CPT code 64448: Femoral nerve block, continuous catheter infusion2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $72.78 for 64448 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 64448 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 64448 covers

This service places a catheter by the femoral nerve and delivers anesthetic continuously for regional pain control. Anesthesiologists and pain physicians commonly perform it around knee or other lower-extremity surgery, often in a hospital or ambulatory surgery setting. The service differs from a one-time femoral nerve injection because the catheter supports ongoing infusion; imaging guidance is included in the code when performed.

Report the service when the record supports femoral nerve targeting, catheter placement, and a continuous infusion plan. Document the indication, laterality, procedure details, and infusion regimen. The code 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 Washington, DC area compares for 64448

Across 109 of 109 payment localities, the facility rate for 64448 runs from $64.22 in Wisconsin to $93.64 in Alaska. Washington, DC area pays $72.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64448 rates by state

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

See 64448 in every payment locality

How the 64448 rate is calculated

Each of 64448’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 64448

The CMS indicators that decide how 64448 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64448

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

How 64448 has changed in Washington, DC area

Price 64448 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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