Spine injections0-day global

Cervical/thoracic medial branch block

Diagnostic block of cervical or thoracic medial branch nerves for facet-mediated neck or mid-back pain, usually as a prelude to radiofrequency ablation. Billed per level with add-on codes beyond the first; image guidance is included.

2026 national Medicare payment (typical billing): $409.16 in-office · $196.06 facility · 4.03 work RVUs

Price this procedure

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Locality

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Show values as

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
64490Inj paravert f jnt c/t 1 lev	1	$205.08	$94.19
add-on64491Inj paravert f jnt c/t 2 lev	1	$101.87	$50.77
add-on64492Inj paravert f jnt c/t 3 lev	1	$102.21	$51.10
Whole procedure		$409.16	$196.06

Conversion factor: Locality: national average GPCIs

Codes in this procedure

64490 Inj paravert f jnt c/t 1 lev — Active, 0-day global, 1.77 wRVU
64491 Inj paravert f jnt c/t 2 lev — Active, add-on code, 1.13 wRVU
64492 Inj paravert f jnt c/t 3 lev — Active, add-on code, 1.13 wRVU

Related procedures

Typical code combination for this procedure; actual billing depends on documentation and payer policy. Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimates — not billing or coding advice.