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CMS RVU26D · Effective 2026-10-01

64624 in Merced

Office / nonfacility

$440.08

Base rate per service

Facility setting

$135.51

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 64624: Genicular nerve branch neurolysis

Reports neurolytic treatment of three or more genicular nerve branches, commonly by radiofrequency lesioning for persistent knee pain.

This procedure destroys genicular nerve branches that carry pain signals from the knee, most commonly through radiofrequency lesioning. Interventional pain physicians and other clinicians who perform image-guided pain procedures use it for selected patients with persistent knee pain, including pain associated with osteoarthritis. The code covers treatment of three or more genicular nerve branches and includes imaging guidance when performed.

Report the code once for the treated knee when three or more branches are destroyed; treatment of only one or two genicular branches is generally reported with 64640 instead. The procedure note should identify the treated side and branches, the neurolytic technique, and any imaging guidance. A 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 64624

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.44 · 20%
  • Practice expense (office) RVU9.65 · 78%
  • Malpractice RVU0.22 · 2%

34.6K

Medicare services in 2024 · #923 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.

64624 compared with similar codes

Office rates for Merced, from the same CMS release.

64640

Nerve treatment

Other peripheral nerve or branch

$284.02

Choose 64624 for destruction of three or more genicular nerve branches. For one or two genicular branches, 64640 is generally used.

64625

Radiofrequency ablation

SI-joint innervation

$528.35

64625 treats nerves associated with the sacroiliac joint; 64624 treats genicular nerve branches supplying the knee.

64633

Facet ablation

Cervical/thoracic, first joint

$488.82

64633 is for neurolytic denervation of cervical or thoracic facet joints. It does not describe knee genicular nerve treatment.

64635

Facet nerve ablation

First lumbar or sacral joint

$495.60

64635 is for neurolytic denervation of lumbar or sacral facet joints. Use 64624 for qualifying genicular nerve destruction at the knee.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 64624 is $440.78—$0.70 higher than the $440.08 rate in Merced. Both use the same code, release and participation basis.

64624 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $440.08

  2. $0.70 higher than Merced

  3. Chico

    $440.08

    The same base rate than Merced

  4. El Centro

    $440.12

    $0.04 higher than Merced

  5. Fresno

    $440.08

    The same base rate than Merced

  6. The same base rate than Merced

  7. $30.94 higher than Merced

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, 64624 ranges from $362.15 in Arkansas to $559.19 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
  • Madera

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Modesto

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Napa

    California · 64624

    Office

    $515.18

    Facility

    $148.92

    $75.10 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64624

    Office

    $469.34

    Facility

    $140.87

    $29.26 higher than Merced for the office setting.

  • Redding

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64624

    Office

    $442.49

    Facility

    $137.92

    $2.41 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64624

    Office

    $463.23

    Facility

    $140.03

    $23.15 higher than Merced for the office setting.

  • Salinas

    California · 64624

    Office

    $461.53

    Facility

    $139.45

    $21.45 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64624

    Office

    $473.42

    Facility

    $141.06

    $33.34 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64624

    Office

    $547.08

    Facility

    $155.25

    $107.00 higher than Merced for the office setting.

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

    California · 64624

    Office

    $546.83

    Facility

    $155.00

    $106.75 higher than Merced for the office setting.

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

    California · 64624

    Office

    $559.19

    Facility

    $158.46

    $119.11 higher than Merced for the office setting.

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

    California · 64624

    Office

    $558.16

    Facility

    $157.44

    $118.08 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64624

    Office

    $453.94

    Facility

    $137.42

    $13.86 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 64624

    Office

    $478.77

    Facility

    $141.12

    $38.69 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 64624

    Office

    $463.54

    Facility

    $139.52

    $23.46 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 64624

    Office

    $483.69

    Facility

    $142.43

    $43.61 higher than Merced for the office setting.

  • Stockton

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 64624

    Office

    $514.82

    Facility

    $148.56

    $74.74 higher than Merced for the office setting.

  • Visalia

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 64624

    Office

    $440.08

    Facility

    $135.51

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64624

    Office

    $473.77

    Facility

    $146.41

    $33.69 higher than Merced for the office setting.

  • Miami

    Florida · 64624

    Office

    $435.62

    Facility

    $146.33

    $4.46 lower than Merced for the office setting.

  • Chicago

    Illinois · 64624

    Office

    $422.86

    Facility

    $143.58

    $17.22 lower than Merced for the office setting.

  • Manhattan

    New York · 64624

    Office

    $472.90

    Facility

    $149.99

    $32.82 higher than Merced for the office setting.

  • Alaska*

    Alaska · 64624

    Office

    $469.57

    Facility

    $173.61

    $29.49 higher than Merced for the office setting.

  • Alabama

    Alabama · 64624

    Office

    $367.69

    Facility

    $124.53

    $72.39 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 64624

    Office

    $362.15

    Facility

    $123.44

    $77.93 lower than Merced for the office setting.

  • Arizona

    Arizona · 64624

    Office

    $400.12

    Facility

    $130.83

    $39.96 lower than Merced for the office setting.

  • Colorado

    Colorado · 64624

    Office

    $431.16

    Facility

    $135.48

    $8.92 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 64624

    Office

    $439.16

    Facility

    $139.86

    $0.92 lower than Merced for the office setting.

  • Delaware

    Delaware · 64624

    Office

    $406.96

    Facility

    $132.40

    $33.12 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 64624

    Office

    $421.29

    Facility

    $139.78

    $18.79 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 64624

    Office

    $400.68

    Facility

    $135.01

    $39.40 lower than Merced for the office setting.

  • Atlanta

    Georgia · 64624

    Office

    $418.04

    Facility

    $135.70

    $22.04 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 64624

    Office

    $377.77

    Facility

    $129.88

    $62.31 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 64624

    Office

    $452.23

    Facility

    $136.26

    $12.15 higher than Merced for the office setting.

  • Iowa

    Iowa · 64624

    Office

    $379.34

    Facility

    $125.06

    $60.74 lower than Merced for the office setting.

  • Idaho

    Idaho · 64624

    Office

    $381.51

    Facility

    $125.84

    $58.57 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 64624

    Office

    $392.83

    Facility

    $137.17

    $47.25 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 64624

    Office

    $387.26

    Facility

    $133.54

    $52.82 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 64624

    Office

    $426.11

    Facility

    $140.71

    $13.97 lower than Merced for the office setting.

  • Indiana

    Indiana · 64624

    Office

    $383.86

    Facility

    $126.25

    $56.22 lower than Merced for the office setting.

  • Kansas

    Kansas · 64624

    Office

    $376.58

    Facility

    $125.36

    $63.50 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 64624

    Office

    $374.76

    Facility

    $127.71

    $65.32 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 64624

    Office

    $393.15

    Facility

    $131.65

    $46.93 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 64624

    Office

    $373.79

    Facility

    $127.85

    $66.29 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 64624

    Office

    $476.23

    Facility

    $144.42

    $36.15 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64624

    Office

    $428.06

    Facility

    $135.44

    $12.02 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64624

    Office

    $437.74

    Facility

    $139.56

    $2.34 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 64624

    Office

    $415.25

    Facility

    $134.02

    $24.83 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 64624

    Office

    $382.60

    Facility

    $126.94

    $57.48 lower than Merced for the office setting.

  • Southern Maine

    Maine · 64624

    Office

    $405.55

    Facility

    $130.16

    $34.53 lower than Merced for the office setting.

  • Detroit

    Michigan · 64624

    Office

    $404.92

    Facility

    $136.76

    $35.16 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 64624

    Office

    $384.07

    Facility

    $130.35

    $56.01 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 64624

    Office

    $415.34

    Facility

    $129.38

    $24.74 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 64624

    Office

    $391.33

    Facility

    $130.39

    $48.75 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 64624

    Office

    $395.71

    Facility

    $131.15

    $44.37 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 64624

    Office

    $366.49

    Facility

    $126.95

    $73.59 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 64624

    Office

    $364.44

    Facility

    $125.18

    $75.64 lower than Merced for the office setting.

