FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

64634 in Wyoming**

Office / nonfacility

$265.50

Base rate per service

Facility setting

$56.74

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 64634: Additional cervical/thoracic facet nerve ablation

Reports neurolytic treatment of each additional cervical or thoracic facet joint after the primary joint is treated during the same session.

This add-on describes neurolytic treatment of an additional cervical or thoracic facet joint, commonly by radiofrequency ablation of the medial branch nerves that supply the joint. Pain-management physicians typically perform the procedure for selected patients with facet-mediated neck or upper-back pain. Imaging guidance with fluoroscopy or CT is part of the service. The unit is the additional facet joint treated, not each nerve or lesion made.

Report 64634 with the primary cervical or thoracic facet-joint ablation code 64633; it cannot stand alone. The record should identify the treated spinal region and the additional joint or joints addressed, supporting the reported count. CMS treats this as an add-on paid within the primary procedure’s global period. For a bilateral procedure, modifier 50 is paid at 150%.

CMS billing rules for 64634

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.

Where the value comes from

  • Work RVU1.29 · 16%
  • Practice expense (office) RVU6.57 · 82%
  • Malpractice RVU0.12 · 2%

72K

Medicare services in 2024 · #661 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.

64634 compared with similar codes

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

64633

Facet ablation

Cervical/thoracic, first joint

$456.32

64633 reports the primary cervical or thoracic facet joint treated. Use 64634 only for each additional joint in the same session, alongside 64633.

64636

Facet nerve ablation

Additional lumbar or sacral joint

$250.55

64636 covers each additional lumbar or sacral facet joint; 64634 is for additional cervical or thoracic facet joints.

64491

Facet injection

Cervical/thoracic second level

$100.92

64491 reports an additional cervical or thoracic facet nerve injection. 64634 is for neurolytic treatment of an additional joint, commonly by radiofrequency ablation.

The same code, a different location

How does Wyoming** compare?

64634 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $265.50

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

    $307.12

    $41.62 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $308.38

    $42.88 higher than Wyoming**

  4. Miami

    $281.66

    $16.16 higher than Wyoming**

  5. Chicago

    $273.13

    $7.63 higher than Wyoming**

  6. Manhattan

    $307.20

    $41.70 higher than Wyoming**

  7. Alaska*

    $300.55

    $35.05 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, 64634 ranges from $233.65 in Arkansas to $366.41 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 · 64634

    Office

    $237.37

    Facility

    $54.71

    $28.13 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 64634

    Office

    $233.65

    Facility

    $54.33

    $31.85 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 64634

    Office

    $259.16

    Facility

    $56.88

    $6.34 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 64634

    Office

    $286.86

    Facility

    $58.06

    $21.36 higher than Wyoming** for the office setting.

  • Chico

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • El Centro

    California · 64634

    Office

    $286.50

    Facility

    $57.70

    $21.00 higher than Wyoming** for the office setting.

  • Fresno

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Madera

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Merced

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Modesto

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Napa

    California · 64634

    Office

    $337.06

    Facility

    $61.92

    $71.56 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64634

    Office

    $306.17

    Facility

    $59.42

    $40.67 higher than Wyoming** for the office setting.

  • Redding

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64634

    Office

    $287.79

    Facility

    $59.00

    $22.29 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64634

    Office

    $302.00

    Facility

    $59.22

    $36.50 higher than Wyoming** for the office setting.

  • Salinas

    California · 64634

    Office

    $300.91

    Facility

    $58.96

    $35.41 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64634

    Office

    $309.01

    Facility

    $59.34

    $43.51 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64634

    Office

    $358.44

    Facility

    $64.09

    $92.94 higher than Wyoming** for the office setting.

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

    California · 64634

    Office

    $358.30

    Facility

    $63.95

    $92.80 higher than Wyoming** for the office setting.

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

    California · 64634

    Office

    $366.41

    Facility

    $65.39

    $100.91 higher than Wyoming** for the office setting.

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

    California · 64634

    Office

    $365.86

    Facility

    $64.83

    $100.36 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64634

    Office

    $295.91

    Facility

    $58.14

    $30.41 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 64634

    Office

    $312.76

    Facility

    $59.13

    $47.26 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 64634

    Office

    $302.31

    Facility

    $58.90

    $36.81 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 64634

    Office

    $316.01

    Facility

    $59.65

    $50.51 higher than Wyoming** for the office setting.

  • Stockton

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Vallejo

    California · 64634

    Office

    $336.87

    Facility

    $61.73

    $71.37 higher than Wyoming** for the office setting.

