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CMS RVU26D · Effective 2026-10-01

64405 in Redding

Office / nonfacility

$80.04

Base rate per service

Facility setting

$44.16

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Nerve injections

About 64405: Greater occipital nerve injection

Report this injection for a greater occipital nerve block, commonly performed for occipital neuralgia or headache involving the occipital nerve distribution.

This service injects anesthetic, steroid, or both around the greater occipital nerve to interrupt pain signals. Pain medicine physicians, anesthesiologists, neurologists, and other qualified clinicians commonly perform the block in an office or outpatient facility for occipital neuralgia or headache symptoms involving the back of the head. Documentation should identify the nerve and side treated, the clinical indication, and the injection performed.

Select this code for the greater occipital nerve rather than another named nerve or an unspecified peripheral nerve branch. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 64405

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral 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 RVU0.92 · 39%
  • Practice expense (office) RVU1.23 · 52%
  • Malpractice RVU0.21 · 9%

76.8K

Medicare services in 2024 · #644 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.

64405 compared with similar codes

Office rates for Redding, from the same CMS release.

64400

Nerve block

Trigeminal nerve or branch

$127.76

64405 targets the greater occipital nerve; 64400 targets the trigeminal nerve. Choose by the nerve actually injected, not simply by a headache diagnosis.

64450

Nerve block

Other peripheral nerve or branch

$85.35

Use 64405 when the greater occipital nerve is the target. Code 64450 is for another peripheral nerve or branch when a more specific code does not describe the target.

64418

Nerve injection

Suprascapular nerve

$93.59

64418 targets the suprascapular nerve in the shoulder region. It is not the code for a greater occipital nerve block.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 64405 is $80.61—$0.57 higher than the $80.04 rate in Redding. Both use the same code, release and participation basis.

64405 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $80.04

  2. Bakersfield

    $80.61

    $0.57 higher than Redding

  3. Chico

    $80.04

    The same base rate than Redding

  4. El Centro

    $80.07

    $0.03 higher than Redding

  5. Fresno

    $80.04

    The same base rate than Redding

  6. Hanford-Corcoran

    $80.04

    The same base rate than Redding

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

    $85.25

    $5.21 higher than Redding

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, 64405 ranges from $69.63 in Arkansas to $97.11 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 · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Merced

    California · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Modesto

    California · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Napa

    California · 64405

    Office

    $90.38

    Facility

    $47.23

    $10.34 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64405

    Office

    $84.52

    Facility

    $45.83

    $4.48 higher than Redding for the office setting.

  • Rest Of California

    California · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64405

    Office

    $82.29

    Facility

    $46.42

    $2.25 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64405

    Office

    $83.37

    Facility

    $45.31

    $3.33 higher than Redding for the office setting.

  • Salinas

    California · 64405

    Office

    $83.06

    Facility

    $45.12

    $3.02 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64405

    Office

    $84.59

    Facility

    $45.44

    $4.55 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64405

    Office

    $94.79

    Facility

    $48.64

    $14.75 higher than Redding for the office setting.

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

    California · 64405

    Office

    $94.56

    Facility

    $48.40

    $14.52 higher than Redding for the office setting.

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

    California · 64405

    Office

    $97.11

    Facility

    $49.91

    $17.07 higher than Redding for the office setting.

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

    California · 64405

    Office

    $96.14

    Facility

    $48.93

    $16.10 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64405

    Office

    $81.80

    Facility

    $44.52

    $1.76 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 64405

    Office

    $85.05

    Facility

    $45.28

    $5.01 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 64405

    Office

    $83.25

    Facility

    $45.09

    $3.21 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 64405

    Office

    $85.86

    Facility

    $45.66

    $5.82 higher than Redding for the office setting.

  • Stockton

    California · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 64405

    Office

    $90.03

    Facility

    $46.89

    $9.99 higher than Redding for the office setting.

  • Visalia

    California · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 64405

    Office

    $80.04

    Facility

    $44.16

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64405

    Office

    $88.59

    Facility

    $50.03

    $8.55 higher than Redding for the office setting.