  • Montana**

    Montana · 64624

    Office

    $411.15

    Facility

    $133.25

    $28.93 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 64624

    Office

    $386.92

    Facility

    $127.64

    $53.16 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 64624

    Office

    $406.80

    Facility

    $128.90

    $33.28 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 64624

    Office

    $381.78

    Facility

    $125.28

    $58.30 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 64624

    Office

    $423.46

    Facility

    $134.17

    $16.62 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 64624

    Office

    $468.37

    Facility

    $146.01

    $28.29 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 64624

    Office

    $444.79

    Facility

    $141.33

    $4.71 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 64624

    Office

    $385.89

    Facility

    $131.06

    $54.19 lower than Merced for the office setting.

  • Nevada**

    Nevada · 64624

    Office

    $410.26

    Facility

    $132.09

    $29.82 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64624

    Office

    $483.60

    Facility

    $153.18

    $43.52 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64624

    Office

    $447.00

    Facility

    $142.70

    $6.92 higher than Merced for the office setting.

  • Queens

    New York · 64624

    Office

    $478.29

    Facility

    $149.82

    $38.21 higher than Merced for the office setting.

  • Rest Of New York

    New York · 64624

    Office

    $392.87

    Facility

    $128.87

    $47.21 lower than Merced for the office setting.

  • Ohio

    Ohio · 64624

    Office

    $383.18

    Facility

    $129.46

    $56.90 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 64624

    Office

    $375.04

    Facility

    $126.88

    $65.04 lower than Merced for the office setting.

  • Portland

    Oregon · 64624

    Office

    $446.37

    Facility

    $137.62

    $6.29 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 64624

    Office

    $407.69

    Facility

    $130.91

    $32.39 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64624

    Office

    $427.27

    Facility

    $137.98

    $12.81 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64624

    Office

    $384.33

    Facility

    $129.22

    $55.75 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 64624

    Office

    $414.60

    Facility

    $133.65

    $25.48 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 64624

    Office

    $422.56

    Facility

    $135.49

    $17.52 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 64624

    Office

    $385.57

    Facility

    $128.79

    $54.51 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 64624

    Office

    $406.29

    Facility

    $128.39

    $33.79 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 64624

    Office

    $378.43

    Facility

    $125.82

    $61.65 lower than Merced for the office setting.

  • Austin

    Texas · 64624

    Office

    $429.18

    Facility

    $135.17

    $10.90 lower than Merced for the office setting.

  • Beaumont

    Texas · 64624

    Office

    $381.63

    Facility

    $128.75

    $58.45 lower than Merced for the office setting.

  • Brazoria

    Texas · 64624

    Office

    $407.30

    Facility

    $131.91

    $32.78 lower than Merced for the office setting.

  • Dallas

    Texas · 64624

    Office

    $409.57

    Facility

    $132.78

    $30.51 lower than Merced for the office setting.

  • Fort Worth

    Texas · 64624

    Office

    $406.44

    Facility

    $132.43

    $33.64 lower than Merced for the office setting.

  • Galveston

    Texas · 64624

    Office

    $408.30

    Facility

    $132.35

    $31.78 lower than Merced for the office setting.

  • Houston

    Texas · 64624

    Office

    $412.32

    Facility

    $136.37

    $27.76 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 64624

    Office

    $394.01

    Facility

    $130.29

    $46.07 lower than Merced for the office setting.

  • Utah

    Utah · 64624

    Office

    $391.08

    Facility

    $129.85

    $49.00 lower than Merced for the office setting.

  • Virginia

    Virginia · 64624

    Office

    $403.53

    Facility

    $130.35

    $36.55 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64624

    Office

    $414.60

    Facility

    $133.65

    $25.48 lower than Merced for the office setting.

  • Vermont

    Vermont · 64624

    Office

    $404.31

    Facility

    $129.20

    $35.77 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 64624

    Office

    $427.55

    Facility

    $134.93

    $12.53 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 64624

    Office

    $487.06

    Facility

    $146.08

    $46.98 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 64624

    Office

    $392.54

    Facility

    $126.32

    $47.54 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 64624

    Office

    $372.11

    Facility

    $130.62

    $67.97 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 64624

    Office

    $409.25

    Facility

    $131.36

    $30.83 lower than Merced for the office setting.