  • Visalia

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Yuba City

    California · 64634

    Office

    $286.48

    Facility

    $57.68

    $20.98 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 64634

    Office

    $280.22

    Facility

    $58.11

    $14.72 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 64634

    Office

    $285.14

    Facility

    $60.31

    $19.64 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 64634

    Office

    $263.72

    Facility

    $57.47

    $1.78 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 64634

    Office

    $272.63

    Facility

    $61.16

    $7.13 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 64634

    Office

    $258.90

    Facility

    $59.33

    $6.60 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 64634

    Office

    $270.99

    Facility

    $58.89

    $5.49 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 64634

    Office

    $243.61

    Facility

    $57.40

    $21.89 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 64634

    Office

    $294.92

    Facility

    $57.56

    $29.42 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 64634

    Office

    $245.47

    Facility

    $54.46

    $20.03 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 64634

    Office

    $246.87

    Facility

    $54.82

    $18.63 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 64634

    Office

    $253.05

    Facility

    $60.99

    $12.45 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 64634

    Office

    $249.70

    Facility

    $59.11

    $15.80 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 64634

    Office

    $275.86

    Facility

    $61.47

    $10.36 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 64634

    Office

    $248.46

    Facility

    $54.94

    $17.04 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 64634

    Office

    $243.48

    Facility

    $54.77

    $22.02 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 64634

    Office

    $241.84

    Facility

    $56.26

    $23.66 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 64634

    Office

    $254.14

    Facility

    $57.70

    $11.36 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 64634

    Office

    $241.13

    Facility

    $56.39

    $24.37 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 64634

    Office

    $310.44

    Facility

    $61.18

    $44.94 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64634

    Office

    $278.05

    Facility

    $58.23

    $12.55 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64634

    Office

    $284.20

    Facility

    $60.20

    $18.70 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 64634

    Office

    $269.27

    Facility

    $58.01

    $3.77 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 64634

    Office

    $247.47

    Facility

    $55.41

    $18.03 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 64634

    Office

    $263.09

    Facility

    $56.21

    $2.41 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 64634

    Office

    $261.61

    Facility

    $60.16

    $3.89 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 64634

    Office

    $247.96

    Facility

    $57.37

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

  • Minnesota

    Minnesota · 64634

    Office

    $270.08

    Facility

    $55.27

    $4.58 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 64634

    Office

    $253.06

    Facility

    $57.04

    $12.44 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 64634

    Office

    $256.01

    Facility

    $57.28

    $9.49 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 64634

    Office

    $236.15

    Facility

    $56.20

    $29.35 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 64634

    Office

    $234.99

    Facility

    $55.25

    $30.51 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 64634

    Office

    $266.53

    Facility

    $57.78

    $1.03 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 64634

    Office

    $250.39

    Facility

    $55.62

    $15.11 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 64634

    Office

    $264.16

    Facility

    $55.40

    $1.34 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 64634

    Office

    $247.15

    Facility

    $54.47

    $18.35 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 64634

    Office

    $275.04

    Facility

    $57.72

    $9.54 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 64634

    Office

    $304.64

    Facility

    $62.48

    $39.14 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 64634

    Office

    $288.84

    Facility

    $60.88

    $23.34 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 64634

    Office

    $249.13

    Facility

    $57.70

    $16.37 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 64634

    Office

    $266.09

    Facility

    $57.12

    $0.59 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64634

    Office

    $314.21

    Facility

    $66.00

    $48.71 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64634

    Office

    $290.17

    Facility

    $61.58

    $24.67 higher than Wyoming** for the office setting.

  • Queens

    New York · 64634

    Office

    $311.01

    Facility

    $64.26

    $45.51 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 64634

    Office

    $254.38

    Facility

    $56.06

    $11.12 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 64634

    Office

    $247.48

    Facility

    $56.89

    $18.02 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 64634

    Office

    $242.16

    Facility

    $55.75

    $23.34 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 64634

    Office

    $290.56

    Facility

    $58.63

    $25.06 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 64634

    Office

    $264.47

    Facility

    $56.55

    $1.03 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64634

    Office

    $277.09

    Facility

    $59.77

    $11.59 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64634

    Office

    $248.32

    Facility

    $56.69

    $17.18 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 64634

    Office

    $268.89

    Facility

    $57.84

    $3.39 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 64634

    Office

    $274.17

    Facility

    $58.52

    $8.67 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 64634

    Office

    $249.26

    Facility

    $56.37

    $16.24 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 64634

    Office

    $263.88

    Facility

    $55.12

    $1.62 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 64634

    Office

    $244.71

    Facility

    $54.96

    $20.79 lower than Wyoming** for the office setting.

  • Austin

    Texas · 64634

    Office

    $278.90

    Facility

    $58.03

    $13.40 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 64634

    Office

    $246.50

    Facility

    $56.54

    $19.00 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 64634

    Office

    $264.03

    Facility

    $57.15

    $1.47 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 64634

    Office

    $265.48

    Facility

    $57.56

    $0.02 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 64634

    Office

    $263.34

    Facility

    $57.50

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

  • Galveston

    Texas · 64634

    Office

    $264.66

    Facility

    $57.36

    $0.84 lower than Wyoming** for the office setting.

  • Houston

    Texas · 64634

    Office

    $266.85

    Facility

    $59.56

    $1.35 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 64634

    Office

    $254.96

    Facility

    $56.85

    $10.54 lower than Wyoming** for the office setting.

  • Utah

    Utah · 64634

    Office

    $252.96

    Facility

    $56.73

    $12.54 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 64634

    Office

    $261.63

    Facility

    $56.42

    $3.87 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64634

    Office

    $268.89

    Facility

    $57.84

    $3.39 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 64634

    Office

    $262.36

    Facility

    $55.70

    $3.14 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 64634

    Office

    $277.77

    Facility

    $57.95

    $12.27 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 64634

    Office

    $317.77

    Facility

    $61.63

    $52.27 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 64634

    Office

    $254.55

    Facility

    $54.56

    $10.95 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 64634

    Office

    $239.52

    Facility

    $58.11

    $25.98 lower than Wyoming** for the office setting.

See how rates vary across the country

64634 · 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.

$233.65

$326.45

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$300.551
AL$237.371
AR$233.651
AZ$259.161
CA$286.48–$366.4129
CO$280.221
CT$285.141
DC$308.381
DE$263.721
FL$258.90–$281.663
GA$243.61–$270.992
GU$294.921
HI$294.921
IA$245.471
ID$246.871
IL$249.70–$275.864
IN$248.461
KS$243.481
KY$241.841
LA$241.13–$254.142
MA$278.05–$310.442
MD$269.27–$308.383
ME$247.47–$263.092
MI$247.96–$261.612
MN$270.081
MO$236.15–$256.013
MS$234.991
MT$266.531
NC$250.391
ND$264.161
NE$247.151
NH$275.041
NJ$288.84–$304.642
NM$249.131
NV$266.091
NY$254.38–$314.215
OH$247.481
OK$242.161
OR$264.47–$290.562
PA$248.32–$277.092
PR$268.891
RI$274.171
SC$249.261
SD$263.881
TN$244.711
TX$246.50–$278.908
UT$252.961
VA$261.63–$308.382
VI$268.891
VT$262.361
WA$277.77–$317.772
WI$254.551
WV$239.521
WY$265.501

Explore 64634 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 64634 in Wyoming**, the physician’s office rate is $265.50 and the facility-setting rate is $56.74: a difference of $208.76.

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 64634 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$292.05

$265.50 × 110% = $292.05

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 64634 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,181

Code
64634
Physician work
1.29
Practice expense
6.57
Malpractice
0.12

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 64634 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.29× 1.0001.2900
Practice expense6.57× 1.0006.5700
Malpractice0.12× 0.7400.0888
Total RVUs7.9488
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$265.50

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

Open 64634 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.291
Practice expense6.571
Malpractice0.120.74

(1.29 × 1 + 6.57 × 1 + 0.12 × 0.74) × $33.4009 = $265.50

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.291
Practice expense0.321
Malpractice0.120.74

(1.29 × 1 + 0.32 × 1 + 0.12 × 0.74) × $33.4009 = $56.74

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

64634 · Office / nonfacility

$265.50

Effective 2026-10-01

The base rate is $25.29 higher than on 2025-10-01, moving from $240.21 to $265.50 (10.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $240.21changed to$265.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.32 changed to 1.29
    • Practice expense RVU 6.01 changed to 6.57
    • Malpractice RVU 0.13 changed to 0.12
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $240.21

    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$265.50$56.74RVU26D
2026-07-01$265.50$56.74RVU26C
2026-04-01$265.50$56.74RVU26B
2026-01-01$265.50$56.74RVU26A
2025-10-01$240.21$63.60RVU25D
2025-07-01$240.21$63.60RVU25C
2025-04-01$240.21$63.60RVU25B
2025-01-01$240.21$63.60RVU25A

64634 billing questions

When is 64634 reported instead of 64633?

64633 reports the primary cervical or thoracic facet joint treated. Report 64634 for each additional facet joint treated in the same session.

Can 64634 be billed by itself?

No. It is an add-on code and must be reported with the primary procedure, 64633.

Is imaging guidance separately reported?

Fluoroscopic or CT guidance is included in the facet ablation service described by this code; do not separately report guidance for the same treatment.

What supports the number of units?

Document the cervical or thoracic region and each additional facet joint treated. Units represent additional joints, not the number of nerves lesioned.

How is bilateral treatment reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

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 64634PPRRVU2026_Oct_nonQPP.csv, line 7,181 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet