CPT code 64416: Nerve block, brachial plexus catheter infusion2026 Medicare rate & RVUs in Visalia, CA
Report this service for brachial plexus catheter placement to deliver continuous anesthetic infusion, commonly for pain control after shoulder surgery.
In Visalia, CA, Medicare pays $71.99 for 64416 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 64416 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Visalia, CA compares for 64416
Across 109 of 109 payment localities, the facility rate for 64416 runs from $68.65 in Wisconsin to $100.19 in Alaska. Visalia, CA pays $71.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Visalia, CA · this page$71.99
- Bakersfield, CA · California$72.47+$0.48
- Chico, CA · California$71.99
- El Centro, CA · California$72.01+$0.02
- Fresno, CA · California$71.99
- Hanford, CA · California$71.99
- Los Angeles, CA · California$74.80+$2.81
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $71.99 |
| Merced, CACalifornia | — | $71.99 |
| Modesto, CACalifornia | — | $71.99 |
| Napa, CACalifornia | — | $76.48 |
| Oxnard, CACalifornia | — | $73.82 |
| Redding, CACalifornia | — | $71.99 |
| Rest of CaliforniaCalifornia | — | $71.99 |
| Riverside, CACalifornia | — | $73.64 |
| Sacramento, CACalifornia | — | $73.69 |
| Salinas, CACalifornia | — | $73.36 |
| San Diego, CACalifornia | — | $73.65 |
| Marin County, CACalifornia | — | $78.91 |
| San Francisco, CACalifornia | — | $78.74 |
| San Benito County, CACalifornia | — | $80.46 |
| Santa Clara County, CACalifornia | — | $79.76 |
| San Luis Obispo, CACalifornia | — | $72.36 |
| Santa Cruz, CACalifornia | — | $73.26 |
| Santa Maria, CACalifornia | — | $73.24 |
| Santa Rosa, CACalifornia | — | $73.90 |
| Stockton, CACalifornia | — | $71.99 |
| Vallejo, CACalifornia | — | $76.23 |
| Yuba City, CACalifornia | — | $71.99 |
| Washington, DC areaDistrict of Columbia | — | $77.77 |
| Miami, FLFlorida | — | $80.50 |
| Chicago, ILIllinois | — | $79.42 |
| Manhattan, NYNew York | — | $80.59 |
| AlaskaAlaska | — | $100.19 |
| AlabamaAlabama | — | $69.22 |
| ArkansasArkansas | — | $68.83 |
| ArizonaArizona | — | $71.49 |
| ColoradoColorado | — | $72.64 |
| ConnecticutConnecticut | — | $75.38 |
| DelawareDelaware | — | $72.16 |
| Fort Lauderdale, FLFlorida | — | $76.64 |
| Rest of FloridaFlorida | — | $74.62 |
| Atlanta, GAGeorgia | — | $73.80 |
| Rest of GeorgiaGeorgia | — | $72.50 |
| Hawaii, Guam, HIHawaii | — | $71.56 |
| IowaIowa | — | $68.72 |
| IdahoIdaho | — | $69.14 |
| East St. Louis, ILIllinois | — | $76.87 |
| Rest of IllinoisIllinois | — | $74.55 |
| Suburban Chicago, ILIllinois | — | $76.99 |
| IndianaIndiana | — | $69.27 |
| KansasKansas | — | $69.16 |
| KentuckyKentucky | — | $71.09 |
| New Orleans, LALouisiana | — | $72.65 |
| Rest of LouisianaLouisiana | — | $71.27 |
| Metropolitan Boston, MAMassachusetts | — | $76.02 |
| Rest of MassachusettsMassachusetts | — | $72.86 |
| Baltimore area, MDMaryland | — | $75.24 |
| Rest of MarylandMaryland | — | $72.76 |
| Rest of MaineMaine | — | $69.89 |
| Southern Maine, MEMaine | — | $70.55 |
| Detroit, MIMichigan | — | $75.61 |
| Rest of MichiganMichigan | — | $72.37 |
| MinnesotaMinnesota | — | $69.20 |
| Metropolitan Kansas City, MOMissouri | — | $71.83 |
| Metropolitan St. Louis, MOMissouri | — | $72.07 |
| Rest of MissouriMissouri | — | $71.15 |
| MississippiMississippi | — | $69.97 |
| MontanaMontana | — | $72.47 |
| North CarolinaNorth Carolina | — | $70.09 |
| North DakotaNorth Dakota | — | $69.50 |
| NebraskaNebraska | — | $68.69 |
| New HampshireNew Hampshire | — | $72.21 |
| Northern New JerseyNew Jersey | — | $77.91 |
| Rest of New JerseyNew Jersey | — | $76.12 |
| New MexicoNew Mexico | — | $72.77 |
| NevadaNevada | — | $71.65 |
| NYC suburbs and Long Island, NYNew York | — | $82.18 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $77.00 |
| Queens, NYNew York | — | $80.04 |
| Rest of New YorkNew York | — | $70.56 |
| OhioOhio | — | $71.76 |
| OklahomaOklahoma | — | $70.43 |
| Portland, OROregon | — | $73.10 |
| Rest of OregonOregon | — | $70.96 |
| Metropolitan Philadelphia, PAPennsylvania | — | $74.86 |
| Rest of PennsylvaniaPennsylvania | — | $71.49 |
| Puerto RicoPuerto Rico | — | $72.50 |
| Rhode IslandRhode Island | — | $73.34 |
| South CarolinaSouth Carolina | — | $71.07 |
| South DakotaSouth Dakota | — | $69.15 |
