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.
In North Carolina, Medicare pays $254.03 for 64467 in the office and $68.61 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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.
- North Carolina · this page$254.03
- Los Angeles, CA · California$308.43+$54.40
- Washington, DC area · District of Columbia$310.53+$56.50
- Miami, FL · Florida$286.57+$32.54
- Chicago, IL · Illinois$278.24+$24.21
- Manhattan, NY · New York$310.30+$56.27
- Alaska · Alaska$309.37+$55.34
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $288.31 | $70.50 |
| Merced, CACalifornia | $288.31 | $70.50 |
| Modesto, CACalifornia | $288.31 | $70.50 |
| Napa, CACalifornia | $336.89 | $74.96 |
| Oxnard, CACalifornia | $307.27 | $72.36 |
| Redding, CACalifornia | $288.31 | $70.50 |
| Rest of CaliforniaCalifornia | $288.31 | $70.50 |
| Riverside, CACalifornia | $290.06 | $72.25 |
| Sacramento, CACalifornia | $303.31 | $72.18 |
| Salinas, CACalifornia | $302.19 | $71.86 |
| San Diego, CACalifornia | $309.85 | $72.17 |
| Marin County, CACalifornia | $357.56 | $77.34 |
| San Francisco, CACalifornia | $357.38 | $77.16 |
| San Benito County, CACalifornia | $365.47 | $78.90 |
| Santa Clara County, CACalifornia | $364.73 | $78.15 |
| San Luis Obispo, CACalifornia | $297.24 | $70.88 |
| Santa Cruz, CACalifornia | $313.26 | $71.80 |
| Santa Maria, CACalifornia | $303.48 | $71.75 |
| Santa Rosa, CACalifornia | $316.47 | $72.42 |
| Stockton, CACalifornia | $288.31 | $70.50 |
| Vallejo, CACalifornia | $336.63 | $74.70 |
| Visalia, CACalifornia | $288.31 | $70.50 |
| Yuba City, CACalifornia | $288.31 | $70.50 |
| ColoradoColorado | $282.69 | $71.23 |
| ConnecticutConnecticut | $288.13 | $74.10 |
| DelawareDelaware | $267.13 | $70.78 |
| Fort Lauderdale, FLFlorida | $276.90 | $75.58 |
| Rest of FloridaFlorida | $263.43 | $73.44 |
| Atlanta, GAGeorgia | $274.45 | $72.53 |
| Rest of GeorgiaGeorgia | $248.47 | $71.20 |
| Hawaii, Guam, HIHawaii | $296.09 | $70.13 |
| IowaIowa | $249.00 | $67.15 |
| IdahoIdaho | $250.44 | $67.61 |
| East St. Louis, ILIllinois | $258.68 | $75.84 |
| Rest of IllinoisIllinois | $254.81 | $73.37 |
| Suburban Chicago, ILIllinois | $280.01 | $75.91 |
| IndianaIndiana | $251.97 | $67.74 |
| KansasKansas | $247.28 | $67.63 |
| KentuckyKentucky | $246.36 | $69.69 |
| New Orleans, LALouisiana | $258.35 | $71.34 |
| Rest of LouisianaLouisiana | $245.76 | $69.88 |
| Metropolitan Boston, MAMassachusetts | $311.92 | $74.63 |
| Rest of MassachusettsMassachusetts | $280.71 | $71.45 |
| Baltimore area, MDMaryland | $287.22 | $73.98 |
| Rest of MarylandMaryland | $272.50 | $71.38 |
| Rest of MaineMaine | $251.24 | $68.40 |
| Southern Maine, MEMaine | $266.04 | $69.09 |
| Detroit, MIMichigan | $266.27 | $74.49 |
| Rest of MichiganMichigan | $252.49 | $71.05 |
| MinnesotaMinnesota | $272.14 | $67.64 |
| Metropolitan Kansas City, MOMissouri | $257.08 | $70.47 |
| Metropolitan St. Louis, MOMissouri | $259.92 | $70.72 |
| Rest of MissouriMissouri | $241.07 | $69.76 |
| MississippiMississippi | $239.61 | $68.50 |
| MontanaMontana | $269.87 | $71.13 |
| North DakotaNorth Dakota | $266.70 | $67.97 |
| NebraskaNebraska | $250.56 | $67.13 |
| New HampshireNew Hampshire | $277.73 | $70.85 |
| Northern New JerseyNew Jersey | $307.06 | $76.53 |
| Rest of New JerseyNew Jersey | $291.78 | $74.76 |
| New MexicoNew Mexico | $253.71 | $71.47 |
| NevadaNevada | $269.19 | $70.26 |
| NYC suburbs and Long Island, NYNew York | $317.36 | $81.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $293.29 | $75.68 |
| Queens, NYNew York | $313.69 | $78.78 |
| Rest of New YorkNew York | $257.90 | $69.11 |
| OhioOhio | $251.85 | $70.40 |
| OklahomaOklahoma | $246.46 | $68.99 |
| Portland, OROregon | $292.48 | $71.69 |
| Rest of OregonOregon | $267.46 | $69.52 |
| Metropolitan Philadelphia, PAPennsylvania | $280.45 | $73.57 |
| Rest of PennsylvaniaPennsylvania | $252.55 | $70.11 |
| Puerto RicoPuerto Rico | $272.08 | $71.16 |
| Rhode IslandRhode Island | $277.24 | $71.94 |
| South CarolinaSouth Carolina | $253.29 | $69.66 |
| South DakotaSouth Dakota | $266.33 | $67.60 |
| TennesseeTennessee | $248.50 | $67.85 |
| Austin, TXTexas | $281.43 | $71.17 |
| Beaumont, TXTexas | $250.80 | $69.95 |
| Brazoria, TXTexas | $267.29 | $70.34 |
| Dallas, TXTexas | $268.80 | $70.86 |
| Fort Worth, TXTexas | $266.79 | $70.84 |
| Galveston, TXTexas | $267.96 | $70.62 |
| Houston, TXTexas | $270.89 | $73.54 |
| Rest of TexasTexas | $258.77 | $70.17 |
| UtahUtah | $256.87 | $70.06 |
| VirginiaVirginia | $264.78 | $69.42 |
| Virgin Islands, VIUnited States Virgin Islands | $272.08 | $71.16 |
| VermontVermont | $265.16 | $68.41 |
| Rest of WashingtonWashington | $280.35 | $71.08 |
| King County, WAWashington | $318.90 | $75.05 |
| WisconsinWisconsin | $257.46 | $67.07 |
| West VirginiaWest Virginia | $244.97 | $72.27 |
| WyomingWyoming | $268.49 | $69.75 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $309.37 | 1 |
| AL | $241.59 | 1 |
| AR | $237.99 | 1 |
| AZ | $262.67 | 1 |
| CA | $288.31–$365.47 | 29 |
| CO | $282.69 | 1 |
| CT | $288.13 | 1 |
| DC | $310.53 | 1 |
| DE | $267.13 | 1 |
| FL | $263.43–$286.57 | 3 |
| GA | $248.47–$274.45 | 2 |
| GU | $296.09 | 1 |
| HI | $296.09 | 1 |
| IA | $249.00 | 1 |
| ID | $250.44 | 1 |
| IL | $254.81–$280.01 | 4 |
| IN | $251.97 | 1 |
| KS | $247.28 | 1 |
| KY | $246.36 | 1 |
| LA | $245.76–$258.35 | 2 |
| MA | $280.71–$311.92 | 2 |
| MD | $272.50–$310.53 | 3 |
| ME | $251.24–$266.04 | 2 |
| MI | $252.49–$266.27 | 2 |
| MN | $272.14 | 1 |
| MO | $241.07–$259.92 | 3 |
| MS | $239.61 | 1 |
| MT | $269.87 | 1 |
| NC | $254.03 | 1 |
| ND | $266.70 | 1 |
| NE | $250.56 | 1 |
| NH | $277.73 | 1 |
| NJ | $291.78–$307.06 | 2 |
| NM | $253.71 | 1 |
| NV | $269.19 | 1 |
| NY | $257.90–$317.36 | 5 |
| OH | $251.85 | 1 |
| OK | $246.46 | 1 |
| OR | $267.46–$292.48 | 2 |
| PA | $252.55–$280.45 | 2 |
| PR | $272.08 | 1 |
| RI | $277.24 | 1 |
| SC | $253.29 | 1 |
| SD | $266.33 | 1 |
| TN | $248.50 | 1 |
| TX | $250.80–$281.43 | 8 |
| UT | $256.87 | 1 |
| VA | $264.78–$310.53 | 2 |
| VI | $272.08 | 1 |
| VT | $265.16 | 1 |
| WA | $280.35–$318.90 | 2 |
| WI | $257.46 | 1 |
| WV | $244.97 | 1 |
| WY | $268.49 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.70 | × 1.000 | 1.7000 |
| Practice expense | 6.22 | × 0.933 | 5.8033 |
| Malpractice | 0.16 | × 0.639 | 0.1022 |
| Total RVUs | 7.6055 | ||
| 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
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
| 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
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).
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.
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
$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.
January 1, 2025
RVU25A
No ratechanged to$208.29
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 | $254.03 | $68.61 | RVU26D |
| 2026-07-01 | $254.03 | $68.61 | RVU26C |
| 2026-04-01 | $254.03 | $68.61 | RVU26B |
| 2026-01-01 | $254.03 | $68.61 | RVU26A |
| 2025-10-01 | $208.29 | $70.81 | RVU25D |
| 2025-07-01 | $208.29 | $70.81 | RVU25C |
| 2025-04-01 | $208.29 | $70.81 | RVU25B |
| 2025-01-01 | $208.29 | $70.81 | 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 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
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
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