{
    "code": "64633",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64633/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/64633/2024/D",
    "description": "Deliberate destruction of the small nerve branches that carry pain from an arthritic facet joint in the neck or mid-back, almost always with a radiofrequency probe that heats the nerve until it stops conducting. Because the nerve regrows over months to a year or two, relief is long but not permanent. This entry covers the first facet joint treated on one side in the cervical or thoracic spine; the lower-back version and additional joints have their own codes. Unlike a facet injection, which delivers medication, this interrupts the nerve itself.",
    "answer": {
        "question": "How much did Medicare pay for CPT 64633 in Q4 2024?",
        "text": "Medicare paid $437.73 for CPT 64633 in the office (non-facility) setting and $191.07 in a facility under the Q4 2024 Physician Fee Schedule, effective October 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 1.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "D",
        "label": "Q4 2024",
        "effective": "October 1 – December 31, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 437.73,
        "facility": 191.07,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.32,
        "practice_expense_non_facility": 9.51,
        "practice_expense_facility": 2.1,
        "malpractice": 0.32
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q4 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/D",
        "file": "PPRRVU24_OCT.csv",
        "row": 12787,
        "sha256": "8ff8133723cdaa4d6d2b1680ff97286ffa7ab38dcd54b9108fc6020e633ef20b"
    },
    "modified_at": "2026-08-04T03:14:25+00:00"
}