CPT code 64469: Thoracic plane block, bilateral continuous catheter2026 Medicare rate & RVUs in Mississippi

Reports bilateral thoracic fascial plane analgesia delivered by continuous catheter infusion, including catheter placement, for perioperative or other pain management.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $366.76 for 64469 in the office and $71.99 when it’s performed in a hospital or facility.

$366.76Office (non-facility)
$71.99Hospital or facility
−12.1%vs the national office rate ($417.18)

Check a contract rate as a % of Medicare · 64469 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 64469 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 64469 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 64469 covers

This service establishes continuous local anesthetic delivery through catheters placed in thoracic fascial planes on both sides. Anesthesiologists and other qualified pain-management clinicians may use it for analgesia involving the chest wall, including around thoracic or breast procedures. Imaging guidance may be used when appropriate. The continuous catheter technique distinguishes this service from a block delivered as a single injection.

Report the bilateral continuous-infusion service when documentation supports catheter placement and ongoing infusion on both sides. The code is priced as bilateral, so modifier 50 does not increase payment. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted; 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 Mississippi compares for 64469

Across 109 of 109 payment localities, the office rate for 64469 runs from $364.78 in Arkansas to $576.69 in San Benito County, CA. Mississippi pays $366.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

64469 in Mississippi vs other payment areas
  1. Mississippi · this page$366.76
  2. Los Angeles, CA · California$482.13+$115.37
  3. Washington, DC area · District of Columbia$483.69+$116.93
  4. Miami, FL · Florida$440.29+$73.53
  5. Chicago, IL · Illinois$426.71+$59.95
  6. Manhattan, NY · New York$481.34+$114.58
  7. Alaska · Alaska$467.24+$100.48

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

Every other payment area

64469 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$370.71$71.14
ArkansasArkansas$364.78$70.70
ArizonaArizona$405.45$73.70
Bakersfield, CACalifornia$449.88$74.66
Chico, CACalifornia$449.35$74.12
El Centro, CACalifornia$449.38$74.15
Fresno, CACalifornia$449.35$74.12
Hanford, CACalifornia$449.35$74.12

64469 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.

$364.78

$513.02

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

View every state and territory as a table
64469 office rate range by state
State / territoryOffice rate rangeLocalities
AK$467.241
AL$370.711
AR$364.781
AZ$405.451
CA$449.35–$576.6929
CO$439.181
CT$446.671
DC$483.691
DE$412.681
FL$404.54–$440.293
GA$380.25–$424.132
GU$463.021
HI$463.021
IA$383.831
ID$386.021
IL$389.75–$431.484
IN$388.561
KS$380.561
KY$377.621
LA$376.45–$397.182
MA$435.63–$487.292
MD$421.53–$483.693
ME$386.87–$411.912
MI$387.28–$408.752
MN$423.391
MO$368.45–$400.293
MS$366.761
MT$417.171
NC$391.541
ND$413.801
NE$386.541
NH$430.901
NJ$452.49–$477.642
NM$389.101
NV$416.581
NY$397.89–$492.395
OH$386.591
OK$378.241
OR$414.08–$455.752
PA$388.00–$433.782
PR$420.961
RI$429.311
SC$389.571
SD$413.411
TN$382.511
TX$385.09–$437.078
UT$395.481
VA$409.52–$483.692
VI$420.961
VT$410.851
WA$435.25–$499.032
WI$398.461
WV$373.511
WY$415.701

See 64469 in every payment locality

How the 64469 rate is calculated

Each of 64469’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 · 64469

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.78

1.78 RVUs× 1.000 GPCI

Practice expense10.54

10.54 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

12.4900

Conversion factor

$33.4009

Medicare rate

$417.18

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,123

Code
64469
Physician work
1.78
Practice expense
10.54
Malpractice
0.17

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 64469 in Mississippi
ComponentRVULocality factorAdjusted
Physician work1.78× 1.0001.7800
Practice expense10.54× 0.8619.0749
Malpractice0.17× 0.7390.1256
Total RVUs10.9806
Conversion factor× 33.4009

Office rate, Mississippi$366.76

Office: (1.78 × 1 + 10.54 × 0.861 + 0.17 × 0.739) × $33.4009 = $366.76

Facility: (1.78 × 1 + 0.29 × 0.861 + 0.17 × 0.739) × $33.4009 = $71.99

Open 64469 in the RVU calculator

Payment rules and modifiers for 64469

The CMS indicators that decide how 64469 is paid alongside other services.

CMS payment indicators · 64469

Thoracic plane block, bilateral continuous catheter

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)2Already bilateral by definition: paid once at 100%.
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 51 · payment effect

With and without the modifier

64469 without 51 · national office

$417.18

Thoracic plane block, bilateral continuous catheter

64469-51 · Second procedure: 50%

$208.59

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 64469 has changed in Mississippi

64469 · Office / nonfacility

$366.76

Effective 2026-10-01

The base rate is $69.89 higher than on 2025-10-01, moving from $296.87 to $366.76 (23.5%).

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

    $296.87changed to$366.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.83 changed to 1.78
    • Practice expense RVU 8.48 changed to 10.54
    • Malpractice RVU 0.16 changed to 0.17
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$296.87

    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$366.76$71.99RVU26D
2026-07-01$366.76$71.99RVU26C
2026-04-01$366.76$71.99RVU26B
2026-01-01$366.76$71.99RVU26A
2025-10-01$296.87$73.92RVU25D
2025-07-01$296.87$73.92RVU25C
2025-04-01$296.87$73.92RVU25B
2025-01-01$296.87$73.92RVU25A
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 64469 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

64469 billing questions

How does this differ from 64468?

64469 represents bilateral thoracic fascial plane catheters for continuous infusion. 64468 is the corresponding bilateral single-injection service.

Should modifier 50 be appended?

The code is already priced as bilateral, and modifier 50 does not increase payment. Document that the service was performed on both sides.

What supports reporting the continuous-infusion service?

The record should identify bilateral catheter placement and the plan for continuous infusion. A single injection without continuous catheter delivery points to the single-injection code instead.

Is same-day postoperative care separately included?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

How does CMS handle another procedure performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.

Can an assistant, co-surgeon, or surgical team be paid for this service?

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 64469PPRRVU2026_Oct_nonQPP.csv, line 7,123 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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