CPT code 64446: Sciatic nerve block, continuous catheter infusion2026 Medicare rate & RVUs in Fresno, CA

In Fresno, CA, Medicare pays $70.29 for 64446 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64446 nationwide

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

What 64446 covers

This service covers delivery of anesthetic through a catheter placed at the sciatic nerve for continuous regional analgesia. Anesthesiologists and pain physicians commonly provide it around lower-extremity surgery, such as procedures involving the foot, ankle, or lower leg. Imaging guidance, when used, is included in the service. The catheter allows medication delivery to continue beyond a single injection.

Choose this code for a continuous sciatic catheter service rather than a single-injection sciatic block. Documentation should identify the nerve and side, catheter placement, the continuous infusion plan, and any imaging used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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 Fresno, CA compares for 64446

Across 109 of 109 payment localities, the facility rate for 64446 runs from $66.98 in Wisconsin to $97.68 in Alaska. Fresno, CA pays $70.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64446 rates by state

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

See 64446 in every payment locality

How the 64446 rate is calculated

Each of 64446’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.

Payment rules and modifiers for 64446

The CMS indicators that decide how 64446 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64446

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

How 64446 has changed in Fresno, CA

Price 64446 for an earlier date of service

Where the Fresno, CA rate applies

Fresno, CA is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Fresno
• Auberry
• Big Creek
• Biola
• Bowles
• Calwa
• Cantua Creek
• Caruthers

Browse all communities in California

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

Open CMS sourceHow we calculate rates