{
    "code": "64636",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64636/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/64636/2022/D",
    "description": "Radiofrequency ablation of the nerves supplying a further lumbar or sacral facet joint beyond the first one treated in the same session. Facet arthritis usually spans more than one segment, so it is common to treat two or three joints on a side in a single visit; this entry captures each of those extra joints. Technique and guidance are the same as for the first joint - only the level changes.",
    "answer": {
        "question": "How much did Medicare pay for CPT 64636 in Q4 2022?",
        "text": "Medicare paid $256.43 for CPT 64636 in the office (non-facility) setting and $59.87 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it increased 42.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "D",
        "label": "Q4 2022",
        "effective": "October 1 – December 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 256.43,
        "facility": 59.87,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.16,
        "practice_expense_non_facility": 6.14,
        "practice_expense_facility": 0.46,
        "malpractice": 0.11
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q4 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/D",
        "file": "PPRRVU22_OCT.csv",
        "row": 11883,
        "sha256": "f8774a019545e1fd71536837b20b74674c014b1acef3435d93456857885190ab"
    },
    "modified_at": "2026-08-04T03:12:03+00:00"
}