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CMS RVU26D · Effective 2026-10-01

64630 in Merced

Office / nonfacility

$282.42

Base rate per service

Facility setting

$183.22

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 64630: Pudendal nerve neurolytic treatment

Neurolytic treatment of the pudendal nerve for selected chronic pelvic or perineal pain, reported when the nerve is intentionally destroyed rather than temporarily blocked.

This procedure uses a neurolytic agent to intentionally damage the pudendal nerve, typically as an intervention for persistent pudendal neuralgia or related chronic pelvic or perineal pain. Pain-management physicians commonly perform it in an office-based procedure suite or a facility. It differs from a pudendal nerve block, which delivers medication to block nerve signals without the same intent to destroy the nerve.

Report 64630 when documentation identifies the pudendal nerve as the target and supports neurolytic treatment, including the indication, technique, and treated site. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 64630

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
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 RVU2.97 · 36%
  • Practice expense (office) RVU4.69 · 57%
  • Malpractice RVU0.55 · 7%

311

Medicare services in 2024 · #3969 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.

64630 compared with similar codes

Office rates for Merced, from the same CMS release.

64430

Nerve block

Pudendal nerve

$100.42

Use 64430 for pudendal nerve injection intended to provide a nerve block. Use 64630 when the documented procedure intentionally destroys the pudendal nerve with a neurolytic agent.

64640

Nerve treatment

Other peripheral nerve or branch

$284.02

64640 applies to neurolytic treatment of other peripheral nerves or branches when a more specific nerve code does not describe the target. 64630 identifies the pudendal nerve specifically.

64620

Nerve neurolysis

Intercostal nerve

$233.29

64620 is for neurolytic treatment of an intercostal nerve. 64630 is specific to neurolytic treatment of the pudendal nerve.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 64630 is $283.96—$1.54 higher than the $282.42 rate in Merced. Both use the same code, release and participation basis.

64630 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $282.42

  2. Bakersfield

    $283.96

    $1.54 higher than Merced

  3. Chico

    $282.42

    The same base rate than Merced

  4. El Centro

    $282.51

    $0.09 higher than Merced

  5. Fresno

    $282.42

    The same base rate than Merced

  6. Hanford-Corcoran

    $282.42

    The same base rate than Merced

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

    $300.78

    $18.36 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, 64630 ranges from $243.22 in Arkansas to $345.85 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 · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Modesto

    California · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Napa

    California · 64630

    Office

    $321.25

    Facility

    $201.95

    $38.83 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64630

    Office

    $298.58

    Facility

    $191.59

    $16.16 higher than Merced for the office setting.

  • Redding

    California · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64630

    Office

    $288.34

    Facility

    $189.14

    $5.92 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64630

    Office

    $294.80

    Facility

    $189.53

    $12.38 higher than Merced for the office setting.

  • Salinas

    California · 64630

    Office

    $293.68

    Facility

    $188.77

    $11.26 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64630

    Office

    $299.49

    Facility

    $191.23

    $17.07 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64630

    Office

    $337.93

    Facility

    $210.31

    $55.51 higher than Merced for the office setting.

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

    California · 64630

    Office

    $337.31

    Facility

    $209.68

    $54.89 higher than Merced for the office setting.

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

    California · 64630

    Office

    $345.85

    Facility

    $215.32

    $63.43 higher than Merced for the office setting.

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

    California · 64630

    Office

    $343.30

    Facility

    $212.77

    $60.88 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64630

    Office

    $289.16

    Facility

    $186.06

    $6.74 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 64630

    Office

    $301.46

    Facility

    $191.48

    $19.04 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 64630

    Office

    $294.48

    Facility

    $188.94

    $12.06 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 64630

    Office

    $304.39

    Facility

    $193.24

    $21.97 higher than Merced for the office setting.

  • Stockton

    California · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 64630

    Office

    $320.35

    Facility

    $201.05

    $37.93 higher than Merced for the office setting.

  • Visalia

    California · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 64630

    Office

    $282.42

    Facility

    $183.22

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64630

    Office

    $309.54

    Facility

    $202.91

    $27.12 higher than Merced for the office setting.

  • Miami

    Florida · 64630

    Office

    $308.73

    Facility

    $214.50

    $26.31 higher than Merced for the office setting.

  • Chicago

    Illinois · 64630

    Office

    $299.49

    Facility

    $208.52

    $17.07 higher than Merced for the office setting.

  • Manhattan

    New York · 64630

    Office

    $316.71

    Facility

    $211.53

    $34.29 higher than Merced for the office setting.

  • Alaska*

    Alaska · 64630

    Office

    $325.76

    Facility

    $229.36

    $43.34 higher than Merced for the office setting.

  • Alabama

    Alabama · 64630

    Office

    $246.67

    Facility

    $167.47

    $35.75 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 64630

    Office

    $243.22

    Facility

    $165.47

    $39.20 lower than Merced for the office setting.

  • Arizona

    Arizona · 64630

    Office

    $266.72

    Facility

    $179.01

    $15.70 lower than Merced for the office setting.

  • Colorado

    Colorado · 64630

    Office

    $281.41

    Facility

    $185.10

    $1.01 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 64630

    Office

    $292.13

    Facility

    $194.64

    $9.71 higher than Merced for the office setting.

  • Delaware

    Delaware · 64630

    Office

    $270.98

    Facility

    $181.55

    $11.44 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 64630

    Office

    $291.10

    Facility

    $199.41

    $8.68 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 64630

    Office

    $276.57

    Facility

    $190.04

    $5.85 lower than Merced for the office setting.

  • Atlanta

    Georgia · 64630

    Office

    $280.72

    Facility

    $188.75

    $1.70 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 64630

    Office

    $260.83

    Facility

    $180.09

    $21.59 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 64630

    Office

    $287.95

    Facility

    $185.03

    $5.53 higher than Merced for the office setting.

  • Iowa

    Iowa · 64630

    Office

    $249.83

    Facility

    $167.01

    $32.59 lower than Merced for the office setting.

  • Idaho

    Idaho · 64630

    Office

    $252.01

    Facility

    $168.73

    $30.41 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 64630

    Office

    $280.32

    Facility

    $197.04

    $2.10 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 64630

    Office

    $270.94

    Facility

    $188.29

    $11.48 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 64630

    Office

    $293.33

    Facility

    $200.37

    $10.91 higher than Merced for the office setting.

  • Indiana

    Indiana · 64630

    Office

    $253.34

    Facility

    $169.43

    $29.08 lower than Merced for the office setting.

  • Kansas

    Kansas · 64630

    Office

    $250.07

    Facility

    $168.24

    $32.35 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 64630

    Office

    $255.27

    Facility

    $174.80

    $27.15 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 64630

    Office

    $267.48

    Facility

    $182.30

    $14.94 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 64630

    Office

    $255.44

    Facility

    $175.33

    $26.98 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 64630

    Office

    $306.66

    Facility

    $198.58

    $24.24 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64630

    Office

    $280.38

    Facility

    $185.07

    $2.04 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64630

    Office

    $291.60

    Facility

    $194.47

    $9.18 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 64630

    Office

    $275.59

    Facility

    $183.98

    $6.83 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 64630

    Office

    $254.75

    Facility

    $171.47

    $27.67 lower than Merced for the office setting.

  • Southern Maine

    Maine · 64630

    Office

    $266.03

    Facility

    $176.33

    $16.39 lower than Merced for the office setting.

  • Detroit

    Michigan · 64630

    Office

    $281.34

    Facility

    $193.99

    $1.08 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 64630

    Office

    $262.96

    Facility

    $180.32

    $19.46 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 64630

    Office

    $265.83

    Facility

    $172.69

    $16.59 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 64630

    Office

    $264.24

    Facility

    $179.25

    $18.18 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 64630

    Office

    $266.74

    Facility

    $180.57

    $15.68 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 64630

    Office

    $252.13

    Facility

    $174.10

    $30.29 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 64630

    Office

    $247.65

    Facility

    $169.72

    $34.77 lower than Merced for the office setting.

