$102.46
Use 64430 for pudendal nerve injection intended to provide a nerve block. Use 64630 when the documented procedure intentionally destroys the pudendal nerve with a neurolytic agent.
On this page
CMS RVU26D · Effective 2026-10-01
64630 Nerve neurolysis Medicare reimbursement rates in Hawaii
Neurolytic treatment of the pudendal nerve for selected chronic pelvic or perineal pain, reported when the nerve is intentionally destroyed rather than temporarily blocked. Compare 64630 office and facility rates across CMS payment localities in Hawaii.
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 64630 in Hawaii?
Hawaii 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
$287.95
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$185.03
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 64630: Pudendal nerve neurolytic treatment
Neurolytic treatment of the pudendal nerve for selected chronic pelvic or perineal pain, reported when the nerve is intentionally destroyed rather than temporarily blocked.
This procedure uses a neurolytic agent to intentionally damage the pudendal nerve, typically as an intervention for persistent pudendal neuralgia or related chronic pelvic or perineal pain. Pain-management physicians commonly perform it in an office-based procedure suite or a facility. It differs from a pudendal nerve block, which delivers medication to block nerve signals without the same intent to destroy the nerve.
Report 64630 when documentation identifies the pudendal nerve as the target and supports neurolytic treatment, including the indication, technique, and treated site. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64630
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.97 · 36%
- Practice expense (office) RVU4.69 · 57%
- Malpractice RVU0.55 · 7%
311
Medicare services in 2024 · #3969 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.
64630 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$291.26
64640 applies to neurolytic treatment of other peripheral nerves or branches when a more specific nerve code does not describe the target. 64630 identifies the pudendal nerve specifically.
$237.11
64620 is for neurolytic treatment of an intercostal nerve. 64630 is specific to neurolytic treatment of the pudendal nerve.
Compare 64630 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
Hawaii, Guam →
Office / nonfacility
$287.95
Facility
$185.03
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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 64630 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,178
- Code
- 64630
- Physician work
- 2.97
- Practice expense
- 4.69
- Malpractice
- 0.55
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.97 | × 1.000 | 2.9700 |
| Practice expense | 4.69 | × 1.137 | 5.3325 |
| Malpractice | 0.55 | × 0.579 | 0.3185 |
| Total RVUs | 8.6210 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$287.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.97 | 1 |
| Practice expense | 4.69 | 1.137 |
| Malpractice | 0.55 | 0.579 |
(2.97 × 1 + 4.69 × 1.137 + 0.55 × 0.579) × $33.4009 = $287.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.97 | 1 |
| Practice expense | 1.98 | 1.137 |
| Malpractice | 0.55 | 0.579 |
(2.97 × 1 + 1.98 × 1.137 + 0.55 × 0.579) × $33.4009 = $185.03
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.
64630 billing questions
How is 64630 different from a pudendal nerve block?
64630 represents intentional neurolytic treatment of the pudendal nerve. A pudendal block, such as 64430, uses an injection to block nerve signals rather than destroy the nerve.
What documentation supports reporting 64630?
Document the clinical indication, the pudendal nerve as the target, the neurolytic technique and agent, and the treated site.
Should modifier 50 be appended for bilateral treatment?
No. The bilateral adjustment does not apply to 64630, and modifier 50 is inappropriate for this code.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How does the multiple-procedure rule affect 64630?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
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
7,18164634,,Destroy c/th facet jnt addl,A,,1.29,6.57,,0.32,,0.12,7.98,1.73,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014