| TennesseeTennessee | — | $69.37 |
| Austin, TXTexas | — | $72.53 |
| Beaumont, TXTexas | — | $71.34 |
| Brazoria, TXTexas | — | $71.77 |
| Dallas, TXTexas | — | $72.26 |
| Fort Worth, TXTexas | — | $72.24 |
| Galveston, TXTexas | — | $72.03 |
| Houston, TXTexas | — | $74.77 |
| Rest of TexasTexas | — | $71.55 |
| UtahUtah | — | $71.45 |
| VirginiaVirginia | — | $70.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $72.50 |
| VermontVermont | — | $69.92 |
| Rest of WashingtonWashington | — | $72.51 |
| King County, WAWashington | — | $76.47 |
| WisconsinWisconsin | — | $68.65 |
| West VirginiaWest Virginia | — | $73.50 |
| WyomingWyoming | — | $71.18 |
64416 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact Visalia, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,100
- Code
- 64416
- Physician work
- 1.76
- Practice expense
- 0.26
- Malpractice
- 0.15
GPCI2026.csv
34
- Locality
- Visalia, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.017 | 1.7899 |
| Practice expense | 0.26 | × 1.096 | 0.2850 |
| Malpractice | 0.15 | × 0.536 | 0.0804 |
| Total RVUs | 2.1553 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Visalia, CA$71.99
Facility: (1.76 × 1.017 + 0.26 × 1.096 + 0.15 × 0.536) × $33.4009 = $71.99
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
How 64416 has changed in Visalia, CA
64416 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $71.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $71.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $71.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $71.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $73.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $73.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $73.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $73.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $75.56 | RVU24D |
| 2024-07-01 | Not available in this setting | $75.56 | RVU24C |
| 2024-04-01 | Not available in this setting | $75.56 | RVU24B |
| 2024-03-09 | Not available in this setting | $75.56 | RVU24AR |
| 2024-01-01 | Not available in this setting | $74.33 | RVU24A |
| 2023-10-01 | Not available in this setting | $78.05 | RVU23D |
| 2023-07-01 | Not available in this setting | $78.05 | RVU23C |
| 2023-04-01 | Not available in this setting | $78.05 | RVU23B |
| 2023-01-01 | Not available in this setting | $78.05 | RVU23A |
| 2022-10-01 | Not available in this setting | $64.82 | RVU22D |
| 2022-07-01 | Not available in this setting | $64.82 | RVU22C |
| 2022-04-01 | Not available in this setting | $64.82 | RVU22B |
| 2022-01-01 | Not available in this setting | $64.82 | RVU22A |
| 2021-10-01 | Not available in this setting | $65.78 | RVU21D |
| 2021-07-01 | Not available in this setting | $65.78 | RVU21C |
| 2021-04-01 | Not available in this setting | $65.78 | RVU21B |
| 2021-01-01 | Not available in this setting | $65.78 | RVU21A |
| 2020-10-01 | Not available in this setting | $67.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $67.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $67.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $67.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $82.14 | RVU19D |
| 2019-07-01 | Not available in this setting | $82.14 | RVU19C |
| 2019-04-01 | Not available in this setting | $82.14 | RVU19B |
| 2019-01-01 | Not available in this setting | $82.14 | RVU19A |
| 2018-10-01 | Not available in this setting | $81.67 | RVU18D |
| 2018-07-01 | Not available in this setting | $81.67 | RVU18C |
| 2018-04-01 | Not available in this setting | $81.67 | RVU18B |
| 2018-01-01 | Not available in this setting | $81.67 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $81.59 | RVU17D |
| 2017-07-01 | Not available in this setting | $81.59 | RVU17C |
| 2017-04-01 | Not available in this setting | $81.59 | RVU17B |
| 2017-01-01 | Not available in this setting | $81.59 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Visalia, CA rate applies
Visalia, CA is a Medicare payment area, not a city. Our Census mapping connects it to 70 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Visalia
- Allensworth
- Alpaugh
- California Hot Springs
- Camp Nelson
- Cedar Slope
- Cutler
- Delft Colony
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
Fee sheets · Coming soon
Put 64416 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist