# CPT 64620: Dstrj Neurolytic Agent Intercostal Nerve

Medicare CPT 64620 pays $225.79 in a non-facility setting and $167.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $203.10 in Arkansas to $275.26 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/64620-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $225.79 |
| National facility | $167.34 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $275.26 | $213.01 |
| District of Columbia | $253.52 | $184.66 |
| New York | $248.40 | $183.19 |
| New Jersey | $246.70 | $180.89 |
| California | $245.58 | $176.41 |
| Washington | $242.96 | $176.33 |
| Massachusetts | $241.36 | $175.69 |
| Connecticut | $239.41 | $176.45 |
| Florida | $237.57 | $178.93 |
| Hawaii | $237.11 | $170.65 |
| Illinois | $233.04 | $176.56 |
| Maryland | $233.03 | $172.10 |
| Colorado | $231.94 | $169.75 |
| Rhode Island | $230.23 | $169.85 |
| Oregon | $229.62 | $168.04 |
| New Hampshire | $229.19 | $168.34 |
| Puerto Rico | $226.93 | $167.83 |
| Virgin Islands | $226.93 | $167.83 |
| Montana | $225.77 | $167.31 |
| Pennsylvania | $225.02 | $167.77 |
| Nevada | $223.90 | $165.39 |
| Delaware | $223.61 | $165.86 |
| Texas | $223.60 | $166.05 |
| Michigan | $223.40 | $168.51 |
| Georgia | $222.79 | $167.04 |
| Wyoming | $222.66 | $164.21 |
| Minnesota | $220.79 | $160.65 |
| Arizona | $220.35 | $163.71 |
| Virginia | $220.22 | $162.76 |
| North Dakota | $218.65 | $160.20 |
| Vermont | $218.65 | $160.79 |
| New Mexico | $218.28 | $164.68 |
| South Dakota | $217.81 | $159.35 |
| Utah | $217.39 | $162.44 |
| Maine | $215.98 | $160.13 |
| Louisiana | $215.95 | $162.59 |
| Missouri | $215.76 | $162.12 |
| Ohio | $215.48 | $162.12 |
| West Virginia | $215.31 | $164.51 |
| South Carolina | $214.90 | $160.89 |
| North Carolina | $213.44 | $158.90 |
| Wisconsin | $212.45 | $156.45 |
| Kentucky | $211.50 | $159.53 |
| Indiana | $210.88 | $156.70 |
| Oklahoma | $210.31 | $158.12 |
| Idaho | $209.89 | $156.11 |
| Tennessee | $209.34 | $156.21 |
| Nebraska | $209.10 | $155.15 |
| Iowa | $208.38 | $154.89 |
| Kansas | $208.35 | $155.51 |
| Mississippi | $206.03 | $155.70 |
| Alabama | $205.62 | $154.48 |
| Arkansas | $203.10 | $152.89 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64620 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules