$377.77–$418.04
64454 is for anesthetic and/or steroid injection of genicular branches; 64624 is for neurolytic destruction of those branches.
On this page
CMS RVU26D · Effective 2026-10-01
64454 Genicular nerve block Medicare reimbursement rates in Georgia
Reports anesthetic and/or steroid injection of genicular nerve branches for knee pain, including imaging guidance when performed. Compare 64454 office and facility rates across CMS payment localities in Georgia.
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 64454 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$216.09–$238.73
2 of 2 localities have a supported rate.
Facility setting
$71.89–$74.48
2 of 2 localities have a supported rate.
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.
Peripheral nerve injection
About 64454: Genicular nerve branch injection
Reports anesthetic and/or steroid injection of genicular nerve branches for knee pain, including imaging guidance when performed.
A clinician injects anesthetic, steroid, or both near sensory branches supplying the knee. This service is commonly used to evaluate or relieve knee pain, including pain associated with osteoarthritis, and may help assess a patient’s response before considering genicular nerve destruction. It is performed in office or facility settings; imaging guidance, when used, is included in the service.
Report 64454 for the genicular nerve branch injection rather than counting each needle placement or branch as a separate service. Documentation should identify the treated side and branches, the indication, medications administered, and guidance used when applicable. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 64454
- 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 RVU1.48 · 21%
- Practice expense (office) RVU5.42 · 77%
- Malpractice RVU0.13 · 2%
55.6K
Medicare services in 2024 · #744 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.
64454 compared with similar codes
Office rates for Georgia, from the same CMS release.
$75.44–$82.24
Use 64454 for the specifically identified genicular nerve branches. 64450 describes injection of another peripheral nerve or branch not represented by a more specific code.
$65.46–$70.38
64454 targets sensory nerve branches supplying the knee. 20610 targets the major joint space, such as for an intra-articular knee injection.
Compare 64454 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$238.73
Facility
$74.48
Rest Of Georgia →
Office / nonfacility
$216.09
Facility
$71.89
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64454 billing questions
Should each genicular branch or needle placement be reported as a unit?
No. Report the code for the genicular nerve branch injection on the treated side rather than billing separately for each branch or needle placement.
Is imaging guidance separately reported?
No. Imaging guidance is included when performed as part of the genicular nerve branch injection.
How is bilateral treatment reported?
Use modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
How does this differ from genicular nerve destruction?
64454 reports injection of anesthetic and/or steroid. Use 64624 when the service is neurolytic destruction of genicular nerve branches.
What documentation supports the service?
Document the knee and side treated, the genicular branches targeted, the reason for the injection, the medications administered, and imaging guidance when used.
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.
7,11264449,,Njx aa&/strd lmbr plex nfs,A,,1.24,0.43,NA,0.43,,0.14,1.81,1.81,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11364450,,Njx aa&/strd other pn/branch,A,,0.73,1.62,,0.35,,0.07,2.42,1.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11464451,,Njx aa&/strd nrv nrvtg si jt,A,,1.48,5.61,,0.55,,0.14,7.23,2.17,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11564454,,Njx aa&/strd gnclr nrv brnch,A,,1.48,5.42,,0.58,,0.13,7.03,2.19,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11664455,,Njx aa&/strd pltr com dg nrv,A,,0.73,0.70,,0.10,,0.07,1.50,0.90,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11764461,,Pvb thoracic single inj site,A,,1.71,2.61,,0.28,,0.16,4.48,2.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11864462,,Pvb thoracic 2nd+ inj site,A,,1.07,1.19,,0.18,,0.08,2.34,1.33,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00