CPT code 64461: Paravertebral block, thoracic, single site2026 Medicare rate & RVUs in Fort Worth, TX

In Fort Worth, TX, Medicare pays $148.24 for 64461 in the office and $71.51 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64461 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 64461 covers

This service is a single-injection thoracic paravertebral nerve block using anesthetic medication, with or without steroid, to reduce pain in the relevant thoracic distribution. Anesthesiologists and acute pain or pain-management clinicians commonly perform it around thoracic procedures, including thoracotomy, or breast surgery. Imaging guidance may be used to place the injection and is included in the service. The block may be performed in an operating room or another procedural setting.

Select this code for one thoracic paravertebral injection site; report 64462 for each additional site when applicable. Document the indication, laterality, site count, medication, and guidance used. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral performance, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 Fort Worth, TX compares for 64461

Across 109 of 109 payment localities, the office rate for 64461 runs from $134.75 in Arkansas to $191.97 in San Benito County, CA. Fort Worth, TX pays $148.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64461 rates by state

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

See 64461 in every payment locality

How the 64461 rate is calculated

Each of 64461’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 64461

The CMS indicators that decide how 64461 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64461

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

How 64461 has changed in Fort Worth, TX

Price 64461 for an earlier date of service

Where the Fort Worth, TX rate applies

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

• 64461 in Fort Worth · multiple payment areas
• Arlington
• 64461 in Azle · multiple payment areas
• Bedford
• Benbrook
• Blue Mound
• 64461 in Briar · multiple payment areas
• 64461 in Burleson · multiple payment areas

Browse all communities in Texas

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