# CPT 64630: Dstrj Neurolytic Agent Pudendal Nerve

Medicare CPT 64630 pays $274.22 in a non-facility setting and $183.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $243.22 in Arkansas to $325.76 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/64630-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $274.22 |
| National facility | $183.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $325.76 | $229.36 |
| District of Columbia | $309.54 | $202.91 |
| New York | $303.64 | $202.66 |
| New Jersey | $300.58 | $198.67 |
| California | $298.08 | $190.97 |
| Washington | $295.40 | $192.22 |
| Massachusetts | $293.52 | $191.83 |
| Connecticut | $292.13 | $194.64 |
| Florida | $292.13 | $201.32 |
| Hawaii | $287.95 | $185.03 |
| Illinois | $286.02 | $198.55 |
| Maryland | $283.60 | $189.23 |
| Colorado | $281.41 | $185.10 |
| Rhode Island | $279.29 | $185.79 |
| New Hampshire | $278.35 | $184.12 |
| Oregon | $278.32 | $182.96 |
| Puerto Rico | $275.67 | $184.16 |
| Virgin Islands | $275.67 | $184.16 |
| Montana | $274.18 | $183.67 |
| Pennsylvania | $273.18 | $184.51 |
| Michigan | $272.15 | $187.16 |
| Nevada | $271.31 | $180.70 |
| Texas | $271.03 | $181.92 |
| Delaware | $270.98 | $181.55 |
| Georgia | $270.77 | $184.42 |
| Wyoming | $269.45 | $178.93 |
| Arizona | $266.72 | $179.01 |
| Virginia | $266.16 | $177.18 |
| Minnesota | $265.83 | $172.69 |
| New Mexico | $264.91 | $181.91 |
| Vermont | $263.58 | $173.97 |
| North Dakota | $263.31 | $172.79 |
| Utah | $262.95 | $177.86 |
| South Dakota | $262.02 | $171.51 |
| West Virginia | $261.62 | $182.96 |
| Louisiana | $261.46 | $178.82 |
| Missouri | $261.04 | $177.97 |
| Ohio | $260.74 | $178.10 |
| Maine | $260.39 | $173.90 |
| South Carolina | $259.56 | $175.92 |
| North Carolina | $257.09 | $172.64 |
| Kentucky | $255.27 | $174.80 |
| Wisconsin | $254.93 | $168.21 |
| Oklahoma | $253.36 | $172.53 |
| Indiana | $253.34 | $169.43 |
| Idaho | $252.01 | $168.73 |
| Tennessee | $251.46 | $169.18 |
| Nebraska | $250.73 | $167.19 |
| Kansas | $250.07 | $168.24 |
| Iowa | $249.83 | $167.01 |
| Mississippi | $247.65 | $169.72 |
| Alabama | $246.67 | $167.47 |
| Arkansas | $243.22 | $165.47 |

## 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 64630 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