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CMS RVU26D · Effective 2026-10-01

64425 Nerve block Medicare reimbursement rates in Kansas

Reports an anesthetic injection targeting the ilioinguinal and/or iliohypogastric nerves for diagnostic evaluation or relief of groin or lower abdominal wall pain. Compare 64425 office and facility rates across CMS payment localities in Kansas.

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 64425 in Kansas?

Kansas 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

$111.24

1 of 1 localities have a supported rate.

Payment area: Kansas

One mapped payment locality.

Facility setting

$46.93

1 of 1 localities have a supported rate.

Payment area: Kansas

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.

Find 64425 in your payment locality →

Peripheral nerve injection

About 64425: Ilioinguinal and iliohypogastric nerve block

Reports an anesthetic injection targeting the ilioinguinal and/or iliohypogastric nerves for diagnostic evaluation or relief of groin or lower abdominal wall pain.

This service places anesthetic near the ilioinguinal and/or iliohypogastric nerves to evaluate or relieve pain in their distribution. Pain medicine physicians and anesthesiologists commonly perform it for groin or lower abdominal wall pain, including persistent pain after inguinal hernia repair. It may be performed in an office-based pain clinic or a hospital outpatient setting.

Select the code when the documented target is these nerves, rather than another named nerve or an unspecified peripheral nerve branch. The record should identify the nerve target, side, clinical indication, medication injected, and the patient’s response when relevant. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral service, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery, and does not permit co-surgeons or team surgery for this service.

CMS billing rules for 64425

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 RVU0.98 · 27%
  • Practice expense (office) RVU2.55 · 70%
  • Malpractice RVU0.09 · 2%

5.9K

Medicare services in 2024 · #1766 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.

64425 compared with similar codes

Office rates for Kansas, from the same CMS release.

64450

Nerve block

Other peripheral nerve or branch

$74.48

This code identifies the ilioinguinal and/or iliohypogastric target. Code 64450 is for another peripheral nerve or branch without a more specific code.

64430

Nerve block

Pudendal nerve

$88.33

Code 64430 targets the pudendal nerve. Choose based on the nerve documented as the injection target, not simply because the complaint involves pelvic or groin pain.

64420

Intercostal block

Single nerve

$97.88

Code 64420 targets an intercostal nerve. Use this code when the injection targets the ilioinguinal and/or iliohypogastric nerves instead.

Compare 64425 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

Office and facility base rates · shared scale starting at $0

  • Kansas →

    Office / nonfacility

    $111.24

    Facility

    $46.93

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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 64425 in Kansas.

PPRRVU2026_Oct_nonQPP.csv

7,105

Code
64425
Physician work
0.98
Practice expense
2.55
Malpractice
0.09

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office / nonfacility calculation for 64425 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense2.55× 0.9042.3052
Malpractice0.09× 0.5040.0454
Total RVUs3.3306
Conversion factor× 33.4009

Office / nonfacility rate, Kansas$111.24

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.981
Practice expense2.550.904
Malpractice0.090.504

(0.98 × 1 + 2.55 × 0.904 + 0.09 × 0.504) × $33.4009 = $111.24

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.981
Practice expense0.420.904
Malpractice0.090.504

(0.98 × 1 + 0.42 × 0.904 + 0.09 × 0.504) × $33.4009 = $46.93

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.

64425 billing questions

When should this code be selected instead of 64450?

Use this code when the documented target is the ilioinguinal and/or iliohypogastric nerves. Code 64450 describes an injection for another peripheral nerve or branch not identified by a more specific code.

Can both nerves be addressed under this code?

The code identifies the ilioinguinal and iliohypogastric nerve targets. Document which nerve or nerves were injected and the side treated.

How is a bilateral injection reported under the CMS facts?

For bilateral service, modifier 50 is paid at 150%. The documentation should support treatment on both sides.

Is same-day evaluation or postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How does CMS handle another procedure performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the session are paid at 50% under the standard multiple procedure reduction.

What documentation supports reporting this nerve block?

Record the clinical indication, the ilioinguinal and/or iliohypogastric target, the side, the medication injected, and the response when relevant.

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.

RVUs for 64425PPRRVU2026_Oct_nonQPP.csv, line 7,105 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet