# CPT 64633: Destruction by neurolytic agent, facet joint nerve, cervical/thoracic, single facet joint

Medicare CPT 64633 pays $458.93 in a non-facility setting and $172.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $406.03 in Arkansas to $530.68 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/64633-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $458.93 |
| National facility | $172.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $530.68 | $225.83 |
| District of Columbia | $526.55 | $189.35 |
| California | $520.66 | $181.95 |
| New Jersey | $508.26 | $185.94 |
| Washington | $507.92 | $181.60 |
| New York | $507.05 | $187.71 |
| Massachusetts | $502.52 | $180.93 |
| Hawaii | $501.38 | $175.92 |
| Connecticut | $489.43 | $181.14 |
| Colorado | $479.84 | $175.27 |
| Maryland | $475.59 | $177.18 |
| Oregon | $475.25 | $173.69 |
| New Hampshire | $471.64 | $173.66 |
| Rhode Island | $471.15 | $175.45 |
| Florida | $469.55 | $182.35 |
| Puerto Rico | $462.53 | $173.13 |
| Virgin Islands | $462.53 | $173.13 |
| Minnesota | $461.75 | $167.21 |
| Montana | $458.91 | $172.66 |
| Nevada | $457.60 | $171.06 |
| Illinois | $456.94 | $180.36 |
| Wyoming | $456.32 | $170.08 |
| Delaware | $454.37 | $171.56 |
| Pennsylvania | $453.61 | $173.24 |
| Texas | $453.53 | $171.72 |
| North Dakota | $452.98 | $166.73 |
| South Dakota | $452.27 | $166.03 |
| Vermont | $450.57 | $167.19 |
| Virginia | $450.19 | $168.81 |
| Arizona | $446.92 | $169.55 |
| Georgia | $445.39 | $172.31 |
| Michigan | $442.23 | $173.45 |
| Maine | $440.03 | $166.52 |
| Wisconsin | $437.69 | $163.46 |
| Utah | $437.46 | $168.39 |
| New Mexico | $432.67 | $170.18 |
| North Carolina | $432.48 | $165.42 |
| South Carolina | $431.53 | $167.04 |
| Missouri | $430.72 | $168.04 |
| Louisiana | $429.76 | $168.42 |
| Ohio | $429.37 | $168.03 |
| Indiana | $428.91 | $163.56 |
| Nebraska | $426.46 | $162.26 |
| Idaho | $426.39 | $163.05 |
| Iowa | $423.93 | $162.01 |
| Tennessee | $423.29 | $163.09 |
| Kansas | $421.25 | $162.49 |
| Kentucky | $420.26 | $165.79 |
| Oklahoma | $420.24 | $164.62 |
| West Virginia | $418.62 | $169.87 |
| Alabama | $411.99 | $161.53 |
| Mississippi | $408.96 | $162.50 |
| Arkansas | $406.03 | $160.15 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 64633 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