  • Montana**

    Montana · 64630

    Office

    $274.18

    Facility

    $183.67

    $8.24 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 64630

    Office

    $257.09

    Facility

    $172.64

    $25.33 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 64630

    Office

    $263.31

    Facility

    $172.79

    $19.11 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 64630

    Office

    $250.73

    Facility

    $167.19

    $31.69 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 64630

    Office

    $278.35

    Facility

    $184.12

    $4.07 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 64630

    Office

    $306.78

    Facility

    $201.79

    $24.36 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 64630

    Office

    $294.38

    Facility

    $195.54

    $11.96 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 64630

    Office

    $264.91

    Facility

    $181.91

    $17.51 lower than Merced for the office setting.

  • Nevada**

    Nevada · 64630

    Office

    $271.31

    Facility

    $180.70

    $11.11 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64630

    Office

    $325.92

    Facility

    $218.30

    $43.50 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64630

    Office

    $297.42

    Facility

    $198.31

    $15.00 higher than Merced for the office setting.

  • Queens

    New York · 64630

    Office

    $317.20

    Facility

    $210.21

    $34.78 higher than Merced for the office setting.

  • Rest Of New York

    New York · 64630

    Office

    $260.93

    Facility

    $174.94

    $21.49 lower than Merced for the office setting.

  • Ohio

    Ohio · 64630

    Office

    $260.74

    Facility

    $178.10

    $21.68 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 64630

    Office

    $253.36

    Facility

    $172.53

    $29.06 lower than Merced for the office setting.

  • Portland

    Oregon · 64630

    Office

    $288.49

    Facility

    $187.93

    $6.07 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 64630

    Office

    $268.14

    Facility

    $177.98

    $14.28 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64630

    Office

    $285.98

    Facility

    $191.75

    $3.56 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64630

    Office

    $260.37

    Facility

    $177.27

    $22.05 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 64630

    Office

    $275.67

    Facility

    $184.16

    $6.75 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 64630

    Office

    $279.29

    Facility

    $185.79

    $3.13 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 64630

    Office

    $259.56

    Facility

    $175.92

    $22.86 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 64630

    Office

    $262.02

    Facility

    $171.51

    $20.40 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 64630

    Office

    $251.46

    Facility

    $169.18

    $30.96 lower than Merced for the office setting.

  • Austin

    Texas · 64630

    Office

    $281.41

    Facility

    $185.64

    $1.01 lower than Merced for the office setting.

  • Beaumont

    Texas · 64630

    Office

    $258.82

    Facility

    $176.45

    $23.60 lower than Merced for the office setting.

  • Brazoria

    Texas · 64630

    Office

    $269.56

    Facility

    $179.86

    $12.86 lower than Merced for the office setting.

  • Dallas

    Texas · 64630

    Office

    $271.88

    Facility

    $181.72

    $10.54 lower than Merced for the office setting.

  • Fort Worth

    Texas · 64630

    Office

    $270.55

    Facility

    $181.30

    $11.87 lower than Merced for the office setting.

  • Galveston

    Texas · 64630

    Office

    $270.76

    Facility

    $180.88

    $11.66 lower than Merced for the office setting.

  • Houston

    Texas · 64630

    Office

    $280.83

    Facility

    $190.94

    $1.59 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 64630

    Office

    $264.45

    Facility

    $178.55

    $17.97 lower than Merced for the office setting.

  • Utah

    Utah · 64630

    Office

    $262.95

    Facility

    $177.86

    $19.47 lower than Merced for the office setting.

  • Virginia

    Virginia · 64630

    Office

    $266.16

    Facility

    $177.18

    $16.26 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64630

    Office

    $275.67

    Facility

    $184.16

    $6.75 lower than Merced for the office setting.

  • Vermont

    Vermont · 64630

    Office

    $263.58

    Facility

    $173.97

    $18.84 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 64630

    Office

    $279.42

    Facility

    $184.11

    $3.00 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 64630

    Office

    $311.38

    Facility

    $200.32

    $28.96 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 64630

    Office

    $254.93

    Facility

    $168.21

    $27.49 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 64630

    Office

    $261.62

    Facility

    $182.96

    $20.80 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 64630

    Office

    $269.45

    Facility

    $178.93

    $12.97 lower than Merced for the office setting.

See how rates vary across the country

64630 · 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.

$243.22

$325.76

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$325.761
AL$246.671
AR$243.221
AZ$266.721
CA$282.42–$345.8529
CO$281.411
CT$292.131
DC$309.541
DE$270.981
FL$276.57–$308.733
GA$260.83–$280.722
GU$287.951
HI$287.951
IA$249.831
ID$252.011
IL$270.94–$299.494
IN$253.341
KS$250.071
KY$255.271
LA$255.44–$267.482
MA$280.38–$306.662
MD$275.59–$309.543
ME$254.75–$266.032
MI$262.96–$281.342
MN$265.831
MO$252.13–$266.743
MS$247.651
MT$274.181
NC$257.091
ND$263.311
NE$250.731
NH$278.351
NJ$294.38–$306.782
NM$264.911
NV$271.311
NY$260.93–$325.925
OH$260.741
OK$253.361
OR$268.14–$288.492
PA$260.37–$285.982
PR$275.671
RI$279.291
SC$259.561
SD$262.021
TN$251.461
TX$258.82–$281.418
UT$262.951
VA$266.16–$309.542
VI$275.671
VT$263.581
WA$279.42–$311.382
WI$254.931
WV$261.621
WY$269.451

Explore 64630 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 64630 in Merced, the physician’s office rate is $282.42 and the facility-setting rate is $183.22: a difference of $99.20.

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 64630 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$310.66

$282.42 × 110% = $310.66

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 64630 in Merced.

PPRRVU2026_Oct_nonQPP.csv

7,178

Code
64630
Physician work
2.97
Practice expense
4.69
Malpractice
0.55

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64630 in Merced
ComponentRVULocality factorAdjusted
Physician work2.97× 1.0173.0205
Practice expense4.69× 1.0965.1402
Malpractice0.55× 0.5360.2948
Total RVUs8.4555
Conversion factor× 33.4009

Office / nonfacility rate, Merced$282.42

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

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.971.017
Practice expense4.691.096
Malpractice0.550.536

(2.97 × 1.017 + 4.69 × 1.096 + 0.55 × 0.536) × $33.4009 = $282.42

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.971.017
Practice expense1.981.096
Malpractice0.550.536

(2.97 × 1.017 + 1.98 × 1.096 + 0.55 × 0.536) × $33.4009 = $183.22

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

64630 · Office / nonfacility

$282.42

Effective 2026-10-01

The base rate is $24.84 higher than on 2025-10-01, moving from $257.58 to $282.42 (9.6%).

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

    $257.58changed to$282.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.05 changed to 2.97
    • Practice expense RVU 4.20 changed to 4.69
    • Malpractice RVU 0.50 changed to 0.55
    • 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: $257.58

    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$282.42$183.22RVU26D
2026-07-01$282.42$183.22RVU26C
2026-04-01$282.42$183.22RVU26B
2026-01-01$282.42$183.22RVU26A
2025-10-01$257.58$189.35RVU25D
2025-07-01$257.58$189.35RVU25C
2025-04-01$257.58$189.35RVU25B
2025-01-01$257.58$189.35RVU25A

64630 billing questions

How is 64630 different from a pudendal nerve block?

64630 represents intentional neurolytic treatment of the pudendal nerve. A pudendal block, such as 64430, uses an injection to block nerve signals rather than destroy the nerve.

What documentation supports reporting 64630?

Document the clinical indication, the pudendal nerve as the target, the neurolytic technique and agent, and the treated site.

Should modifier 50 be appended for bilateral treatment?

No. The bilateral adjustment does not apply to 64630, and modifier 50 is inappropriate for this code.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

How does the multiple-procedure rule affect 64630?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. 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 64630PPRRVU2026_Oct_nonQPP.csv, line 7,178 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet