CPT code 64463: Paravertebral block, thoracic continuous infusion2026 Medicare rate & RVUs in New Mexico

Reports a thoracic paravertebral block using a catheter for continuous anesthetic infusion, commonly to provide perioperative pain control after chest or breast surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality815 Medicare services in 2024

In New Mexico, Medicare pays $248.92 for 64463 in the office and $76.79 when it’s performed in a hospital or facility.

$248.92Office (non-facility)
$76.79Hospital or facility
−5.8%vs the national office rate ($264.20)

Check a contract rate as a % of Medicare · 64463 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 64463 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 64463 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 64463 covers

Code 64463 reports a thoracic paravertebral block performed with a catheter for continuous anesthetic infusion. The catheter delivers medication near the thoracic spinal nerves beside the vertebral column. Anesthesiologists and pain medicine physicians commonly perform the block for perioperative analgesia, including after thoracotomy or breast surgery, in an operating room or other procedural setting. Imaging guidance, when used for the block, is included.

Select this code for the continuous catheter technique rather than a single-injection thoracic block. Document the thoracic site, laterality, catheter technique, and plan for continuous infusion. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 New Mexico compares for 64463

Across 109 of 109 payment localities, the office rate for 64463 runs from $233.82 in Arkansas to $355.62 in San Benito County, CA. New Mexico pays $248.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

64463 in New Mexico vs other payment areas
  1. New Mexico · this page$248.92
  2. Los Angeles, CA · California$301.00+$52.08
  3. Washington, DC area · District of Columbia$303.22+$54.30
  4. Miami, FL · Florida$280.45+$31.53
  5. Chicago, IL · Illinois$272.54+$23.62
  6. Manhattan, NY · New York$303.21+$54.29
  7. Alaska · Alaska$305.51+$56.59

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

Every other payment area

64463 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$237.25$73.00
ArkansasArkansas$233.82$72.58
ArizonaArizona$257.32$75.43
Bakersfield, CACalifornia$282.20$76.47
Chico, CACalifornia$281.69$75.96
El Centro, CACalifornia$281.72$75.98
Fresno, CACalifornia$281.69$75.96
Hanford, CACalifornia$281.69$75.96

64463 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.

$233.82

$318.66

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
64463 office rate range by state
State / territoryOffice rate rangeLocalities
AK$305.511
AL$237.251
AR$233.821
AZ$257.321
CA$281.69–$355.6229
CO$276.381
CT$281.731
DC$303.221
DE$261.611
FL$258.22–$280.453
GA$243.94–$268.612
GU$288.951
HI$288.951
IA$244.231
ID$245.621
IL$250.07–$274.084
IN$247.071
KS$242.631
KY$241.871
LA$241.31–$253.302
MA$274.55–$304.382
MD$266.75–$303.223
ME$246.42–$260.462
MI$247.75–$260.972
MN$266.151
MO$236.87–$254.753
MS$235.411
MT$264.191
NC$249.071
ND$261.031
NE$245.701
NH$271.611
NJ$285.32–$299.992
NM$248.921
NV$263.511
NY$252.76–$309.985
OH$247.101
OK$241.921
OR$261.83–$285.702
PA$247.75–$274.422
PR$266.291
RI$271.301
SC$248.421
SD$260.651
TN$243.791
TX$246.09–$275.158
UT$251.831
VA$259.28–$303.222
VI$266.291
VT$259.591
WA$274.17–$311.052
WI$252.231
WV$240.691
WY$262.811

See 64463 in every payment locality

How the 64463 rate is calculated

Each of 64463’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 · 64463

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.85

1.85 RVUs× 1.000 GPCI

Practice expense5.90

5.90 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

7.9100

Conversion factor

$33.4009

Medicare rate

$264.20

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,119

Code
64463
Physician work
1.85
Practice expense
5.90
Malpractice
0.16

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 64463 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0001.8500
Practice expense5.90× 0.9175.4103
Malpractice0.16× 1.2010.1922
Total RVUs7.4525
Conversion factor× 33.4009

Office rate, New Mexico$248.92

Office: (1.85 × 1 + 5.9 × 0.917 + 0.16 × 1.201) × $33.4009 = $248.92

Facility: (1.85 × 1 + 0.28 × 0.917 + 0.16 × 1.201) × $33.4009 = $76.79

Open 64463 in the RVU calculator

Payment rules and modifiers for 64463

The CMS indicators that decide how 64463 is paid alongside other services.

