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

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

CMS RVU26DEffective Oct 1, 2026One payment locality11.6K Medicare services in 2024

In Tennessee, Medicare pays $69.37 for 64416 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$69.37Hospital or facility

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.

We’ll open 64416 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 64416 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Tennessee 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. Tennessee pays $69.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

64416 in Tennessee vs other payment areas
  1. Tennessee · this page$69.37
  2. Los Angeles, CA · California$74.80+$5.43
  3. Washington, DC area · District of Columbia$77.77+$8.40
  4. Miami, FL · Florida$80.50+$11.13
  5. Chicago, IL · Illinois$79.42+$10.05
  6. Manhattan, NY · New York$80.59+$11.22
  7. Alaska · Alaska$100.19+$30.82

Other areas in Tennessee first, then benchmark localities. Bars start at $0.

Every other payment area

64416 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$69.22
ArkansasArkansas—$68.83
ArizonaArizona—$71.49
Bakersfield, CACalifornia—$72.47
Chico, CACalifornia—$71.99
El Centro, CACalifornia—$72.01
Fresno, CACalifornia—$71.99
Hanford, CACalifornia—$71.99

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
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

See 64416 in every payment locality

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.

The exact Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 64416 in Tennessee
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense0.26× 0.9090.2363
Malpractice0.15× 0.5370.0805
Total RVUs2.0769
Conversion factor× 33.4009

Facility rate, Tennessee$69.37

Facility: (1.76 × 1 + 0.26 × 0.909 + 0.15 × 0.537) × $33.4009 = $69.37

Open 64416 in the RVU calculator

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

How 64416 has changed in Tennessee

64416 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$69.37RVU26D
2026-07-01Not available in this setting$69.37RVU26C
2026-04-01Not available in this setting$69.37RVU26B
2026-01-01Not available in this setting$69.37RVU26A
2025-10-01Not available in this setting$70.89RVU25D
2025-07-01Not available in this setting$70.89RVU25C
2025-04-01Not available in this setting$70.89RVU25B
2025-01-01Not available in this setting$70.89RVU25A
2024-10-01Not available in this setting$72.48RVU24D
2024-07-01Not available in this setting$72.48RVU24C
2024-04-01Not available in this setting$72.48RVU24B
2024-03-09Not available in this setting$72.48RVU24AR
2024-01-01Not available in this setting$71.29RVU24A
2023-10-01Not available in this setting$74.28RVU23D
2023-07-01Not available in this setting$74.28RVU23C
2023-04-01Not available in this setting$74.28RVU23B
2023-01-01Not available in this setting$74.28RVU23A
2022-10-01Not available in this setting$61.42RVU22D
2022-07-01Not available in this setting$61.42RVU22C
2022-04-01Not available in this setting$61.42RVU22B
2022-01-01Not available in this setting$61.42RVU22A
2021-10-01Not available in this setting$62.28RVU21D
2021-07-01Not available in this setting$62.28RVU21C
2021-04-01Not available in this setting$62.28RVU21B
2021-01-01Not available in this setting$62.28RVU21A
2020-10-01Not available in this setting$63.85RVU20D
2020-07-01Not available in this setting$63.85RVU20C
2020-04-01Not available in this setting$63.85RVU20B
2020-01-01Not available in this setting$63.85RVU20A
2019-10-01Not available in this setting$78.60RVU19D
2019-07-01Not available in this setting$78.60RVU19C
2019-04-01Not available in this setting$78.60RVU19B
2019-01-01Not available in this setting$78.60RVU19A
2018-10-01Not available in this setting$78.19RVU18D
2018-07-01Not available in this setting$78.19RVU18C
2018-04-01Not available in this setting$78.19RVU18B
2018-01-01Not available in this settingRate data unavailableRVU18AR1
2017-10-01Not available in this settingRate data unavailableRVU17D
2017-07-01Not available in this settingRate data unavailableRVU17C
2017-04-01Not available in this settingRate data unavailableRVU17B
2017-01-01Not available in this settingRate data unavailableRVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 64416 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 64416 pays in Tennessee?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

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