64633

    Office

    $437.92

    Facility

    $169.13

    $50.95 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 64633

    Office

    $442.60

    Facility

    $170.09

    $46.27 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 64633

    Office

    $411.65

    Facility

    $164.91

    $77.22 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 64633

    Office

    $408.96

    Facility

    $162.50

    $79.91 lower than El Centro for the office setting.

  • Montana**

    Montana · 64633

    Office

    $458.91

    Facility

    $172.66

    $29.96 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 64633

    Office

    $432.48

    Facility

    $165.42

    $56.39 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 64633

    Office

    $452.98

    Facility

    $166.73

    $35.89 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 64633

    Office

    $426.46

    Facility

    $162.26

    $62.41 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 64633

    Office

    $471.64

    Facility

    $173.66

    $17.23 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 64633

    Office

    $520.94

    Facility

    $188.89

    $32.07 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 64633

    Office

    $495.57

    Facility

    $182.99

    $6.70 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 64633

    Office

    $432.67

    Facility

    $170.18

    $56.20 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 64633

    Office

    $457.60

    Facility

    $171.06

    $31.27 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64633

    Office

    $538.83

    Facility

    $198.49

    $49.96 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64633

    Office

    $498.27

    Facility

    $184.83

    $9.40 higher than El Centro for the office setting.

  • Queens

    New York · 64633

    Office

    $532.29

    Facility

    $193.95

    $43.42 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 64633

    Office

    $438.92

    Facility

    $166.98

    $49.95 lower than El Centro for the office setting.

  • Ohio

    Ohio · 64633

    Office

    $429.37

    Facility

    $168.03

    $59.50 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 64633

    Office

    $420.24

    Facility

    $164.62

    $68.63 lower than El Centro for the office setting.

  • Portland

    Oregon · 64633

    Office

    $495.91

    Facility

    $177.89

    $7.04 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 64633

    Office

    $454.59

    Facility

    $169.49

    $34.28 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64633

    Office

    $476.78

    Facility

    $178.80

    $12.09 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64633

    Office

    $430.44

    Facility

    $167.67

    $58.43 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 64633

    Office

    $462.53

    Facility

    $173.13

    $26.34 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 64633

    Office

    $471.15

    Facility

    $175.45

    $17.72 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 64633

    Office

    $431.53

    Facility

    $167.04

    $57.34 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 64633

    Office

    $452.27

    Facility

    $166.03

    $36.60 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 64633

    Office

    $423.29

    Facility

    $163.09

    $65.58 lower than El Centro for the office setting.

  • Austin

    Texas · 64633

    Office

    $477.76

    Facility

    $174.91

    $11.11 lower than El Centro for the office setting.

  • Beaumont

    Texas · 64633

    Office

    $427.55

    Facility

    $167.07

    $61.32 lower than El Centro for the office setting.

  • Brazoria

    Texas · 64633

    Office

    $454.52

    Facility

    $170.85

    $34.35 lower than El Centro for the office setting.

  • Dallas

    Texas · 64633

    Office

    $457.12

    Facility

    $172.02

    $31.75 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 64633

    Office

    $453.84

    Facility

    $171.60

    $35.03 lower than El Centro for the office setting.

  • Galveston

    Texas · 64633

    Office

    $455.69

    Facility

    $171.44

    $33.18 lower than El Centro for the office setting.

  • Houston

    Texas · 64633

    Office

    $461.18

    Facility

    $176.93

    $27.69 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 64633

    Office

    $440.58

    Facility

    $168.93

    $48.29 lower than El Centro for the office setting.

  • Utah

    Utah · 64633

    Office

    $437.46

    Facility

    $168.39

    $51.41 lower than El Centro for the office setting.

  • Virginia

    Virginia · 64633

    Office

    $450.19

    Facility

    $168.81

    $38.68 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64633

    Office

    $462.53

    Facility

    $173.13

    $26.34 lower than El Centro for the office setting.

  • Vermont

    Vermont · 64633

    Office

    $450.57

    Facility

    $167.19

    $38.30 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 64633

    Office

    $476.00

    Facility

    $174.58

    $12.87 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 64633

    Office

    $539.84

    Facility

    $188.62

    $50.97 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 64633

    Office

    $437.69

    Facility

    $163.46

    $51.18 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 64633

    Office

    $418.62

    Facility

    $169.87

    $70.25 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 64633

    Office

    $456.32

    Facility

    $170.08

    $32.55 lower than El Centro for the office setting.

See how rates vary across the country

64633 · 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.

$406.03

$552.80

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$530.681
AL$411.991
AR$406.031
AZ$446.921
CA$488.82–$616.7729
CO$479.841
CT$489.431
DC$526.551
DE$454.371
FL$448.98–$488.223
GA$424.06–$466.722
GU$501.381
HI$501.381
IA$423.931
ID$426.391
IL$434.93–$476.624
IN$428.911
KS$421.251
KY$420.261
LA$419.33–$440.192
MA$476.68–$528.362
MD$463.28–$526.553
ME$427.89–$452.162
MI$430.58–$453.882
MN$461.751
MO$411.65–$442.603
MS$408.961
MT$458.911
NC$432.481
ND$452.981
NE$426.461
NH$471.641
NJ$495.57–$520.942
NM$432.671
NV$457.601
NY$438.92–$538.835
OH$429.371
OK$420.241
OR$454.59–$495.912
PA$430.44–$476.782
PR$462.531
RI$471.151
SC$431.531
SD$452.271
TN$423.291
TX$427.55–$477.768
UT$437.461
VA$450.19–$526.552
VI$462.531
VT$450.571
WA$476.00–$539.842
WI$437.691
WV$418.621
WY$456.321

Explore 64633 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 64633 in El Centro, the physician’s office rate is $488.87 and the facility-setting rate is $175.15: a difference of $313.72.

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 64633 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$537.76

$488.87 × 110% = $537.76

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 64633 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

7,180

Code
64633
Physician work
3.24
Practice expense
10.20
Malpractice
0.30

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 64633 in El Centro
ComponentRVULocality factorAdjusted
Physician work3.24× 1.0173.2951
Practice expense10.20× 1.09611.1792
Malpractice0.30× 0.5410.1623
Total RVUs14.6366
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$488.87

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

Open 64633 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.241.017
Practice expense10.21.096
Malpractice0.30.541

(3.24 × 1.017 + 10.2 × 1.096 + 0.3 × 0.541) × $33.4009 = $488.87

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.241.017
Practice expense1.631.096
Malpractice0.30.541

(3.24 × 1.017 + 1.63 × 1.096 + 0.3 × 0.541) × $33.4009 = $175.15

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

64633 · Office / nonfacility

$488.87

Effective 2026-10-01

The base rate is $46.71 higher than on 2025-10-01, moving from $442.16 to $488.87 (10.6%).

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

    $442.16changed to$488.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.32 changed to 3.24
    • Practice expense RVU 9.27 changed to 10.20
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $442.16

    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$488.87$175.15RVU26D
2026-07-01$488.87$175.15RVU26C
2026-04-01$488.87$175.15RVU26B
2026-01-01$488.87$175.15RVU26A
2025-10-01$442.16$190.44RVU25D
2025-07-01$442.16$190.44RVU25C
2025-04-01$442.16$190.44RVU25B
2025-01-01$442.16$190.44RVU25A

64633 billing questions

When should 64634 be reported with 64633?

Use 64633 for the first treated cervical or thoracic facet joint and 64634 for each additional joint in that region. The additional-joint code is not for another nerve or lesion at the same joint.

Does the code include imaging guidance?

Yes. Imaging guidance is included in the facet nerve lesioning service and is not separately reported as guidance for that procedure.

How is bilateral treatment reported?

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

Does 64633 describe a diagnostic medial branch block?

No. It describes nerve lesioning. A diagnostic block, such as the cervical or thoracic facet nerve injection reported with 64490, is a different service.

What documentation supports reporting 64633?

Document the cervical or thoracic levels and side treated, the nerves targeted, imaging guidance, and the lesioning performed. Identify the first treated joint separately from any additional joints reported with 64634.

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the procedure 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 64633PPRRVU2026_Oct_nonQPP.csv, line 7,180 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet