CPT code 64463: Paravertebral block, thoracic continuous infusion2026 Medicare rate & RVUs in Houston, TX

In Houston, TX, Medicare pays $265.33 for 64463 in the office and $78.93 when it’s performed in a hospital or facility.

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.

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 Houston, TX 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. Houston, TX pays $265.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64463 rates by state

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

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.

Payment rules and modifiers for 64463

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

What modifiers do to the payment

When to use modifier 50

Codes related to 64463

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

How 64463 has changed in Houston, TX

Price 64463 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 64463 in Houston · multiple payment areas
• Aldine
• Atascocita
• Barrett
• 64463 in Baytown · multiple payment areas
• Bellaire
• Bunker Hill Village
• Channelview

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