CPT code 64473: Fascial plane block, lower extremity, single injection2026 Medicare rate & RVUs in New Mexico

Reports a one-time unilateral anesthetic injection into a lower-extremity fascial plane for regional analgesia, including imaging guidance when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $128.20 for 64473 in the office and $55.00 when it’s performed in a hospital or facility.

$128.20Office (non-facility)
$55.00Hospital or facility
−4.8%vs the national office rate ($134.61)

Check a contract rate as a % of Medicare · 64473 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 64473 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 64473 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 64473 covers

This service covers a one-time injection of anesthetic medication, with or without steroid, into a fascial plane in the lower extremity to provide regional pain relief. Anesthesiologists, pain physicians, and other clinicians performing regional blocks may use it for perioperative analgesia or acute pain, such as pain associated with a hip fracture. Imaging guidance, when performed, is included in the block service.

Report 64473 for a unilateral, single-injection block; use the documented body site, side, medication, and technique to support the service. A catheter-based continuous infusion is a different service, not another unit of this injection code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. 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 New Mexico compares for 64473

Across 109 of 109 payment localities, the office rate for 64473 runs from $120.42 in Arkansas to $175.94 in San Benito County, CA. New Mexico pays $128.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

64473 in New Mexico vs other payment areas
  1. New Mexico · this page$128.20
  2. Los Angeles, CA · California$150.95+$22.75
  3. Washington, DC area · District of Columbia$152.88+$24.68
  4. Miami, FL · Florida$144.29+$16.09
  5. Chicago, IL · Illinois$140.54+$12.34
  6. Manhattan, NY · New York$153.82+$25.62
  7. Alaska · Alaska$160.33+$32.13

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

Every other payment area

64473 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$122.01$52.16
ArkansasArkansas$120.42$51.84
ArizonaArizona$131.34$53.98
Bakersfield, CACalifornia$142.21$54.72
Chico, CACalifornia$141.83$54.33
El Centro, CACalifornia$141.85$54.35
Fresno, CACalifornia$141.83$54.33
Hanford, CACalifornia$141.83$54.33

64473 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.

$120.42

$160.33

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

View every state and territory as a table
64473 office rate range by state
State / territoryOffice rate rangeLocalities
AK$160.331
AL$122.011
AR$120.421
AZ$131.341
CA$141.83–$175.9429
CO$139.811
CT$143.011
DC$152.881
DE$133.381
FL$132.80–$144.293
GA$126.00–$136.932
GU$144.821
HI$144.821
IA$124.811
ID$125.551
IL$129.31–$140.544
IN$126.211
KS$124.281
KY$124.631
LA$124.45–$130.032
MA$139.09–$152.812
MD$135.76–$152.883
ME$126.14–$132.352
MI$127.57–$134.322
MN$134.301
MO$122.52–$130.453
MS$121.491
MT$134.601
NC$127.341
ND$132.221
NE$125.431
NH$137.671
NJ$144.73–$151.532
NM$128.201
NV$134.021
NY$129.07–$157.255
OH$127.081
OK$124.421
OR$133.07–$143.922
PA$127.26–$139.732
PR$135.501
RI$137.871
SC$127.401
SD$131.941
TN$124.851
TX$126.51–$139.278
UT$128.991
VA$131.95–$152.882
VI$135.501
VT$131.761
WA$138.82–$155.772
WI$128.181
WV$124.961
WY$133.561

See 64473 in every payment locality

How the 64473 rate is calculated

Each of 64473’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 · 64473

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.31

1.31 RVUs× 1.000 GPCI

Practice expense2.60

2.60 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

4.0300

Conversion factor

$33.4009

Medicare rate

$134.61

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,124

Code
64473
Physician work
1.31
Practice expense
2.60
Malpractice
0.12

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 64473 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0001.3100
Practice expense2.60× 0.9172.3842
Malpractice0.12× 1.2010.1441
Total RVUs3.8383
Conversion factor× 33.4009

Office rate, New Mexico$128.20

Office: (1.31 × 1 + 2.6 × 0.917 + 0.12 × 1.201) × $33.4009 = $128.20

Facility: (1.31 × 1 + 0.21 × 0.917 + 0.12 × 1.201) × $33.4009 = $55.00

Open 64473 in the RVU calculator

Payment rules and modifiers for 64473

The CMS indicators that decide how 64473 is paid alongside other services.

CMS payment indicators · 64473

Fascial plane block, lower extremity, single injection

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

64473 without 50 · national office

$134.61

Fascial plane block, lower extremity, single injection

64473-50 · Bilateral: 150%

$201.92

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 64473 has changed in New Mexico

64473 · Office / nonfacility

$128.20

Effective 2026-10-01

The base rate is $20.31 higher than on 2025-10-01, moving from $107.89 to $128.20 (18.8%).

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

    $107.89changed to$128.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.34 changed to 1.31
    • Practice expense RVU 2.03 changed to 2.60
    • Malpractice RVU 0.13 changed to 0.12
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$107.89

    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$128.20$55.00RVU26D
2026-07-01$128.20$55.00RVU26C
2026-04-01$128.20$55.00RVU26B
2026-01-01$128.20$55.00RVU26A
2025-10-01$107.89$56.79RVU25D
2025-07-01$107.89$56.79RVU25C
2025-04-01$107.89$56.79RVU25B
2025-01-01$107.89$56.79RVU25A
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 64473 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

64473 billing questions

When should 64473 be chosen over 64474?

Use 64473 for a one-time unilateral injection. Code 64474 describes a unilateral lower-extremity fascial plane block delivered by continuous infusion through a catheter.

Can imaging guidance be billed separately?

Imaging guidance, when performed for this block, is included in the service represented by 64473.

How is bilateral treatment reported?

CMS recognizes modifier 50 for bilateral performance and pays the procedure at 150%. Document the treated sides.

What documentation supports this code?

Document the lower-extremity site and side, the fascial plane and injection technique, the medication administered, and the clinical reason for the block.

Are same-day care and other procedures included?

The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, CMS applies its standard multiple procedure reduction.

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

CMS restricts assistant-at-surgery payment for 64473 and does not permit co-surgeon or team-surgery payment.

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 64473PPRRVU2026_Oct_nonQPP.csv, line 7,124 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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