  • Miami

    Florida · 64405

    Office

    $91.24

    Facility

    $57.16

    $11.20 higher than Redding for the office setting.

  • Chicago

    Illinois · 64405

    Office

    $88.33

    Facility

    $55.43

    $8.29 higher than Redding for the office setting.

  • Manhattan

    New York · 64405

    Office

    $91.56

    Facility

    $53.52

    $11.52 higher than Redding for the office setting.

  • Alaska*

    Alaska · 64405

    Office

    $93.71

    Facility

    $58.85

    $13.67 higher than Redding for the office setting.

  • Alabama

    Alabama · 64405

    Office

    $70.65

    Facility

    $42.01

    $9.39 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 64405

    Office

    $69.63

    Facility

    $41.51

    $10.41 lower than Redding for the office setting.

  • Arizona

    Arizona · 64405

    Office

    $76.54

    Facility

    $44.82

    $3.50 lower than Redding for the office setting.

  • Colorado

    Colorado · 64405

    Office

    $80.29

    Facility

    $45.46

    $0.25 higher than Redding for the office setting.

  • Connecticut

    Connecticut · 64405

    Office

    $84.08

    Facility

    $48.82

    $4.04 higher than Redding for the office setting.

  • Delaware

    Delaware · 64405

    Office

    $77.78

    Facility

    $45.44

    $2.26 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 64405

    Office

    $85.03

    Facility

    $51.87

    $4.99 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 64405

    Office

    $80.55

    Facility

    $49.25

    $0.51 higher than Redding for the office setting.

  • Atlanta

    Georgia · 64405

    Office

    $80.99

    Facility

    $47.73

    $0.95 higher than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 64405

    Office

    $75.74

    Facility

    $46.54

    $4.30 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 64405

    Office

    $81.50

    Facility

    $44.28

    $1.46 higher than Redding for the office setting.

  • Iowa

    Iowa · 64405

    Office

    $71.10

    Facility

    $41.15

    $8.94 lower than Redding for the office setting.

  • Idaho

    Idaho · 64405

    Office

    $71.84

    Facility

    $41.73

    $8.20 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 64405

    Office

    $82.65

    Facility

    $52.54

    $2.61 higher than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 64405

    Office

    $79.20

    Facility

    $49.32

    $0.84 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 64405

    Office

    $85.57

    Facility

    $51.95

    $5.53 higher than Redding for the office setting.

  • Indiana

    Indiana · 64405

    Office

    $72.22

    Facility

    $41.88

    $7.82 lower than Redding for the office setting.

  • Kansas

    Kansas · 64405

    Office

    $71.40

    Facility

    $41.81

    $8.64 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 64405

    Office

    $73.67

    Facility

    $44.57

    $6.37 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 64405

    Office

    $77.36

    Facility

    $46.55

    $2.68 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 64405

    Office

    $73.81

    Facility

    $44.84

    $6.23 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 64405

    Office

    $87.28

    Facility

    $48.20

    $7.24 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64405

    Office

    $80.07

    Facility

    $45.60

    $0.03 higher than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64405

    Office

    $83.98

    Facility

    $48.86

    $3.94 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 64405

    Office

    $79.05

    Facility

    $45.93

    $0.99 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 64405

    Office

    $72.89

    Facility

    $42.77

    $7.15 lower than Redding for the office setting.

  • Southern Maine

    Maine · 64405

    Office

    $75.87

    Facility

    $43.43

    $4.17 lower than Redding for the office setting.

  • Detroit

    Michigan · 64405

    Office

    $82.20

    Facility

    $50.61

    $2.16 higher than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 64405

    Office

    $76.16

    Facility

    $46.27

    $3.88 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 64405

    Office

    $75.08

    Facility

    $41.40

    $4.96 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 64405

    Office

    $76.16

    Facility

    $45.42

    $3.88 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 64405

    Office

    $76.87

    Facility

    $45.71

    $3.17 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 64405

    Office

    $72.97

    Facility

    $44.76

    $7.07 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 64405

    Office

    $71.28

    Facility

    $43.10

    $8.76 lower than Redding for the office setting.

