No office rate
64628 reports treatment of the first two lumbar or sacral vertebral bodies; 64629 is added for each body treated beyond those first two.
On this page
CMS RVU26D · Effective 2026-10-01
64629 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$166.40
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 64629: Additional vertebral body basivertebral nerve ablation
Report this add-on for each additional lumbar or sacral vertebral body treated with intraosseous basivertebral nerve ablation beyond the first two.
This add-on captures treatment of an additional lumbar or sacral vertebral body during intraosseous basivertebral nerve ablation. Interventional pain physicians and spine specialists typically perform the procedure for selected patients with vertebrogenic low back pain. Imaging guidance used to perform the ablation is included in the service.
Report 64629 with the primary code 64628, which covers treatment of the first two vertebral bodies. Assign one unit for each additional body treated and document the treated vertebral levels, the clinical indication, and the procedure performed. CMS classifies 64629 as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.
CMS billing rules for 64629
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.68 · 73%
- Practice expense (office) RVU0.94 · 19%
- Malpractice RVU0.39 · 8%
4.3K
Medicare services in 2024 · #1970 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.
64629 compared with similar codes
Office rates for Modesto, from the same CMS release.
$495.60
64635 addresses lumbar or sacral facet joint nerve ablation. Use 64629 for additional vertebral bodies treated with intraosseous basivertebral nerve ablation.
$528.35
64625 is for radiofrequency ablation of nerves associated with the sacroiliac joint; 64629 concerns additional lumbar or sacral vertebral bodies.
The same code, a different location
How does Modesto compare?
64629 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Merced
California · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Napa
California · 64629
Office
Unavailable
Facility
$178.66
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64629
Office
Unavailable
Facility
$171.58
No comparable office rate is available.
Redding
California · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Rest Of California
California · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64629
Office
Unavailable
Facility
$170.65
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64629
Office
Unavailable
Facility
$170.84
No comparable office rate is available.
Salinas
California · 64629
Office
Unavailable
Facility
$170.10
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64629
Office
Unavailable
Facility
$171.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64629
Office
Unavailable
Facility
$184.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64629
Office
Unavailable
Facility
$184.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64629
Office
Unavailable
Facility
$188.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64629
Office
Unavailable
Facility
$186.88
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64629
Office
Unavailable
Facility
$167.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64629
Office
Unavailable
Facility
$170.63
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64629
Office
Unavailable
Facility
$169.95
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64629
Office
Unavailable
Facility
$172.14
No comparable office rate is available.
Stockton
California · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Vallejo
California · 64629
Office
Unavailable
Facility
$178.02
No comparable office rate is available.
Visalia
California · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Yuba City
California · 64629
Office
Unavailable
Facility
$166.40
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64629
Office
Unavailable
Facility
$181.04
No comparable office rate is available.
Miami
Florida · 64629
Office
Unavailable
Facility
$188.54
No comparable office rate is available.
Chicago
Illinois · 64629
Office
Unavailable
Facility
$185.23
No comparable office rate is available.
Manhattan
New York · 64629
Office
Unavailable
Facility
$187.92
No comparable office rate is available.
Alaska*
Alaska · 64629
Office
Unavailable
Facility
$224.99
No comparable office rate is available.
Alabama
Alabama · 64629
Office
Unavailable
Facility
$157.76
No comparable office rate is available.
Arkansas
Arkansas · 64629
Office
Unavailable
Facility
$156.59
No comparable office rate is available.
Arizona
Arizona · 64629
Office
Unavailable
Facility
$164.49
No comparable office rate is available.
Colorado
Colorado · 64629
Office
Unavailable
Facility
$167.97
No comparable office rate is available.
Connecticut
Connecticut · 64629
Office
Unavailable
Facility
$174.95
No comparable office rate is available.
Delaware
Delaware · 64629
Office
Unavailable
Facility
$166.26
No comparable office rate is available.
Fort Lauderdale
Florida · 64629
Office
Unavailable
Facility
$178.27
No comparable office rate is available.
Rest Of Florida
Florida · 64629
Office
Unavailable
Facility
$172.51
No comparable office rate is available.
Atlanta
Georgia · 64629
Office
Unavailable
Facility
$170.83
No comparable office rate is available.
Rest Of Georgia
Georgia · 64629
Office
Unavailable
Facility
$166.45
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64629
Office
Unavailable
Facility
$166.16
No comparable office rate is available.
Iowa
Iowa · 64629
Office
Unavailable
Facility
$156.81
No comparable office rate is available.
Idaho
Idaho · 64629
Office
Unavailable
Facility
$157.96
No comparable office rate is available.
East St. Louis
Illinois · 64629
Office
Unavailable
Facility
$178.04
No comparable office rate is available.
Rest Of Illinois
Illinois · 64629
Office
Unavailable
Facility
$171.94
No comparable office rate is available.
Suburban Chicago
Illinois · 64629
Office
Unavailable
Facility
$179.10
No comparable office rate is available.
Indiana
Indiana · 64629
Office
Unavailable
Facility
$158.35
No comparable office rate is available.
Kansas
Kansas · 64629
Office
Unavailable
Facility
$157.86
No comparable office rate is available.
Kentucky
Kentucky · 64629
Office
Unavailable
Facility
$162.75
No comparable office rate is available.
New Orleans
Louisiana · 64629
Office
Unavailable
Facility
$167.26
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64629
Office
Unavailable
Facility
$163.18
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64629
Office
Unavailable
Facility
$177.04
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64629
Office
Unavailable
Facility
$168.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64629
Office
Unavailable
Facility
$174.68
No comparable office rate is available.
Rest Of Maryland
Maryland · 64629
Office
Unavailable
Facility
$167.88
No comparable office rate is available.
Rest Of Maine
Maine · 64629
Office
Unavailable
Facility
$159.90
No comparable office rate is available.
Southern Maine
Maine · 64629
Office
Unavailable
Facility
$162.25
No comparable office rate is available.
Detroit
Michigan · 64629
Office
Unavailable
Facility
$175.18
No comparable office rate is available.
Rest Of Michigan
Michigan · 64629
Office
Unavailable
Facility
$166.29
No comparable office rate is available.
Minnesota
Minnesota · 64629
Office
Unavailable
Facility
$159.08
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64629
Office
Unavailable
Facility
$165.12
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64629
Office
Unavailable
Facility
$165.86
No comparable office rate is available.
Rest Of Missouri
Missouri · 64629
Office
Unavailable
Facility
$162.67
No comparable office rate is available.
Mississippi
Mississippi · 64629
Office
Unavailable
Facility
$159.57
No comparable office rate is available.
Montana**
Montana · 64629
Office
Unavailable
Facility
$167.31
No comparable office rate is available.
North Carolina
North Carolina · 64629
Office
Unavailable
Facility
$160.53
No comparable office rate is available.
North Dakota**
North Dakota · 64629
Office
Unavailable
Facility
$159.60
No comparable office rate is available.
Nebraska
Nebraska · 64629
Office
Unavailable
Facility
$156.82
No comparable office rate is available.
New Hampshire
New Hampshire · 64629
Office
Unavailable
Facility
$167.00
No comparable office rate is available.
Northern Nj
New Jersey · 64629
Office
Unavailable
Facility
$180.99
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64629
Office
Unavailable
Facility
$176.41
No comparable office rate is available.
New Mexico
New Mexico · 64629
Office
Unavailable
Facility
$167.35
No comparable office rate is available.
Nevada**
Nevada · 64629
Office
Unavailable
Facility
$165.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64629
Office
Unavailable
Facility
$192.30
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64629
Office
Unavailable
Facility
$178.59
No comparable office rate is available.
Queens
New York · 64629
Office
Unavailable
Facility
$186.68
No comparable office rate is available.
Rest Of New York
New York · 64629
Office
Unavailable
Facility
$161.90
No comparable office rate is available.
Ohio
Ohio · 64629
Office
Unavailable
Facility
$164.71
No comparable office rate is available.
Oklahoma
Oklahoma · 64629
Office
Unavailable
Facility
$161.07
No comparable office rate is available.
Portland
Oregon · 64629
Office
Unavailable
Facility
$169.46
No comparable office rate is available.
Rest Of Oregon
Oregon · 64629
Office
Unavailable
Facility
$163.34
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64629
Office
Unavailable
Facility
$173.35
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64629
Office
Unavailable
Facility
$164.05
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64629
Office
Unavailable
Facility
$167.49
No comparable office rate is available.
Rhode Island
Rhode Island · 64629
Office
Unavailable
Facility
$169.30
No comparable office rate is available.
South Carolina
South Carolina · 64629
Office
Unavailable
Facility
$163.00
No comparable office rate is available.
South Dakota**
South Dakota · 64629
Office
Unavailable
Facility
$158.69
No comparable office rate is available.
Tennessee
Tennessee · 64629
Office
Unavailable
Facility
$158.45
No comparable office rate is available.
