CPT code 64466: Thoracic block, unilateral injection2026 Medicare rate & RVUs in Colorado
Reports a single-injection anesthetic block in a thoracic fascial plane on one side, often for chest-wall pain control around breast or thoracic surgery.
In Colorado, Medicare pays $147.18 for 64466 in the office and $61.53 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64466 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64466 covers
This code describes an anesthetic injection into a fascial plane in the thoracic region on one side. An anesthesiologist or other qualified clinician may perform the block for chest-wall pain control around breast or thoracic surgery. The operative or anesthesia record should identify the side, target plane, injection technique, and clinical purpose so the service can be distinguished from a thoracic paravertebral block or a catheter infusion.
Report 64466 for the unilateral injection service, not for a continuous infusion through a catheter; the latter has a separate family code. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS identifies bilateral payment at 150% with modifier 50; the family also has a separate bilateral injection code, 64468, so select the descriptor that matches the service. Assistant-at-surgery payment is restricted, and 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 Colorado compares for 64466
Across 109 of 109 payment localities, the office rate for 64466 runs from $127.21 in Arkansas to $184.27 in San Benito County, CA. Colorado pays $147.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$147.18
- Los Angeles, CA · California$158.58+$11.40
- Washington, DC area · District of Columbia$160.87+$13.69
- Miami, FL · Florida$152.73+$5.55
- Chicago, IL · Illinois$148.79+$1.61
- Manhattan, NY · New York$162.15+$14.97
- Alaska · Alaska$169.99+$22.81
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $128.86 | $58.43 |
| ArkansasArkansas | $127.21 | $58.06 |
| ArizonaArizona | $138.54 | $60.54 |
| Bakersfield, CACalifornia | $149.55 | $61.33 |
| Chico, CACalifornia | $149.11 | $60.89 |
| El Centro, CACalifornia | $149.13 | $60.91 |
| Fresno, CACalifornia | $149.11 | $60.89 |
| Hanford, CACalifornia | $149.11 | $60.89 |
| Madera, CACalifornia | $149.11 | $60.89 |
| Merced, CACalifornia | $149.11 | $60.89 |
| Modesto, CACalifornia | $149.11 | $60.89 |
| Napa, CACalifornia | $170.87 | $64.78 |
| Oxnard, CACalifornia | $157.67 | $62.52 |
| Redding, CACalifornia | $149.11 | $60.89 |
| Rest of CaliforniaCalifornia | $149.11 | $60.89 |
| Riverside, CACalifornia | $150.64 | $62.42 |
| Sacramento, CACalifornia | $155.97 | $62.35 |
| Salinas, CACalifornia | $155.37 | $62.07 |
| San Diego, CACalifornia | $158.62 | $62.35 |
| Marin County, CACalifornia | $180.35 | $66.85 |
| San Francisco, CACalifornia | $180.19 | $66.69 |
| San Benito County, CACalifornia | $184.27 | $68.20 |
| Santa Clara County, CACalifornia | $183.62 | $67.55 |
| San Luis Obispo, CACalifornia | $152.92 | $61.23 |
| Santa Cruz, CACalifornia | $159.84 | $62.04 |
| Santa Maria, CACalifornia | $155.84 | $61.98 |
| Santa Rosa, CACalifornia | $161.43 | $62.58 |
| Stockton, CACalifornia | $149.11 | $60.89 |
| Vallejo, CACalifornia | $170.64 | $64.55 |
| Visalia, CACalifornia | $149.11 | $60.89 |
| Yuba City, CACalifornia | $149.11 | $60.89 |
| ConnecticutConnecticut | $150.73 | $64.03 |
| DelawareDelaware | $140.66 | $61.13 |
| Fort Lauderdale, FLFlorida | $146.88 | $65.34 |
| Rest of FloridaFlorida | $140.41 | $63.46 |
| Atlanta, GAGeorgia | $144.46 | $62.67 |
| Rest of GeorgiaGeorgia | $133.29 | $61.49 |
| Hawaii, Guam, HIHawaii | $152.11 | $60.59 |
| IowaIowa | $131.61 | $57.96 |
| IdahoIdaho | $132.41 | $58.35 |
| East St. Louis, ILIllinois | $139.61 | $65.56 |
| Rest of IllinoisIllinois | $136.89 | $63.39 |
| Suburban Chicago, ILIllinois | $148.29 | $65.63 |
| IndianaIndiana | $133.09 | $58.47 |
| KansasKansas | $131.14 | $58.37 |
| KentuckyKentucky | $131.73 | $60.17 |
| New Orleans, LALouisiana | $137.37 | $61.62 |
| Rest of LouisianaLouisiana | $131.58 | $60.34 |
| Metropolitan Boston, MAMassachusetts | $160.61 | $64.50 |
| Rest of MassachusettsMassachusetts | $146.48 | $61.71 |
| Baltimore area, MDMaryland | $150.30 | $63.93 |
| Rest of MarylandMaryland | $143.12 | $61.66 |
| Rest of MaineMaine | $133.11 | $59.05 |
| Southern Maine, MEMaine | $139.43 | $59.66 |
| Detroit, MIMichigan | $142.06 | $64.38 |
| Rest of MichiganMichigan | $134.86 | $61.36 |
| MinnesotaMinnesota | $141.23 | $58.40 |
| Metropolitan Kansas City, MOMissouri | $136.45 | $60.86 |
| Metropolitan St. Louis, MOMissouri | $137.71 | $61.08 |
| Rest of MissouriMissouri | $129.62 | $60.23 |
| MississippiMississippi | $128.43 | $59.12 |
| MontanaMontana | $141.94 | $61.45 |
| North CarolinaNorth Carolina | $134.34 | $59.23 |
| North DakotaNorth Dakota | $139.18 | $58.68 |
| NebraskaNebraska | $132.23 | $57.93 |
| New HampshireNew Hampshire | $145.00 | $61.20 |
| Northern New JerseyNew Jersey | $159.51 | $66.13 |
| Rest of New JerseyNew Jersey | $152.50 | $64.60 |
| New MexicoNew Mexico | $135.55 | $61.73 |
| NevadaNevada | $141.26 | $60.68 |
| NYC suburbs and Long Island, NYNew York | $165.81 | $70.10 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $153.54 | $65.40 |
| Queens, NYNew York | $163.25 | $68.10 |
| Rest of New YorkNew York | $136.14 | $59.67 |
| OhioOhio | $134.29 | $60.80 |
| OklahomaOklahoma | $131.44 | $59.56 |
| Portland, OROregon | $151.36 | $61.93 |
| Rest of OregonOregon | $140.21 | $60.04 |
| Metropolitan Philadelphia, PAPennsylvania | $147.36 | $63.57 |
| Rest of PennsylvaniaPennsylvania | $134.44 | $60.54 |
| Puerto RicoPuerto Rico | $142.86 | $61.48 |
| Rhode IslandRhode Island | $145.30 | $62.14 |
| South CarolinaSouth Carolina | $134.53 | $60.15 |
| South DakotaSouth Dakota | $138.85 | $58.35 |
| TennesseeTennessee | $131.73 | $58.56 |
| Austin, TXTexas | $146.65 | $61.49 |
| Beaumont, TXTexas | $133.66 | $60.40 |
| Brazoria, TXTexas | $140.52 | $60.75 |
| Dallas, TXTexas | $141.37 | $61.20 |
| Fort Worth, TXTexas | $140.55 | $61.18 |
| Galveston, TXTexas | $140.92 | $60.99 |
| Houston, TXTexas | $143.48 | $63.55 |
| Rest of TexasTexas | $136.99 | $60.60 |
| UtahUtah | $136.17 | $60.50 |
| VirginiaVirginia | $139.07 | $59.95 |
| Virgin Islands, VIUnited States Virgin Islands | $142.86 | $61.48 |
| VermontVermont | $138.76 | $59.07 |
| Rest of WashingtonWashington | $146.16 | $61.40 |
| King County, WAWashington | $163.63 | $64.86 |
| WisconsinWisconsin | $135.00 | $57.89 |
| West VirginiaWest Virginia | $132.37 | $62.42 |
| WyomingWyoming | $140.74 | $60.24 |
64466 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.
$127.21
$169.99
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $169.99 | 1 |
| AL | $128.86 | 1 |
| AR | $127.21 | 1 |
| AZ | $138.54 | 1 |
| CA | $149.11–$184.27 | 29 |
| CO | $147.18 | 1 |
| CT | $150.73 | 1 |
| DC | $160.87 | 1 |
| DE | $140.66 | 1 |
| FL | $140.41–$152.73 | 3 |
| GA | $133.29–$144.46 | 2 |
| GU | $152.11 | 1 |
| HI | $152.11 | 1 |
| IA | $131.61 | 1 |
| ID | $132.41 | 1 |
| IL | $136.89–$148.79 | 4 |
| IN | $133.09 | 1 |
| KS | $131.14 | 1 |
| KY | $131.73 | 1 |
| LA | $131.58–$137.37 | 2 |
| MA | $146.48–$160.61 | 2 |
| MD | $143.12–$160.87 | 3 |
| ME | $133.11–$139.43 | 2 |
| MI | $134.86–$142.06 | 2 |
| MN | $141.23 | 1 |
| MO | $129.62–$137.71 | 3 |
| MS | $128.43 | 1 |
| MT | $141.94 | 1 |
| NC | $134.34 | 1 |
| ND | $139.18 | 1 |
| NE | $132.23 | 1 |
| NH | $145.00 | 1 |
| NJ | $152.50–$159.51 | 2 |
| NM | $135.55 | 1 |
| NV | $141.26 | 1 |
| NY | $136.14–$165.81 | 5 |
| OH | $134.29 | 1 |
| OK | $131.44 | 1 |
| OR | $140.21–$151.36 | 2 |
| PA | $134.44–$147.36 | 2 |
| PR | $142.86 | 1 |
| RI | $145.30 | 1 |
| SC | $134.53 | 1 |
| SD | $138.85 | 1 |
| TN | $131.73 | 1 |
| TX | $133.66–$146.65 | 8 |
| UT | $136.17 | 1 |
| VA | $139.07–$160.87 | 2 |
| VI | $142.86 | 1 |
| VT | $138.76 | 1 |
| WA | $146.16–$163.63 | 2 |
| WI | $135.00 | 1 |
| WV | $132.37 | 1 |
| WY | $140.74 | 1 |
How the 64466 rate is calculated
Each of 64466’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 · 64466
RVUs × geographic indexes × conversion factor
Work1.46
1.46 RVUs× 1.000 GPCI
Practice expense2.65
2.65 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
4.2500
Conversion factor
$33.4009
Medicare rate
$141.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,120
- Code
- 64466
- Physician work
- 1.46
- Practice expense
- 2.65
- Malpractice
- 0.14
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.012 | 1.4775 |
| Practice expense | 2.65 | × 1.064 | 2.8196 |
| Malpractice | 0.14 | × 0.781 | 0.1093 |
| Total RVUs | 4.4065 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Colorado$147.18
Office: (1.46 × 1.012 + 2.65 × 1.064 + 0.14 × 0.781) × $33.4009 = $147.18
Facility: (1.46 × 1.012 + 0.24 × 1.064 + 0.14 × 0.781) × $33.4009 = $61.53
Payment rules and modifiers for 64466
The CMS indicators that decide how 64466 is paid alongside other services.
CMS payment indicators · 64466
Thoracic block, unilateral injection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64466 without 50 · national office
$141.95
Thoracic block, unilateral injection
64466-50 · Bilateral: 150%
$212.93
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).
How 64466 has changed in Colorado
64466 · Office / nonfacility
$147.18
Effective 2026-10-01
The base rate is $24.09 higher than on 2025-10-01, moving from $123.09 to $147.18 (19.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$123.09changed to$147.18
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.50 changed to 1.46
- Practice expense RVU 2.06 changed to 2.65
- Malpractice RVU 0.15 changed to 0.14
- Work GPCI 1.008 changed to 1.012
- Practice expense GPCI 1.053 changed to 1.064
- Malpractice GPCI 0.827 changed to 0.781
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
No ratechanged to$123.09
Held through RVU25B, RVU25C, RVU25D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $147.18 | $61.53 | RVU26D |
| 2026-07-01 | $147.18 | $61.53 | RVU26C |
| 2026-04-01 | $147.18 | $61.53 | RVU26B |
| 2026-01-01 | $147.18 | $61.53 | RVU26A |
| 2025-10-01 | $123.09 | $63.82 | RVU25D |
| 2025-07-01 | $123.09 | $63.82 | RVU25C |
| 2025-04-01 | $123.09 | $63.82 | RVU25B |
| 2025-01-01 | $123.09 | $63.82 | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
64466 billing questions
How is 64466 different from 64467?
64466 is for a unilateral injection. Use 64467 for a unilateral thoracic fascial plane block performed as a continuous infusion by catheter.
How should a bilateral thoracic injection be reported?
CMS lists bilateral payment at 150% with modifier 50. The code family also has 64468 for a bilateral injection, so choose the code and modifier combination that matches the documented service and applicable CPT instructions.
Is same-day postoperative care separately included?
No. The 0-day global period includes same-day preoperative and postoperative care.
What documentation supports 64466?
Document the thoracic fascial plane targeted, the unilateral site, the injection technique, and the reason for the block. The record should support an injection rather than a catheter-based continuous infusion.
Can an assistant or co-surgeon be reported for this service?
CMS restricts assistant-at-surgery payment for 64466. 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
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