Billing code 64630: Nerve neurolysisMedicare rate & RVUs in Texas
Neurolytic treatment of the pudendal nerve for selected chronic pelvic or perineal pain, reported when the nerve is intentionally destroyed rather than temporarily blocked.
Medicare pays $258.82–$281.41 for 64630 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64630 covers
This procedure uses a neurolytic agent to intentionally damage the pudendal nerve, typically as an intervention for persistent pudendal neuralgia or related chronic pelvic or perineal pain. Pain-management physicians commonly perform it in an office-based procedure suite or a facility. It differs from a pudendal nerve block, which delivers medication to block nerve signals without the same intent to destroy the nerve.
Report 64630 when documentation identifies the pudendal nerve as the target and supports neurolytic treatment, including the indication, technique, and treated site. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
Where 64630 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$258.82 to $281.41
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $281.41 | $185.64 |
| Beaumont | $258.82 | $176.45 |
| Brazoria | $269.56 | $179.86 |
| Dallas | $271.88 | $181.72 |
| Fort Worth | $270.55 | $181.30 |
| Galveston | $270.76 | $180.88 |
| Houston | $280.83 | $190.94 |
| Rest Of Texas | $264.45 | $178.55 |
How the 64630 rate is calculated
Each of 64630’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64630
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.97Practice expense 4.69Malpractice 0.55
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64630
64630 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64630
Nerve neurolysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64630
Nerve neurolysis
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64630 without 51 · national office
$274.22
Nerve neurolysis
64630-51 · Second procedure: 50%
$137.11
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
64630 compared with similar codes
Compare codes
64630 vs 64430 vs 64640 vs 64620: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64430Nerve block
- Use 64430 for pudendal nerve injection intended to provide a nerve block. Use 64630 when the documented procedure intentionally destroys the pudendal nerve with a neurolytic agent.
- 64640Nerve treatment
- 64640 applies to neurolytic treatment of other peripheral nerves or branches when a more specific nerve code does not describe the target. 64630 identifies the pudendal nerve specifically.
- 64620Nerve neurolysis
- 64620 is for neurolytic treatment of an intercostal nerve. 64630 is specific to neurolytic treatment of the pudendal nerve.
64630 billing questions
How is 64630 different from a pudendal nerve block?
64630 represents intentional neurolytic treatment of the pudendal nerve. A pudendal block, such as 64430, uses an injection to block nerve signals rather than destroy the nerve.
What documentation supports reporting 64630?
Document the clinical indication, the pudendal nerve as the target, the neurolytic technique and agent, and the treated site.
Should modifier 50 be appended for bilateral treatment?
No. The bilateral adjustment does not apply to 64630, and modifier 50 is inappropriate for this code.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How does the multiple-procedure rule affect 64630?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 64630 and the rest of your codes on one sheet
Current Medicare rates for every code you bill at your locality, with what changed since last quarter.
Get a fee sheetOr price your code list free →