CMS payment indicators · 64463

Paravertebral block, thoracic continuous 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

64463 without 50 · national office

$264.20

Paravertebral block, thoracic continuous infusion

64463-50 · Bilateral: 150%

$396.30

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 64463 has changed in New Mexico

64463 · Office / nonfacility

$248.92

Effective 2026-10-01

The base rate is $46.29 higher than on 2025-10-01, moving from $202.63 to $248.92 (22.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $202.63changed to$248.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.90 changed to 1.85
    • Practice expense RVU 4.60 changed to 5.90
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $213.66changed to$202.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.77 changed to 4.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $210.17changed to$213.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $220.89changed to$210.17

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.90 changed to 4.77
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $228.27changed to$220.89

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.02 changed to 4.90
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $215.90changed to$228.27

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.59 changed to 5.02
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $194.71changed to$215.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.65 changed to 4.59
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $177.45changed to$194.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.08 changed to 3.65
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $156.70changed to$177.45

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.46 changed to 3.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $163.23changed to$156.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.63 changed to 2.46
    • Malpractice RVU 0.19 changed to 0.15
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $157.49changed to$163.23

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.81 changed to 1.90
    • Practice expense RVU 2.64 changed to 2.63
    • Malpractice RVU 0.14 changed to 0.19
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$157.49

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$248.92$76.79RVU26D
2026-07-01$248.92$76.79RVU26C
2026-04-01$248.92$76.79RVU26B
2026-01-01$248.92$76.79RVU26A
2025-10-01$202.63$78.10RVU25D
2025-07-01$202.63$78.10RVU25C
2025-04-01$202.63$78.10RVU25B
2025-01-01$202.63$78.10RVU25A
2024-10-01$213.66$80.07RVU24D
2024-07-01$213.66$80.07RVU24C
2024-04-01$213.66$80.07RVU24B
2024-03-09$213.66$80.07RVU24AR
2024-01-01$210.17$78.76RVU24A
2023-10-01$220.89$81.82RVU23D
2023-07-01$220.89$81.82RVU23C
2023-04-01$220.89$81.82RVU23B
2023-01-01$220.89$81.82RVU23A
2022-10-01$228.27$83.46RVU22D
2022-07-01$228.27$83.46RVU22C
2022-04-01$228.27$83.46RVU22B
2022-01-01$228.27$83.46RVU22A
2021-10-01$215.90$83.34RVU21D
2021-07-01$215.90$83.34RVU21C
2021-04-01$215.90$83.34RVU21B
2021-01-01$215.90$83.34RVU21A
2020-10-01$194.71$86.25RVU20D
2020-07-01$194.71$86.25RVU20C
2020-04-01$194.71$86.25RVU20B
2020-01-01$194.71$86.25RVU20A
2019-10-01$177.45$87.50RVU19D
2019-07-01$177.45$87.50RVU19C
2019-04-01$177.45$87.50RVU19B
2019-01-01$177.45$87.50RVU19A
2018-10-01$156.70$89.06RVU18D
2018-07-01$156.70$89.06RVU18C
2018-04-01$156.70$89.06RVU18B
2018-01-01$156.70$89.06RVU18AR1
2017-10-01$163.23$92.25RVU17D
2017-07-01$163.23$92.25RVU17C
2017-04-01$163.23$92.25RVU17B
2017-01-01$163.23$92.25RVU17A
2016-10-01$157.49$85.76RVU16D
2016-07-01$157.49$85.76RVU16C
2016-04-01$157.49$85.76RVU16B
2016-01-01$157.49$85.76RVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 64463 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

64463 billing questions

How does 64463 differ from 64461?

64463 is for a thoracic paravertebral block using a catheter for continuous infusion. 64461 describes a single-injection thoracic paravertebral block.

Can imaging guidance be billed separately?

Imaging guidance, when used for the block, is included in 64463.

How is a bilateral block reported?

CMS identifies 64463 as a bilateral procedure; modifier 50 is paid at 150%. Document the treated sides.

What documentation supports choosing 64463?

Document the thoracic paravertebral location, laterality, catheter technique, and that the catheter is intended for continuous infusion. A single-injection technique points to a different code.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 64463. Co-surgeons and team surgery are not permitted.

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 64463PPRRVU2026_Oct_nonQPP.csv, line 7,119 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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