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CPT code 64416: Nerve block, brachial plexus catheter infusion2026 Medicare rate & RVUs

Report this service for brachial plexus catheter placement to deliver continuous anesthetic infusion, commonly for pain control after shoulder surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities11.6K Medicare services in 2024

Medicare pays $72.48 for 64416 nationally in a facility.

Medicare rate · 64416

Nerve block, brachial plexus catheter infusion

Office or facility?

Work RVUs
1.76
Total RVUs
2.17
Global days
000

National rate · 2026

$72.48

Facility setting, before claim adjustments.

See every locality for 64416 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 64416 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 64416 covers

This service places a catheter at the brachial plexus for continuous delivery of anesthetic, often to control pain after shoulder or upper-arm surgery. An anesthesiologist or other physician trained in regional anesthesia may perform it in an operating room, procedure area, or outpatient surgical setting. Imaging guidance is included when performed. The code represents the continuous catheter technique, not a one-time nerve injection.

Choose 64416 when the documented target is the brachial plexus and medication is delivered through a catheter for continuous infusion. The record should identify the nerve target, catheter placement, and continuous infusion plan; do not select it solely because a single injection is followed by pain relief. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 for a bilateral service is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 64416 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64416 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$69.22
AlaskaUnavailable$100.19
ArizonaUnavailable$71.49
ArkansasUnavailable$68.83
Atlanta, GAUnavailable$73.80
Austin, TXUnavailable$72.53
Bakersfield, CAUnavailable$72.47
Baltimore area, MDUnavailable$75.24
Beaumont, TXUnavailable$71.34
Brazoria, TXUnavailable$71.77

64416 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
64416 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 64416 rate is calculated

Each of 64416’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 64416

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense0.26

0.26 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

2.1700

Conversion factor

$33.4009

Medicare rate

$72.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 64416

The CMS indicators that decide how 64416 is paid alongside other services.

CMS payment indicators · 64416

Nerve block, brachial plexus catheter infusion

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

64416 without 50 · national facility

$72.48

Nerve block, brachial plexus catheter infusion

64416-50 · Bilateral: 150%

$108.72

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

64416 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 64416

    Nerve block, brachial plexus catheter infusion1.76 wRVU

    Not priced

  • 64415

    Brachial plexus block, single injection1.46 wRVU

    $154.98

  • 64417

    Axillary nerve block, image guidance included1.28 wRVU

    $186.04

  • 64446

    Sciatic nerve block, continuous catheter infusion1.71 wRVU

    Not priced

How to choose

64415Brachial plexus blockSingle injection
Both target the brachial plexus, but 64416 is for continuous infusion through a catheter; 64415 is for a single injection.
64417Axillary nerve blockImage guidance included
64417 targets the axillary nerve. Use 64416 when the documented target is the brachial plexus and a continuous catheter infusion is placed.
64446Sciatic nerve blockContinuous catheter infusion
Both describe continuous catheter infusion, but 64446 targets the sciatic nerve rather than the brachial plexus.

Codes related to 64416

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 64416
CodeHow it relatesNational office range
Same family
64415Brachial plexus block, single injectionBrachial plexus injection without the continuous catheter infusion described by 64416.$138.63–$203.66
64446Sciatic nerve block, continuous catheter infusionContinuous catheter infusion technique directed to the sciatic nerve.No office rate
64448Femoral nerve block, continuous catheter infusionContinuous catheter infusion technique directed to the femoral nerve.No office rate
64449Lumbar plexus block, anesthetic or steroid injectionContinuous catheter infusion technique directed to the lumbar plexus.No office rate

64416 billing questions

How is 64416 different from 64415?

64416 describes a brachial plexus catheter for continuous infusion. Use 64415 for a single injection rather than continuous catheter delivery.

Is imaging guidance separately reported?

Imaging guidance is included in 64416 when performed. The code does not require that imaging be used.

Can the catheter placement and a single-shot block both be reported?

The documentation must support distinct services. A catheter placement for continuous infusion is not converted into a separate single-shot service merely because medication is injected during placement.

How should bilateral services be reported?

For a bilateral procedure, report modifier 50; CMS pays the service at 150%.

Does the code cover postoperative catheter management on later days?

The code identifies catheter placement for continuous infusion, and its 0-day global period includes same-day preoperative and postoperative care. Document any later-day service separately according to the service actually performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 64416PPRRVU2026_Oct_nonQPP.csv, line 7,100 (RVU26D)

Open CMS sourceHow we calculate rates

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