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 Basivertebral nerve ablation Medicare reimbursement rates in Connecticut
Report this add-on for each additional lumbar or sacral vertebral body treated with intraosseous basivertebral nerve ablation beyond the first two. Compare 64629 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 64629 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$174.95
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Connecticut, from the same CMS release.
$495.86
64635 addresses lumbar or sacral facet joint nerve ablation. Use 64629 for additional vertebral bodies treated with intraosseous basivertebral nerve ablation.
$529.00
64625 is for radiofrequency ablation of nerves associated with the sacroiliac joint; 64629 concerns additional lumbar or sacral vertebral bodies.
Compare 64629 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$174.95
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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 Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,177
- Code
- 64629
- Physician work
- 3.68
- Practice expense
- 0.94
- Malpractice
- 0.39
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.68 | × 1.020 | 3.7536 |
| Practice expense | 0.94 | × 1.077 | 1.0124 |
| Malpractice | 0.39 | × 1.210 | 0.4719 |
| Total RVUs | 5.2379 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$174.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.68 | 1.02 |
| Practice expense | 0.94 | 1.077 |
| Malpractice | 0.39 | 1.21 |
(3.68 × 1.02 + 0.94 × 1.077 + 0.39 × 1.21) × $33.4009 = $174.95
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.
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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808