Radiofrequency ablation10-day global

Lumbar facet radiofrequency ablation

Thermal ablation of lumbar medial branch nerves after positive diagnostic blocks, providing durable relief of facet-mediated low back pain. First joint primary, additional joints as add-ons; imaging guidance is included and a 10-day global period applies.

2026 national Medicare payment (typical billing): $716.45 in-office · $223.79 facility · 4.37 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)
64635Destroy lumb/sac facet jnt	1	$464.94	$173.02
add-on64636Destroy l/s facet jnt addl	1	$251.51	$50.77
Whole procedure		$716.45	$223.79

Conversion factor: Locality: national average GPCIs

Codes in this procedure

64635 Destroy lumb/sac facet jnt — Active, 10-day global, 3.24 wRVU
64636 Destroy l/s facet jnt addl — 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.