# CPT 64635: Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/sacral

Medicare CPT 64635 pays $464.94 in a non-facility setting and $173.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $411.31 in Arkansas to $537.26 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/64635-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $464.94 |
| National facility | $173.02 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $537.26 | $226.36 |
| District of Columbia | $533.65 | $189.76 |
| California | $527.99 | $182.56 |
| New Jersey | $515.04 | $186.34 |
| Washington | $514.90 | $182.10 |
| New York | $513.67 | $188.00 |
| Massachusetts | $509.37 | $181.39 |
| Hawaii | $508.41 | $176.49 |
| Connecticut | $495.86 | $181.46 |
| Colorado | $486.33 | $175.72 |
| Maryland | $481.85 | $177.52 |
| Oregon | $481.70 | $174.15 |
| New Hampshire | $477.96 | $174.07 |
| Rhode Island | $477.40 | $175.85 |
| Florida | $475.27 | $182.37 |
| Puerto Rico | $468.61 | $173.48 |
| Virgin Islands | $468.61 | $173.48 |
| Minnesota | $468.19 | $167.80 |
| Montana | $464.92 | $173.00 |
| Nevada | $463.67 | $171.45 |
| Illinois | $462.43 | $180.36 |
| Wyoming | $462.42 | $170.50 |
| Delaware | $460.34 | $171.92 |
| Pennsylvania | $459.47 | $173.53 |
| Texas | $459.47 | $172.07 |
| North Dakota | $459.19 | $167.26 |
| South Dakota | $458.51 | $166.58 |
| Vermont | $456.69 | $167.68 |
| Virginia | $456.19 | $169.23 |
| Arizona | $452.79 | $169.91 |
| Georgia | $451.04 | $172.55 |
| Michigan | $447.72 | $173.60 |
| Maine | $445.88 | $166.95 |
| Wisconsin | $443.66 | $164.00 |
| Utah | $443.13 | $168.72 |
| North Carolina | $438.19 | $165.83 |
| New Mexico | $438.08 | $170.39 |
| South Carolina | $437.11 | $167.38 |
| Missouri | $436.22 | $168.33 |
| Louisiana | $435.20 | $168.68 |
| Ohio | $434.83 | $168.30 |
| Indiana | $434.63 | $164.01 |
| Nebraska | $432.19 | $162.75 |
| Idaho | $432.07 | $163.50 |
| Iowa | $429.60 | $162.49 |
| Tennessee | $428.88 | $163.52 |
| Kansas | $426.82 | $162.92 |
| Oklahoma | $425.65 | $164.96 |
| Kentucky | $425.60 | $166.08 |
| West Virginia | $423.65 | $169.97 |
| Alabama | $417.36 | $161.92 |
| Mississippi | $414.17 | $162.83 |
| Arkansas | $411.31 | $160.55 |

## 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 64635 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