CPT code 64467: Thoracic plane block, unilateral, NFS service2026 Medicare rate & RVUs in North Carolina

Reports a unilateral thoracic fascial plane block, such as an erector spinae or serratus anterior plane block, in the circumstances designated by this code.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Carolina, Medicare pays $254.03 for 64467 in the office and $68.61 when it’s performed in a hospital or facility.

$254.03Office (non-facility)
$68.61Hospital or facility
−5.9%vs the national office rate ($269.88)

Check a contract rate as a % of Medicare · 64467 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 64467 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 64467 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 64467 covers

This code represents a block delivered into a fascial plane in the thoracic region on one side. Thoracic plane blocks, including erector spinae and serratus anterior plane approaches, are used to provide regional analgesia for chest-wall or thoracic procedures and pain. Anesthesia and pain-management clinicians commonly perform them in operating rooms, procedural areas, or other settings where regional blocks are provided. Imaging guidance may be used as part of the block service when performed.

Select this unilateral code only when the documented thoracic block and service circumstance match the code; distinguish it from 64466, the unilateral injection code, and from the bilateral code options. Record the block approach, side, medication delivery, and clinical purpose. CMS 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 other procedures are subject to the standard 50% reduction. CMS lists bilateral payment with modifier 50 at 150%. 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 North Carolina compares for 64467

Across 109 of 109 payment localities, the office rate for 64467 runs from $237.99 in Arkansas to $365.47 in San Benito County, CA. North Carolina pays $254.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

64467 in North Carolina vs other payment areas
  1. North Carolina · this page$254.03
  2. Los Angeles, CA · California$308.43+$54.40
  3. Washington, DC area · District of Columbia$310.53+$56.50
  4. Miami, FL · Florida$286.57+$32.54
  5. Chicago, IL · Illinois$278.24+$24.21
  6. Manhattan, NY · New York$310.30+$56.27
  7. Alaska · Alaska$309.37+$55.34

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

64467 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$241.59$67.70
ArkansasArkansas$237.99$67.28
ArizonaArizona$262.67$70.09
Bakersfield, CACalifornia$288.81$71.00
Chico, CACalifornia$288.31$70.50
El Centro, CACalifornia$288.34$70.52
Fresno, CACalifornia$288.31$70.50
Hanford, CACalifornia$288.31$70.50

64467 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.

$237.99

$326.89

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

View every state and territory as a table
64467 office rate range by state
State / territoryOffice rate rangeLocalities
AK$309.371
AL$241.591
AR$237.991
AZ$262.671
CA$288.31–$365.4729
CO$282.691
CT$288.131
DC$310.531
DE$267.131
FL$263.43–$286.573
GA$248.47–$274.452
GU$296.091
HI$296.091
IA$249.001
ID$250.441
IL$254.81–$280.014
IN$251.971
KS$247.281
KY$246.361
LA$245.76–$258.352
MA$280.71–$311.922
MD$272.50–$310.533
ME$251.24–$266.042
MI$252.49–$266.272
MN$272.141
MO$241.07–$259.923
MS$239.611
MT$269.871
NC$254.031
ND$266.701
NE$250.561
NH$277.731
NJ$291.78–$307.062
NM$253.711
NV$269.191
NY$257.90–$317.365
OH$251.851
OK$246.461
OR$267.46–$292.482
PA$252.55–$280.452
PR$272.081
RI$277.241
SC$253.291
SD$266.331
TN$248.501
TX$250.80–$281.438
UT$256.871
VA$264.78–$310.532
VI$272.081
VT$265.161
WA$280.35–$318.902
WI$257.461
WV$244.971
WY$268.491

See 64467 in every payment locality

How the 64467 rate is calculated

Each of 64467’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 · 64467

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.70

1.70 RVUs× 1.000 GPCI

Practice expense6.22

6.22 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

8.0800

Conversion factor

$33.4009

Medicare rate

$269.88

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,121

Code
64467
Physician work
1.70
Practice expense
6.22
Malpractice
0.16

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 64467 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.70× 1.0001.7000
Practice expense6.22× 0.9335.8033
Malpractice0.16× 0.6390.1022
Total RVUs7.6055
Conversion factor× 33.4009

Office rate, North Carolina$254.03

Office: (1.7 × 1 + 6.22 × 0.933 + 0.16 × 0.639) × $33.4009 = $254.03

Facility: (1.7 × 1 + 0.27 × 0.933 + 0.16 × 0.639) × $33.4009 = $68.61

Open 64467 in the RVU calculator

Payment rules and modifiers for 64467

The CMS indicators that decide how 64467 is paid alongside other services.

CMS payment indicators · 64467

Thoracic plane block, unilateral, NFS service

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

64467 without 50 · national office

$269.88

Thoracic plane block, unilateral, NFS service

64467-50 · Bilateral: 150%

$404.82

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 64467 has changed in North Carolina

64467 · Office / nonfacility

$254.03

Effective 2026-10-01

The base rate is $45.74 higher than on 2025-10-01, moving from $208.29 to $254.03 (22.0%).

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

    $208.29changed to$254.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.74 changed to 1.70
    • Practice expense RVU 4.96 changed to 6.22
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$208.29

    Held through RVU25B, RVU25C, RVU25D.

  3. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$254.03$68.61RVU26D
2026-07-01$254.03$68.61RVU26C
2026-04-01$254.03$68.61RVU26B
2026-01-01$254.03$68.61RVU26A
2025-10-01$208.29$70.81RVU25D
2025-07-01$208.29$70.81RVU25C
2025-04-01$208.29$70.81RVU25B
2025-01-01$208.29$70.81RVU25A
2024-10-01Not in this releaseNot in this releaseRVU24D
2024-07-01Not in this releaseNot in this releaseRVU24C
2024-04-01Not in this releaseNot in this releaseRVU24B
2024-03-09Not in this releaseNot in this releaseRVU24AR
2024-01-01Not in this releaseNot in this releaseRVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
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 64467 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

64467 billing questions

How does 64467 differ from 64466?

Both describe a unilateral thoracic fascial plane block, but 64466 is the injection code. Use 64467 only when the documented service meets its distinct NFS designation.

Which thoracic blocks can be represented by this code?

Thoracic fascial plane approaches include erector spinae and serratus anterior plane blocks. Documentation should identify the approach, thoracic site, and side.

Can the block be reported with the related surgical procedure?

A same-session block and another procedure may be subject to CMS's multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.

What does CMS specify for bilateral reporting?

CMS lists bilateral payment with modifier 50 at 150%. The code family also has bilateral counterparts, so distinguish the documented bilateral service from a unilateral block.

What should the record support?

Document the thoracic fascial plane approach, side, medication delivery, and clinical purpose, along with the details that establish the service's NFS designation.

Can an assistant or co-surgeon be reported?

CMS restricts assistant-at-surgery payment for this code. 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 64467PPRRVU2026_Oct_nonQPP.csv, line 7,121 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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