CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 64605 RVU and Medicare Payment (2026)
Injection treatment of nerve — 5.51 work RVU, about $1,100.89 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.51
- PE RVU (non-facility)
- 25.12
- PE RVU (facility)
- 4.85
- MP RVU
- 2.33
- Office payment
- $1,100.89
- Facility payment
- $423.86
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 64605 in a non-facility setting with national GPCI: (5.51 + 25.12 + 2.33) × $33.4009 ≈ $1,100.89. The same code in a facility setting pays about $423.86 because facility PE RVU (4.85) replaces office PE RVU.
What changes by locality
GPCI moves 64605 non-facility payment from $944.85 to $1,455.88 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 64605?
5.51. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 64605 in 2026?
About $1,100.89 non-facility ($423.86 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (5.51) and malpractice RVU stay fixed; only practice expense changes (25.12 office vs 4.85 facility). That is the entire office-vs-facility payment gap.