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CMS RVU26D · Effective 2026-10-01

64530 in Wyoming**

Office / nonfacility

$234.51

Base rate per service

Facility setting

$84.20

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 64530: Celiac plexus anesthetic injection

A celiac plexus anesthetic injection targets upper abdominal visceral pain, including pain associated with pancreatic cancer or chronic pancreatitis.

A celiac plexus block delivers anesthetic medication to the nerve network that carries visceral pain from the upper abdomen. It is commonly performed for severe pain related to pancreatic cancer or chronic pancreatitis. Anesthesiologists, pain physicians, and interventional radiologists may perform the injection, often using imaging to guide needle placement. The code accounts for radiologic monitoring whether or not it is used.

Report 64530 when the celiac plexus is the injection target; document the indication, target, approach, medication, and imaging used. Radiologic guidance for this block is included and should not be separately reported. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 64530

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU1.54 · 22%
  • Practice expense (office) RVU5.37 · 76%
  • Malpractice RVU0.15 · 2%

1.9K

Medicare services in 2024 · #2494 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.

64530 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

64680

Celiac neurolysis

Neurolytic agent injection

$344.44

Use 64530 for anesthetic injection at the celiac plexus. Use 64680 when the procedure destroys the plexus with a neurolytic agent.

64517

Plexus block

Hypogastric plexus

$201.01

64517 targets the hypogastric plexus, not the celiac plexus; select based on the documented injection site.

64520

Sympathetic block

Lumbar or thoracic

$241.11

64520 describes injection at a thoracic or lumbar paravertebral target. It is not the code for an injection directed to the celiac plexus.

The same code, a different location

How does Wyoming** compare?

64530 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $234.51

  2. $34.55 higher than Wyoming**

  3. $36.57 higher than Wyoming**

  4. Miami

    $250.82

    $16.31 higher than Wyoming**

  5. Chicago

    $243.56

    $9.05 higher than Wyoming**

  6. Manhattan

    $271.10

    $36.59 higher than Wyoming**

  7. Alaska*

    $270.94

    $36.43 higher than Wyoming**

Other payment areas listed in Wyoming 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, 64530 ranges from $208.09 in Arkansas to $318.42 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
  • Alabama

    Alabama · 64530

    Office

    $211.22

    Facility

    $79.70

    $23.29 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 64530

    Office

    $208.09

    Facility

    $78.98

    $26.42 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 64530

    Office

    $229.53

    Facility

    $83.88

    $4.98 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 64530

    Office

    $252.05

    Facility

    $87.31

    $17.54 higher than Wyoming** for the office setting.

  • Chico

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • El Centro

    California · 64530

    Office

    $251.60

    Facility

    $86.87

    $17.09 higher than Wyoming** for the office setting.

  • Fresno

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Madera

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Merced

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Modesto

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Napa

    California · 64530

    Office

    $293.62

    Facility

    $95.52

    $59.11 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64530

    Office

    $268.01

    Facility

    $90.35

    $33.50 higher than Wyoming** for the office setting.

  • Redding

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64530

    Office

    $253.22

    Facility

    $88.49

    $18.71 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64530

    Office

    $264.57

    Facility

    $89.77

    $30.06 higher than Wyoming** for the office setting.

  • Salinas

    California · 64530

    Office

    $263.60

    Facility

    $89.40

    $29.09 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64530

    Office

    $270.21

    Facility

    $90.45

    $35.70 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64530

    Office

    $311.53

    Facility

    $99.60

    $77.02 higher than Wyoming** for the office setting.

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

    California · 64530

    Office

    $311.35

    Facility

    $99.43

    $76.84 higher than Wyoming** for the office setting.

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

    California · 64530

    Office

    $318.42

    Facility

    $101.68

    $83.91 higher than Wyoming** for the office setting.

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

    California · 64530

    Office

    $317.73

    Facility

    $100.99

    $83.22 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64530

    Office

    $259.29

    Facility

    $88.10

    $24.78 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 64530

    Office

    $273.13

    Facility

    $90.51

    $38.62 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 64530

    Office

    $264.70

    Facility

    $89.45

    $30.19 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 64530

    Office

    $275.92

    Facility

    $91.35

    $41.41 higher than Wyoming** for the office setting.

  • Stockton

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Vallejo

    California · 64530

    Office

    $293.38

    Facility

    $95.28

    $58.87 higher than Wyoming** for the office setting.

  • Visalia

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Yuba City

    California · 64530

    Office

    $251.58

    Facility

    $86.85

    $17.07 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 64530

    Office

    $246.81

    Facility

    $86.89

    $12.30 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 64530

    Office

    $251.70

    Facility

    $89.82

    $17.19 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 64530

    Office

    $233.41

    Facility

    $84.91

    $1.10 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 64530

    Office

    $242.19

    Facility

    $89.93

    $7.68 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 64530

    Office

    $230.44

    Facility

    $86.75

    $4.07 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 64530

    Office

    $239.84

    Facility

    $87.13

    $5.33 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 64530

    Office

    $217.40

    Facility

    $83.33

    $17.11 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 64530

    Office

    $258.27

    Facility

    $87.38

    $23.76 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 64530

    Office

    $217.54

    Facility

    $80.02

    $16.97 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 64530

    Office

    $218.82

    Facility

    $80.54

    $15.69 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 64530

    Office

    $226.54

    Facility

    $88.26

    $7.97 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 64530

    Office

    $223.03

    Facility

    $85.80

    $11.48 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 64530

    Office

    $244.88

    Facility

    $90.52

    $10.37 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 64530

    Office

    $220.14

    Facility

    $80.81

    $14.37 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 64530

    Office

    $216.11

    Facility

    $80.23

    $18.40 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 64530

    Office

    $215.48

    Facility

    $81.85

    $19.03 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 64530

    Office

    $225.91

    Facility

    $84.47

    $8.60 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 64530

    Office

    $214.97

    Facility

    $81.95

    $19.54 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 64530

    Office

    $272.16

    Facility

    $92.70

    $37.65 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64530

    Office

    $245.12

    Facility

    $86.85

    $10.61 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64530

    Office

    $250.91

    Facility

    $89.64

    $16.40 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 64530

    Office

    $238.07

    Facility

    $85.96

    $3.56 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 64530

    Office

    $219.57

    Facility

    $81.29

    $14.94 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 64530

    Office

    $232.35

    Facility

    $83.40

    $2.16 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 64530

    Office

    $232.97

    Facility

    $87.93

    $1.54 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 64530

    Office

    $220.85

    Facility

    $83.62

    $13.66 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 64530

    Office

    $237.48

    Facility

    $82.82

    $2.97 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 64530

    Office

    $224.75

    Facility

    $83.62

    $9.76 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 64530

    Office

    $227.21

    Facility

    $84.12

    $7.30 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 64530

    Office

    $210.93

    Facility

    $81.37

    $23.58 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 64530

    Office

    $209.57

    Facility

    $80.16

    $24.94 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 64530

    Office

    $235.80

    Facility

    $85.50

    $1.29 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 64530

    Office

    $221.98

    Facility

    $81.75

    $12.53 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 64530

    Office

    $232.83

    Facility

    $82.53

    $1.68 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 64530

    Office

    $218.88

    Facility

    $80.15

    $15.63 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 64530

    Office

    $242.54

    Facility

    $86.07

    $8.03 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 64530

    Office

    $268.09

    Facility

    $93.74

    $33.58 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 64530

    Office

    $254.86

    Facility

    $90.72

    $20.35 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 64530

    Office

    $221.93

    Facility

    $84.10

    $12.58 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 64530

    Office

    $235.15

    Facility

    $84.70

    $0.64 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64530

    Office

    $277.30

    Facility

    $98.58

    $42.79 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64530

    Office

    $256.22

    Facility

    $91.63

    $21.71 higher than Wyoming** for the office setting.

  • Queens

    New York · 64530

    Office

    $273.96

    Facility

    $96.30

    $39.45 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 64530

    Office

    $225.35

    Facility

    $82.57

    $9.16 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 64530

    Office

    $220.25

    Facility

    $83.02

    $14.26 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 64530

    Office

    $215.50

    Facility

    $81.28

    $19.01 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 64530

    Office

    $255.26

    Facility

    $88.27

    $20.75 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 64530

    Office

    $233.60

    Facility

    $83.90

    $0.91 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64530

    Office

    $245.06

    Facility

    $88.59

    $10.55 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64530

    Office

    $220.83

    Facility

    $82.85

    $13.68 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 64530

    Office

    $237.71

    Facility

    $85.75

    $3.20 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 64530

    Office

    $242.17

    Facility

    $86.90

    $7.66 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 64530

    Office

    $221.43

    Facility

    $82.55

    $13.08 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 64530

    Office

    $232.48

    Facility

    $82.18

    $2.03 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 64530

    Office

    $217.17

    Facility

    $80.54

    $17.34 lower than Wyoming** for the office setting.

  • Austin

    Texas · 64530

    Office

    $245.75

    Facility

    $86.72

    $11.24 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 64530

    Office

    $219.31

    Facility

    $82.54

    $15.20 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 64530

    Office

    $233.51

    Facility

    $84.55

    $1.00 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 64530

    Office

    $234.84

    Facility

    $85.14

    $0.33 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 64530

    Office

    $233.12

    Facility

    $84.92

    $1.39 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 64530

    Office

    $234.10

    Facility

    $84.85

    $0.41 lower than Wyoming** for the office setting.

  • Houston

    Texas · 64530

    Office

    $236.85

    Facility

    $87.60

    $2.34 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 64530

    Office

    $226.18

    Facility

    $83.54

    $8.33 lower than Wyoming** for the office setting.

  • Utah

    Utah · 64530

    Office

    $224.54

    Facility

    $83.25

    $9.97 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 64530

    Office

    $231.29

    Facility

    $83.54

    $3.22 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64530

    Office

    $237.71

    Facility

    $85.75

    $3.20 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 64530

    Office

    $231.54

    Facility

    $82.74

    $2.97 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 64530

    Office

    $244.79

    Facility

    $86.52

    $10.28 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 64530

    Office

    $278.18

    Facility

    $93.76

    $43.67 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 64530

    Office

    $224.81

    Facility

    $80.82

    $9.70 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 64530

    Office

    $214.47

    Facility

    $83.86

    $20.04 lower than Wyoming** for the office setting.

See how rates vary across the country

64530 · 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.

$208.09

$285.00

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$270.941
AL$211.221
AR$208.091
AZ$229.531
CA$251.58–$318.4229
CO$246.811
CT$251.701
DC$271.081
DE$233.411
FL$230.44–$250.823
GA$217.40–$239.842
GU$258.271
HI$258.271
IA$217.541
ID$218.821
IL$223.03–$244.884
IN$220.141
KS$216.111
KY$215.481
LA$214.97–$225.912
MA$245.12–$272.162
MD$238.07–$271.083
ME$219.57–$232.352
MI$220.85–$232.972
MN$237.481
MO$210.93–$227.213
MS$209.571
MT$235.801
NC$221.981
ND$232.831
NE$218.881
NH$242.541
NJ$254.86–$268.092
NM$221.931
NV$235.151
NY$225.35–$277.305
OH$220.251
OK$215.501
OR$233.60–$255.262
PA$220.83–$245.062
PR$237.711
RI$242.171
SC$221.431
SD$232.481
TN$217.171
TX$219.31–$245.758
UT$224.541
VA$231.29–$271.082
VI$237.711
VT$231.541
WA$244.79–$278.182
WI$224.811
WV$214.471
WY$234.511

Explore 64530 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 64530 in Wyoming**, the physician’s office rate is $234.51 and the facility-setting rate is $84.20: a difference of $150.31.

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 64530 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$257.96

$234.51 × 110% = $257.96

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 64530 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,144

Code
64530
Physician work
1.54
Practice expense
5.37
Malpractice
0.15

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 64530 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.54× 1.0001.5400
Practice expense5.37× 1.0005.3700
Malpractice0.15× 0.7400.1110
Total RVUs7.0210
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$234.51

Open 64530 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.541
Practice expense5.371
Malpractice0.150.74

(1.54 × 1 + 5.37 × 1 + 0.15 × 0.74) × $33.4009 = $234.51

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.541
Practice expense0.871
Malpractice0.150.74

(1.54 × 1 + 0.87 × 1 + 0.15 × 0.74) × $33.4009 = $84.20

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

64530 · Office / nonfacility

$234.51

Effective 2026-10-01

The base rate is $19.46 higher than on 2025-10-01, moving from $215.05 to $234.51 (9.0%).

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

    $215.05changed to$234.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.58 changed to 1.54
    • Practice expense RVU 4.95 changed to 5.37
    • Malpractice RVU 0.16 changed to 0.15
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $215.05

    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$234.51$84.20RVU26D
2026-07-01$234.51$84.20RVU26C
2026-04-01$234.51$84.20RVU26B
2026-01-01$234.51$84.20RVU26A
2025-10-01$215.05$90.51RVU25D
2025-07-01$215.05$90.51RVU25C
2025-04-01$215.05$90.51RVU25B
2025-01-01$215.05$90.51RVU25A

64530 billing questions

How is 64530 different from celiac plexus neurolysis?

64530 describes an anesthetic injection at the celiac plexus. For destruction of the plexus using a neurolytic agent, consider 64680 instead.

Can imaging guidance be billed separately?

No. Radiologic monitoring is included in 64530, whether or not it is used.

Should modifier 50 be used for a celiac plexus block?

No. The CMS bilateral adjustment does not apply to 64530, and modifier 50 is inappropriate.

What documentation supports reporting 64530?

Document the upper abdominal pain indication, the celiac plexus as the injection target, the approach, medication, and any imaging used.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. The 0-day global period does not include care on later dates.

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 64530PPRRVU2026_Oct_nonQPP.csv, line 7,144 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)