Austin
Texas · 64629
Office
Unavailable
Facility
$167.92
No comparable office rate is available.
Beaumont
Texas · 64629
Office
Unavailable
Facility
$163.59
No comparable office rate is available.
Brazoria
Texas · 64629
Office
Unavailable
Facility
$165.17
No comparable office rate is available.
Dallas
Texas · 64629
Office
Unavailable
Facility
$166.47
No comparable office rate is available.
Fort Worth
Texas · 64629
Office
Unavailable
Facility
$166.32
No comparable office rate is available.
Galveston
Texas · 64629
Office
Unavailable
Facility
$165.86
No comparable office rate is available.
Houston
Texas · 64629
Office
Unavailable
Facility
$173.00
No comparable office rate is available.
Rest Of Texas
Texas · 64629
Office
Unavailable
Facility
$164.47
No comparable office rate is available.
Utah
Utah · 64629
Office
Unavailable
Facility
$164.13
No comparable office rate is available.
Virginia
Virginia · 64629
Office
Unavailable
Facility
$162.98
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64629
Office
Unavailable
Facility
$167.49
No comparable office rate is available.
Vermont
Vermont · 64629
Office
Unavailable
Facility
$160.59
No comparable office rate is available.
Rest Of Washington
Washington · 64629
Office
Unavailable
Facility
$167.49
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64629
Office
Unavailable
Facility
$178.23
No comparable office rate is available.
Wisconsin
Wisconsin · 64629
Office
Unavailable
Facility
$157.01
No comparable office rate is available.
West Virginia
West Virginia · 64629
Office
Unavailable
Facility
$168.84
No comparable office rate is available.
Wyoming**
Wyoming · 64629
Office
Unavailable
Facility
$163.95
No comparable office rate is available.
See how rates vary across the country
64629 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 64629 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$183.04
$166.40 × 110% = $183.04
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.
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 64629 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,177
- Code
- 64629
- Physician work
- 3.68
- Practice expense
- 0.94
- Malpractice
- 0.39
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.68 | × 1.017 | 3.7426 |
| Practice expense | 0.94 | × 1.096 | 1.0302 |
| Malpractice | 0.39 | × 0.536 | 0.2090 |
| Total RVUs | 4.9818 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$166.40
Open 64629 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.68 | 1.017 |
| Practice expense | 0.94 | 1.096 |
| Malpractice | 0.39 | 0.536 |
(3.68 × 1.017 + 0.94 × 1.096 + 0.39 × 0.536) × $33.4009 = $166.40
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
64629 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $166.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $166.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $166.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $166.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $188.72 | RVU25D |
| 2025-07-01 | Not available in this setting | $188.72 | RVU25C |
| 2025-04-01 | Not available in this setting | $188.72 | RVU25B |
| 2025-01-01 | Not available in this setting | $188.72 | RVU25A |
64629 billing questions
When is 64629 reported instead of 64628?
64628 covers the first two treated vertebral bodies. Report 64629 for each additional lumbar or sacral vertebral body treated in the same procedure.
Can 64629 be billed by itself?
No. It is an add-on code and must be reported with the primary procedure, 64628.
How many units of 64629 should be reported?
Report one unit for each treated vertebral body beyond the first two. The record should identify the additional treated level or levels.
Can imaging guidance for the ablation be billed separately?
Imaging guidance used to perform this ablation is included in the service. Do not separately report that guidance as part of the same ablation.
What documentation supports 64629?
Document the indication, the vertebral bodies treated, and that the service was an intraosseous basivertebral nerve ablation. The record should make clear which body or bodies were additional to those covered by 64628.
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.
7,17464624,,Dstrj nulyt agt gnclr nrv,A,,2.44,9.65,,1.33,,0.22,12.31,3.99,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17564625,,Rf abltj nrv nrvtg si jt,A,,3.31,11.20,,1.65,,0.33,14.84,5.29,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17664628,,Trml dstrj ios bvn 1st 2 l/s,A,,6.97,3.23,NA,3.23,,0.72,10.92,10.92,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17764629,,Trml dstrj ios bvn ea addl,A,,3.68,0.94,NA,0.94,,0.39,5.01,5.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17864630,,Injection treatment of nerve,A,,2.97,4.69,,1.98,,0.55,8.21,5.50,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17964632,,N block inj common digit,A,,1.20,1.41,,0.56,,0.09,2.70,1.85,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,18064633,,Destroy cerv/thor facet jnt,A,,3.24,10.20,,1.63,,0.30,13.74,5.17,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536