$486.73
Both address trigeminal nerve neurolytic treatment. Use the code whose descriptor matches the particular branch or target treated, not simply the diagnosis.
On this page
CMS RVU26D · Effective 2026-10-01
64610 Nerve treatment Medicare reimbursement rates in Indiana
Report this procedure for neurolytic treatment of trigeminal nerve branches, such as when treating selected cases of severe facial neuralgia. Compare 64610 office and facility rates across CMS payment localities in Indiana.
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 64610 in Indiana?
Indiana 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
$781.69
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$401.16
1 of 1 localities have a supported rate.
Payment area: Indiana
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 64610: Trigeminal nerve neurolytic treatment
Report this procedure for neurolytic treatment of trigeminal nerve branches, such as when treating selected cases of severe facial neuralgia.
This service uses a neurolytic technique, such as chemical treatment or radiofrequency, to injure a targeted portion of the trigeminal nerve and reduce pain signaling. It is performed percutaneously by a clinician experienced in facial pain procedures, commonly in a procedural or facility setting. The target is selected from the patient's pain distribution and clinical findings; treatment may involve branches serving the midface or lower face.
Choose the code that matches the specific trigeminal target and procedure documented, rather than coding only from the diagnosis of facial pain or trigeminal neuralgia. The record should identify the treated nerve or branch, side, technique, and clinical rationale. The procedure has a 10-day global period, which includes related postoperative visits during that period. 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. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this procedure; co-surgeons and team surgery are not permitted.
CMS billing rules for 64610
- 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 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 RVU7.02 · 27%
- Practice expense (office) RVU16.52 · 64%
- Malpractice RVU2.20 · 9%
348
Medicare services in 2024 · #3868 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.
64610 compared with similar codes
Office rates for Indiana, from the same CMS release.
$999.64
This is a related trigeminal nerve procedure. Compare the specific target and procedural language in the full descriptors before selecting between the codes.
$249.48
64640 describes neurolytic treatment of a peripheral nerve; use the trigeminal-specific code when the treated target is a trigeminal branch covered by its descriptor.
Compare 64610 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
Indiana →
Office / nonfacility
$781.69
Facility
$401.16
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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 64610 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
7,167
- Code
- 64610
- Physician work
- 7.02
- Practice expense
- 16.52
- Malpractice
- 2.20
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.02 | × 1.000 | 7.0200 |
| Practice expense | 16.52 | × 0.927 | 15.3140 |
| Malpractice | 2.20 | × 0.486 | 1.0692 |
| Total RVUs | 23.4032 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$781.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.02 | 1 |
| Practice expense | 16.52 | 0.927 |
| Malpractice | 2.2 | 0.486 |
(7.02 × 1 + 16.52 × 0.927 + 2.2 × 0.486) × $33.4009 = $781.69
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.02 | 1 |
| Practice expense | 4.23 | 0.927 |
| Malpractice | 2.2 | 0.486 |
(7.02 × 1 + 4.23 × 0.927 + 2.2 × 0.486) × $33.4009 = $401.16
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.
64610 billing questions
How do I distinguish this code from 64600 or 64605?
These codes address trigeminal nerve neurolytic treatment, but the applicable code depends on the specific target and procedure described by its full CPT descriptor. Document the branch or division treated and match it to the descriptor.
Does the 10-day global period include follow-up visits?
Related postoperative visits during the 10-day period are included in the global service.
How should bilateral treatment be reported?
Report bilateral treatment with modifier 50. CMS pays this bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, while other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this procedure, and 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.
7,16464598,,Revj/rmvl nea pn w/int nstim,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16564600,,Injection treatment of nerve,A,,3.40,11.57,,2.48,,0.92,15.89,6.80,0,010,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16664605,,Injection treatment of nerve,A,,5.51,25.12,,4.85,,2.33,32.96,12.69,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16764610,,Injection treatment of nerve,A,,7.02,16.52,,4.23,,2.20,25.74,13.45,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16864611,,Chemodenerv saliv glands,A,,1.00,2.76,,1.85,,0.39,4.15,3.24,0,010,0.10,0.80,0.10,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16964612,,Destroy nerve face muscle,A,,1.37,2.58,,1.58,,0.29,4.24,3.24,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17064615,,Chemodenerv musc migraine,A,,1.80,2.28,,0.85,,0.62,4.70,3.27,0,010,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915