  • Montana**

    Montana · 64405

    Office

    $78.81

    Facility

    $46.08

    $1.23 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 64405

    Office

    $73.54

    Facility

    $43.00

    $6.50 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 64405

    Office

    $74.66

    Facility

    $41.93

    $5.38 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 64405

    Office

    $71.30

    Facility

    $41.09

    $8.74 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 64405

    Office

    $79.63

    Facility

    $45.56

    $0.41 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 64405

    Office

    $87.81

    Facility

    $49.84

    $7.77 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 64405

    Office

    $84.52

    Facility

    $48.77

    $4.48 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 64405

    Office

    $76.83

    Facility

    $46.81

    $3.21 lower than Redding for the office setting.

  • Nevada**

    Nevada · 64405

    Office

    $77.70

    Facility

    $44.93

    $2.34 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64405

    Office

    $94.57

    Facility

    $55.65

    $14.53 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64405

    Office

    $85.58

    Facility

    $49.74

    $5.54 higher than Redding for the office setting.

  • Queens

    New York · 64405

    Office

    $91.37

    Facility

    $52.68

    $11.33 higher than Redding for the office setting.

  • Rest Of New York

    New York · 64405

    Office

    $74.69

    Facility

    $43.59

    $5.35 lower than Redding for the office setting.

  • Ohio

    Ohio · 64405

    Office

    $75.31

    Facility

    $45.42

    $4.73 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 64405

    Office

    $72.87

    Facility

    $43.64

    $7.17 lower than Redding for the office setting.

  • Portland

    Oregon · 64405

    Office

    $82.08

    Facility

    $45.72

    $2.04 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 64405

    Office

    $76.58

    Facility

    $43.98

    $3.46 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64405

    Office

    $82.42

    Facility

    $48.34

    $2.38 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64405

    Office

    $75.07

    Facility

    $45.02

    $4.97 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 64405

    Office

    $79.17

    Facility

    $46.08

    $0.87 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 64405

    Office

    $80.01

    Facility

    $46.20

    $0.03 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 64405

    Office

    $74.65

    Facility

    $44.41

    $5.39 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 64405

    Office

    $74.17

    Facility

    $41.44

    $5.87 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 64405

    Office

    $71.84

    Facility

    $42.09

    $8.20 lower than Redding for the office setting.

  • Austin

    Texas · 64405

    Office

    $80.47

    Facility

    $45.84

    $0.43 higher than Redding for the office setting.

  • Beaumont

    Texas · 64405

    Office

    $74.63

    Facility

    $44.84

    $5.41 lower than Redding for the office setting.

  • Brazoria

    Texas · 64405

    Office

    $77.16

    Facility

    $44.72

    $2.88 lower than Redding for the office setting.

  • Dallas

    Texas · 64405

    Office

    $77.94

    Facility

    $45.34

    $2.10 lower than Redding for the office setting.

  • Fort Worth

    Texas · 64405

    Office

    $77.62

    Facility

    $45.35

    $2.42 lower than Redding for the office setting.

  • Galveston

    Texas · 64405

    Office

    $77.58

    Facility

    $45.07

    $2.46 lower than Redding for the office setting.

  • Houston

    Texas · 64405

    Office

    $81.42

    Facility

    $48.92

    $1.38 higher than Redding for the office setting.

  • Rest Of Texas

    Texas · 64405

    Office

    $76.05

    Facility

    $44.99

    $3.99 lower than Redding for the office setting.

  • Utah

    Utah · 64405

    Office

    $75.65

    Facility

    $44.88

    $4.39 lower than Redding for the office setting.

  • Virginia

    Virginia · 64405

    Office

    $76.07

    Facility

    $43.89

    $3.97 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64405

    Office

    $79.17

    Facility

    $46.08

    $0.87 lower than Redding for the office setting.

  • Vermont

    Vermont · 64405

    Office

    $74.95

    Facility

    $42.54

    $5.09 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 64405

    Office

    $79.73

    Facility

    $45.26

    $0.31 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 64405

    Office

    $88.40

    Facility

    $48.24

    $8.36 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 64405

    Office

    $72.25

    Facility

    $40.89

    $7.79 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 64405

    Office

    $76.47

    Facility

    $48.02

    $3.57 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 64405

    Office

    $77.00

    Facility

    $44.27

    $3.04 lower than Redding for the office setting.

See how rates vary across the country

64405 · 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.

$69.63

$93.71

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$93.711
AL$70.651
AR$69.631
AZ$76.541
CA$80.04–$97.1129
CO$80.291
CT$84.081
DC$88.591
DE$77.781
FL$80.55–$91.243
GA$75.74–$80.992
GU$81.501
HI$81.501
IA$71.101
ID$71.841
IL$79.20–$88.334
IN$72.221
KS$71.401
KY$73.671
LA$73.81–$77.362
MA$80.07–$87.282
MD$79.05–$88.593
ME$72.89–$75.872
MI$76.16–$82.202
MN$75.081
MO$72.97–$76.873
MS$71.281
MT$78.811
NC$73.541
ND$74.661
NE$71.301
NH$79.631
NJ$84.52–$87.812
NM$76.831
NV$77.701
NY$74.69–$94.575
OH$75.311
OK$72.871
OR$76.58–$82.082
PA$75.07–$82.422
PR$79.171
RI$80.011
SC$74.651
SD$74.171
TN$71.841
TX$74.63–$81.428
UT$75.651
VA$76.07–$88.592
VI$79.171
VT$74.951
WA$79.73–$88.402
WI$72.251
WV$76.471
WY$77.001

Explore 64405 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 64405 in Redding, the physician’s office rate is $80.04 and the facility-setting rate is $44.16: a difference of $35.88.

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 64405 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$88.04

$80.04 × 110% = $88.04

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.

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 64405 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,097

Code
64405
Physician work
0.92
Practice expense
1.23
Malpractice
0.21

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64405 in Redding
ComponentRVULocality factorAdjusted
Physician work0.92× 1.0170.9356
Practice expense1.23× 1.0961.3481
Malpractice0.21× 0.5360.1126
Total RVUs2.3963
Conversion factor× 33.4009

Office / nonfacility rate, Redding$80.04

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

Open 64405 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.921.017
Practice expense1.231.096
Malpractice0.210.536

(0.92 × 1.017 + 1.23 × 1.096 + 0.21 × 0.536) × $33.4009 = $80.04

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.921.017
Practice expense0.251.096
Malpractice0.210.536

(0.92 × 1.017 + 0.25 × 1.096 + 0.21 × 0.536) × $33.4009 = $44.16

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

64405 · Office / nonfacility

$80.04

Effective 2026-10-01

The base rate is $5.98 higher than on 2025-10-01, moving from $74.06 to $80.04 (8.1%).

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

    $74.06changed to$80.04

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.94 changed to 0.92
    • Practice expense RVU 1.11 changed to 1.23
    • Malpractice RVU 0.22 changed to 0.21
    • 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: $74.06

    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$80.04$44.16RVU26D
2026-07-01$80.04$44.16RVU26C
2026-04-01$80.04$44.16RVU26B
2026-01-01$80.04$44.16RVU26A
2025-10-01$74.06$50.02RVU25D
2025-07-01$74.06$50.02RVU25C
2025-04-01$74.06$50.02RVU25B
2025-01-01$74.06$50.02RVU25A

64405 billing questions

When should this code be chosen instead of 64400?

Use 64405 for the greater occipital nerve. Code 64400 describes an injection targeting the trigeminal nerve, a different nerve and distribution.

How is bilateral treatment reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment of both greater occipital nerves.

Is same-day evaluation and postoperative care separately included?

CMS assigns a 0-day global period, with same-day preoperative and postoperative care included in the procedure.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What documentation supports reporting this code?

Record the greater occipital nerve treated, laterality, clinical indication, and details of the injection. The documentation should distinguish this nerve from other named nerves treated.

Can an assistant or surgical team be reported for this procedure?

CMS does not pay an assistant at surgery for this code, and 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 64405PPRRVU2026_Oct_nonQPP.csv, line 7,097 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet