$48.06–$51.95
Use 64455 for anesthetic and/or steroid injection of a plantar common digital nerve. Use 64632 when the treatment is neurolytic destruction.
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CMS RVU26D · Effective 2026-10-01
64632 Nerve destruction Medicare reimbursement rates in Pennsylvania
Reports neurolytic destruction of a plantar common digital nerve, typically for persistent forefoot pain associated with a digital nerve neuroma. Compare 64632 office and facility rates across CMS payment localities in Pennsylvania.
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 64632 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$86.16–$93.41
2 of 2 localities have a supported rate.
Facility setting
$60.09–$63.86
2 of 2 localities have a supported rate.
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.
Peripheral nerve procedure
About 64632: Plantar digital nerve neurolysis
Reports neurolytic destruction of a plantar common digital nerve, typically for persistent forefoot pain associated with a digital nerve neuroma.
This procedure chemically ablates a plantar common digital nerve, often to treat persistent burning or shooting forefoot pain associated with a Morton's neuroma. A podiatrist, foot and ankle specialist, or pain physician may perform it by directing a neurolytic agent to the affected nerve. It is distinct from an injection using local anesthetic or steroid for temporary symptom relief.
Select the code when documentation supports neurolytic destruction of the plantar common digital nerve, rather than another peripheral nerve or a non-neurolytic injection. Record the treated nerve, side, indication, and neurolytic treatment performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64632
- 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 RVU1.20 · 44%
- Practice expense (office) RVU1.41 · 52%
- Malpractice RVU0.09 · 3%
9K
Medicare services in 2024 · #1535 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.
64632 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$260.37–$285.98
64630 addresses neurolytic destruction of the pudendal nerve. This code is for the plantar common digital nerve.
$251.09–$278.14
64640 is for neurolytic destruction of another peripheral nerve or branch; 64632 identifies the plantar common digital nerve.
$76.26–$83.94
64450 describes anesthetic injection of another peripheral nerve or branch, not neurolytic destruction of the plantar common digital nerve.
Compare 64632 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$93.41
Facility
$63.86
Rest Of Pennsylvania →
Office / nonfacility
$86.16
Facility
$60.09
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64632 billing questions
How does this differ from a Morton's neuroma injection?
This code is for neurolytic destruction of the plantar common digital nerve. CPT 64455 describes an injection using anesthetic and/or steroid, rather than neurolytic destruction.
What documentation supports reporting this code?
Document the plantar common digital nerve treated, the side, the clinical indication, and the neurolytic treatment performed.
How is bilateral treatment reported?
Use modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
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.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple procedure reduction.
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.
7,17664628,,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
7,18264635,,Destroy lumb/sac facet jnt,A,,3.24,10.39,,1.65,,0.29,13.92,5.18,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00