# CPT 64640: Dstrj Neurolytic Agent Other Peripheral Nerve

Medicare CPT 64640 pays $267.54 in a non-facility setting and $111.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $236.38 in Arkansas to $309.20 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/64640-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $267.54 |
| National facility | $111.56 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $309.20 | $143.08 |
| District of Columbia | $306.69 | $122.95 |
| California | $302.36 | $117.79 |
| New Jersey | $296.13 | $120.50 |
| New York | $295.87 | $121.85 |
| Washington | $295.43 | $117.60 |
| Massachusetts | $292.40 | $117.16 |
| Hawaii | $291.26 | $113.91 |
| Connecticut | $285.44 | $117.45 |
| Colorado | $279.23 | $113.27 |
| Maryland | $277.27 | $114.66 |
| Oregon | $276.50 | $112.17 |
| Florida | $275.15 | $118.65 |
| New Hampshire | $274.65 | $112.27 |
| Rhode Island | $274.43 | $113.30 |
| Puerto Rico | $269.58 | $111.89 |
| Virgin Islands | $269.58 | $111.89 |
| Minnesota | $268.04 | $107.54 |
| Illinois | $267.86 | $117.14 |
| Montana | $267.53 | $111.54 |
| Nevada | $266.51 | $110.37 |
| Wyoming | $265.63 | $109.65 |
| Delaware | $264.77 | $110.66 |
| Pennsylvania | $264.62 | $111.84 |
| Texas | $264.34 | $110.78 |
| North Dakota | $263.18 | $107.19 |
| South Dakota | $262.66 | $106.68 |
| Virginia | $262.05 | $108.72 |
| Vermont | $261.95 | $107.53 |
| Arizona | $260.42 | $109.27 |
| Georgia | $260.08 | $111.28 |
| Michigan | $258.60 | $112.13 |
| Maine | $256.09 | $107.04 |
| Utah | $255.05 | $108.42 |
| Wisconsin | $254.24 | $104.80 |
| New Mexico | $252.77 | $109.74 |
| North Carolina | $251.77 | $106.24 |
| South Carolina | $251.56 | $107.44 |
| Missouri | $251.31 | $108.17 |
| Louisiana | $250.86 | $108.45 |
| Ohio | $250.57 | $108.16 |
| Indiana | $249.48 | $104.88 |
| Idaho | $248.01 | $104.51 |
| Nebraska | $247.90 | $103.93 |
| Iowa | $246.47 | $103.75 |
| Tennessee | $246.33 | $104.54 |
| Kentucky | $245.19 | $106.52 |
| Kansas | $245.11 | $104.10 |
| West Virginia | $245.07 | $109.52 |
| Oklahoma | $244.96 | $105.67 |
| Alabama | $239.89 | $103.40 |
| Mississippi | $238.42 | $104.12 |
| Arkansas | $236.38 | $102.39 |

## 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 64640 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