Specialty rate rollup
Pain Management
Office evaluation, epidural and facet procedures, radiofrequency treatment, and drug monitoring.
A curated starter set for comparison—not a claim that every specialty bills every code, and not a utilization-weighted average.
At a glance
Q3 2026 compared with the prior available PFS release.
Conversion factor: 0.0%
Payable codes
7 / 9
Changed this release
0
Largest increase
None
Largest decrease
None
See the rates where you practice
Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.
Current national rates
Q3 2026 releaseOffice (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.
| Code and service | Status | Office (non-facility) | Facility |
|---|---|---|---|
| Visits and evaluation | |||
| 99213 Established Patient Office Visit, Level 3 | Active |
$95.19
$0.00 · 0.0%
|
$57.45
$0.00 · 0.0%
|
| 99214 Established Patient Office Visit, Level 4 | Active |
$135.61
$0.00 · 0.0%
|
$84.50
$0.00 · 0.0%
|
| Office and procedural services | |||
| 64483 Transforaminal Epidural Injection, Lumbar/Sacral | Active |
$264.87
$0.00 · 0.0%
|
$99.53
$0.00 · 0.0%
|
| 64484 | Active |
$117.57
$0.00 · 0.0%
|
$43.76
$0.00 · 0.0%
|
| 64490 Neck or Mid-Back Facet Joint Injection, First Level | Active |
$205.08
$0.00 · 0.0%
|
$94.19
$0.00 · 0.0%
|
| 64493 Lower Back Facet Joint Injection, First Level | Active |
$190.39
$0.00 · 0.0%
|
$81.50
$0.00 · 0.0%
|
| 64635 Lower Back Facet Nerve Ablation, First Joint | Active |
$464.94
$0.00 · 0.0%
|
$173.02
$0.00 · 0.0%
|
| Testing and diagnostics | |||
| 80305 Presumptive Drug Screen, Visually Read | Statutory exclusion |
—
|
—
|
| 80307 Presumptive Drug Screen by Analyzer | Statutory exclusion |
—
|
—
|
Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.
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How often these codes appear in Medicare
Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. This is use by clinicians of all specialties—not a Pain Management utilization mix—and it is on a different publication cycle from the fee schedule.
Services
177.8M
Times these codes were billed
Allowed dollars
$18.7B
Across covered Medicare FFS services
Most used in this set
99214
103.7M services
Coverage: 9 of 9 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.
Turn the list into contract math
Analyze a payer offer using these Pain Management codes
We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.
Get notified when Pain Management rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 9 Pain Management codes on this page.
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Source & method
Amounts computed from the CMS Medicare Physician Fee Schedule Q3 2026 release , GPCI 1.000, before the ~2% sequestration cut. This is our own clean-room grouping by common clinical scenario, not the AMA’s code-family taxonomy. It is a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release—never a fake $0.