Use 64640 for destruction of a peripheral nerve or branch with a neurolytic agent. G0571 is for nerve cryoablation performed intraoperatively.
On this page
CMS RVU26D · Effective 2026-10-01
G0571 Nerve cryoablation Medicare reimbursement rates in Tennessee
Reports cryoablation of a nerve during an operation, typically as an adjunct intended to reduce postoperative pain from the treated nerve. Compare G0571 office and facility rates across CMS payment localities in Tennessee.
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 G0571 in Tennessee?
Tennessee 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
$61.16
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
$55.39
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Surgical procedure
About G0571: Intraoperative nerve cryoablation
Reports cryoablation of a nerve during an operation, typically as an adjunct intended to reduce postoperative pain from the treated nerve.
The surgeon applies a cryoprobe to a nerve during an operation to interrupt pain signaling. A recognized example is treatment of intercostal nerves during minimally invasive repair of pectus excavatum. The service is performed in the operating room as part of the surgical procedure, rather than as a separate clinic-based nerve treatment.
Report G0571 only with a primary procedure. The operative report should identify the nerve treated, document use of cryoablation during the operation, and support the associated primary procedure. CMS classifies this as an add-on code, with payment made within the primary procedure’s global period. It is not reported as a standalone service outside that surgical episode.
CMS billing rules for G0571
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.36 · 69%
- Practice expense (office) RVU0.40 · 20%
- Malpractice RVU0.20 · 10%
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.
G0571 compared with similar codes
Office rates for Tennessee, from the same CMS release.
Unlisted px nervous system
64999 is an unlisted nervous-system procedure code. G0571 specifically identifies intraoperative nerve cryoablation.
Compare G0571 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
Tennessee →
Office / nonfacility
$61.16
Facility
$55.39
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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 G0571 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
15,368
- Code
- G0571
- Physician work
- 1.36
- Practice expense
- 0.40
- Malpractice
- 0.20
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.36 | × 1.000 | 1.3600 |
| Practice expense | 0.40 | × 0.909 | 0.3636 |
| Malpractice | 0.20 | × 0.537 | 0.1074 |
| Total RVUs | 1.8310 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$61.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.36 | 1 |
| Practice expense | 0.4 | 0.909 |
| Malpractice | 0.2 | 0.537 |
(1.36 × 1 + 0.4 × 0.909 + 0.2 × 0.537) × $33.4009 = $61.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.36 | 1 |
| Practice expense | 0.21 | 0.909 |
| Malpractice | 0.2 | 0.537 |
(1.36 × 1 + 0.21 × 0.909 + 0.2 × 0.537) × $33.4009 = $55.39
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.
G0571 billing questions
Can G0571 be billed by itself?
No. CMS identifies it as an add-on code that must be reported with a primary procedure.
What should the operative report document?
Document the nerve treated, the intraoperative use of a cryoprobe, and the primary procedure performed.
Is it appropriate for intercostal nerve cryoablation during pectus repair?
It may describe intraoperative cryoablation of intercostal nerves during minimally invasive pectus excavatum repair. The record must support that the nerve treatment was performed during the operation.
How does the primary procedure affect payment?
CMS places payment for G0571 within the primary procedure’s global period. Report it with the primary procedure rather than as a separate standalone service.
Is G0571 the same as chemical destruction of a peripheral nerve?
No. G0571 identifies intraoperative cryoablation; code 64640 describes destruction of a peripheral nerve or branch using a neurolytic agent.
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.
