$74.82
Choose 64455 for injection of a plantar common digital nerve. 64450 describes injection of another peripheral nerve or branch.
On this page
CMS RVU26D · Effective 2026-10-01
64455 Nerve injection Medicare reimbursement rates in Iowa
Report this injection of anesthetic and/or steroid around a plantar common digital nerve, commonly to diagnose or treat pain from Morton's neuroma. Compare 64455 office and facility rates across CMS payment localities in Iowa.
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 64455 in Iowa?
Iowa 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
$46.70
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$28.37
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Nerve injection
About 64455: Plantar common digital nerve injection
Report this injection of anesthetic and/or steroid around a plantar common digital nerve, commonly to diagnose or treat pain from Morton's neuroma.
A clinician injects anesthetic, steroid, or both around a plantar common digital nerve in the forefoot. The service is commonly performed in an office by a podiatrist, orthopedic clinician, or pain specialist for symptoms such as burning or radiating pain in the ball of the foot associated with suspected Morton's neuroma. The record should identify the treated nerve and side, the clinical indication, and the medication and injection performed.
Report 64455 for the plantar common digital nerve injection, rather than for an injection targeting a different peripheral nerve. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting, 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%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 64455
- 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
- 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 RVU0.73 · 49%
- Practice expense (office) RVU0.70 · 47%
- Malpractice RVU0.07 · 5%
58.6K
Medicare services in 2024 · #722 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.
64455 compared with similar codes
Office rates for Iowa, from the same CMS release.
$84.37
64455 reports an anesthetic and/or steroid injection. 64632 describes neurolytic destruction of the plantar common digital nerve.
$504.85
64455 is an injection treatment for plantar common digital nerve symptoms; 28080 is surgical excision of an interdigital neuroma.
Compare 64455 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
Iowa →
Office / nonfacility
$46.70
Facility
$28.37
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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 64455 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
7,116
- Code
- 64455
- Physician work
- 0.73
- Practice expense
- 0.70
- Malpractice
- 0.07
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 0.70 | × 0.915 | 0.6405 |
| Malpractice | 0.07 | × 0.397 | 0.0278 |
| Total RVUs | 1.3983 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$46.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.7 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(0.73 × 1 + 0.7 × 0.915 + 0.07 × 0.397) × $33.4009 = $46.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.1 | 0.915 |
| Malpractice | 0.07 | 0.397 |
(0.73 × 1 + 0.1 × 0.915 + 0.07 × 0.397) × $33.4009 = $28.37
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.
64455 billing questions
When should 64455 be used instead of 64450?
Use 64455 for an injection targeting a plantar common digital nerve, such as for Morton's neuroma. Use 64450 when the injected peripheral nerve or branch is not one of those nerves.
Is this code limited to steroid injections?
No. The service may involve anesthetic, steroid, or both. Document the medication administered and the plantar common digital nerve treated.
How is bilateral treatment reported?
CMS recognizes bilateral reporting with modifier 50 and pays it at 150%. Document the treated nerve and side for each foot.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
7,11364450,,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
7,11964463,,Pvb thoracic cont infusion,A,,1.85,5.90,,0.28,,0.16,7.91,2.29,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136