See how rates vary across the country

64624 · 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.

$362.15

$499.64

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$469.571
AL$367.691
AR$362.151
AZ$400.121
CA$440.08–$559.1929
CO$431.161
CT$439.161
DC$473.771
DE$406.961
FL$400.68–$435.623
GA$377.77–$418.042
GU$452.231
HI$452.231
IA$379.341
ID$381.511
IL$387.26–$426.114
IN$383.861
KS$376.581
KY$374.761
LA$373.79–$393.152
MA$428.06–$476.232
MD$415.25–$473.773
ME$382.60–$405.552
MI$384.07–$404.922
MN$415.341
MO$366.49–$395.713
MS$364.441
MT$411.151
NC$386.921
ND$406.801
NE$381.781
NH$423.461
NJ$444.79–$468.372
NM$385.891
NV$410.261
NY$392.87–$483.605
OH$383.181
OK$375.041
OR$407.69–$446.372
PA$384.33–$427.272
PR$414.601
RI$422.561
SC$385.571
SD$406.291
TN$378.431
TX$381.63–$429.188
UT$391.081
VA$403.53–$473.772
VI$414.601
VT$404.311
WA$427.55–$487.062
WI$392.541
WV$372.111
WY$409.251

Explore 64624 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 64624 in Merced, the physician’s office rate is $440.08 and the facility-setting rate is $135.51: a difference of $304.57.

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 64624 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$484.09

$440.08 × 110% = $484.09

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 64624 in Merced.

PPRRVU2026_Oct_nonQPP.csv

7,174

Code
64624
Physician work
2.44
Practice expense
9.65
Malpractice
0.22

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64624 in Merced
ComponentRVULocality factorAdjusted
Physician work2.44× 1.0172.4815
Practice expense9.65× 1.09610.5764
Malpractice0.22× 0.5360.1179
Total RVUs13.1758
Conversion factor× 33.4009

Office / nonfacility rate, Merced$440.08

Open 64624 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.441.017
Practice expense9.651.096
Malpractice0.220.536

(2.44 × 1.017 + 9.65 × 1.096 + 0.22 × 0.536) × $33.4009 = $440.08

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.441.017
Practice expense1.331.096
Malpractice0.220.536

(2.44 × 1.017 + 1.33 × 1.096 + 0.22 × 0.536) × $33.4009 = $135.51

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

64624 · Office / nonfacility

$440.08

Effective 2026-10-01

The base rate is $45.27 higher than on 2025-10-01, moving from $394.81 to $440.08 (11.5%).

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

    $394.81changed to$440.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.50 changed to 2.44
    • Practice expense RVU 8.73 changed to 9.65
    • Malpractice RVU 0.23 changed to 0.22
    • 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: $394.81

    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$440.08$135.51RVU26D
2026-07-01$440.08$135.51RVU26C
2026-04-01$440.08$135.51RVU26B
2026-01-01$440.08$135.51RVU26A
2025-10-01$394.81$145.56RVU25D
2025-07-01$394.81$145.56RVU25C
2025-04-01$394.81$145.56RVU25B
2025-01-01$394.81$145.56RVU25A

64624 billing questions

How many genicular nerve branches qualify for 64624?

Use 64624 when the procedure destroys three or more genicular nerve branches. For destruction of only one or two branches, 64640 is generally the relevant code.

Is imaging guidance separately reported?

Imaging guidance, when performed for the genicular nerve destruction, is included in 64624.

How should bilateral treatment be reported?

Use modifier 50 for bilateral treatment. CMS pays bilateral 64624 at 150%.

What is included in the global period?

Related postoperative visits for 10 days after the procedure are included in the 10-day global period.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are paid at 50%.

What documentation supports reporting 64624?

Document the treated knee and side, the genicular branches destroyed, and the neurolytic technique. Include details of imaging guidance when it is performed.

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 64624PPRRVU2026_Oct_nonQPP.csv, line 7,174 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)