$246.47
Choose 64624 for destruction of three or more genicular nerve branches. For one or two genicular branches, 64640 is generally used.
On this page
CMS RVU26D · Effective 2026-10-01
64624 Genicular nerve ablation Medicare reimbursement rates in Iowa
Reports neurolytic treatment of three or more genicular nerve branches, commonly by radiofrequency lesioning for persistent knee pain. Compare 64624 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 64624 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
$379.34
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$125.06
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.
Pain management
About 64624: Genicular nerve branch neurolysis
Reports neurolytic treatment of three or more genicular nerve branches, commonly by radiofrequency lesioning for persistent knee pain.
This procedure destroys genicular nerve branches that carry pain signals from the knee, most commonly through radiofrequency lesioning. Interventional pain physicians and other clinicians who perform image-guided pain procedures use it for selected patients with persistent knee pain, including pain associated with osteoarthritis. The code covers treatment of three or more genicular nerve branches and includes imaging guidance when performed.
Report the code once for the treated knee when three or more branches are destroyed; treatment of only one or two genicular branches is generally reported with 64640 instead. The procedure note should identify the treated side and branches, the neurolytic technique, and any imaging guidance. A 10-day global period 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64624
- 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
- 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 RVU2.44 · 20%
- Practice expense (office) RVU9.65 · 78%
- Malpractice RVU0.22 · 2%
34.6K
Medicare services in 2024 · #923 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.
64624 compared with similar codes
Office rates for Iowa, from the same CMS release.
$457.23
64625 treats nerves associated with the sacroiliac joint; 64624 treats genicular nerve branches supplying the knee.
$423.93
64633 is for neurolytic denervation of cervical or thoracic facet joints. It does not describe knee genicular nerve treatment.
$429.60
64635 is for neurolytic denervation of lumbar or sacral facet joints. Use 64624 for qualifying genicular nerve destruction at the knee.
Compare 64624 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
$379.34
Facility
$125.06
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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 64624 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
7,174
- Code
- 64624
- Physician work
- 2.44
- Practice expense
- 9.65
- Malpractice
- 0.22
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.000 | 2.4400 |
| Practice expense | 9.65 | × 0.915 | 8.8298 |
| Malpractice | 0.22 | × 0.397 | 0.0873 |
| Total RVUs | 11.3571 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$379.34
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 9.65 | 0.915 |
| Malpractice | 0.22 | 0.397 |
(2.44 × 1 + 9.65 × 0.915 + 0.22 × 0.397) × $33.4009 = $379.34
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1 |
| Practice expense | 1.33 | 0.915 |
| Malpractice | 0.22 | 0.397 |
(2.44 × 1 + 1.33 × 0.915 + 0.22 × 0.397) × $33.4009 = $125.06
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.
64624 billing questions
How many genicular nerve branches qualify for 64624?
Use 64624 when the procedure destroys three or more genicular nerve branches. For destruction of only one or two branches, 64640 is generally the relevant code.
Is imaging guidance separately reported?
Imaging guidance, when performed for the genicular nerve destruction, is included in 64624.
How should bilateral treatment be reported?
Use modifier 50 for bilateral treatment. CMS pays bilateral 64624 at 150%.
What is included in the global period?
Related postoperative visits for 10 days after the procedure are included in the 10-day global period.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are paid at 50%.
What documentation supports reporting 64624?
Document the treated knee and side, the genicular branches destroyed, and the neurolytic technique. Include details of imaging guidance when it is performed.
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.
7,17164616,,Chemodenerv musc neck dyston,A,,1.49,2.31,,0.99,,0.50,4.30,2.98,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17264617,,Chemodener muscle larynx emg,A,,1.85,2.65,,0.64,,0.26,4.76,2.75,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17364620,,Injection treatment of nerve,A,,2.82,3.58,,1.83,,0.36,6.76,5.01,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17464624,,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
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