CPT code 64474: Fascial plane block, unilateral continuous infusion2026 Medicare rate & RVUs in Oklahoma

Reports a unilateral lower-extremity fascial plane block delivered by continuous infusion, commonly for regional analgesia around hip or thigh surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Oklahoma, Medicare pays $242.97 for 64474 in the office and $66.09 when it’s performed in a hospital or facility.

$242.97Office (non-facility)
$66.09Hospital or facility
−8.7%vs the national office rate ($266.21)

Check a contract rate as a % of Medicare · 64474 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 64474 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 64474 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 64474 covers

This code describes a lower-extremity fascial plane block on one side that delivers anesthetic through a catheter for continuous infusion. Anesthesiologists and pain specialists may use this approach for regional analgesia around hip or thigh procedures; examples of fascial plane techniques in this area include fascia iliaca and PENG blocks. The record should identify the side and block site, document catheter placement and the continuous infusion approach, and explain the clinical purpose. Document imaging guidance when used.

Choose this code for the continuous-infusion service, rather than the unilateral injection service represented by 64473. The code has a 0-day global period, so same-day preoperative and postoperative care is included. 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% reduction. Modifier 50 identifies bilateral performance and payment is at 150%. Medicare does not pay an assistant at surgery for this procedure; 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 Oklahoma compares for 64474

Across 109 of 109 payment localities, the office rate for 64474 runs from $234.62 in Arkansas to $361.25 in San Benito County, CA. Oklahoma pays $242.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

64474 in Oklahoma vs other payment areas
  1. Oklahoma · this page$242.97
  2. Los Angeles, CA · California$304.59+$61.62
  3. Washington, DC area · District of Columbia$306.51+$63.54
  4. Miami, FL · Florida$282.34+$39.37
  5. Chicago, IL · Illinois$274.11+$31.14
  6. Manhattan, NY · New York$306.12+$63.15
  7. Alaska · Alaska$304.62+$61.65

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

Every other payment area

64474 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$238.19$64.88
ArkansasArkansas$234.62$64.48
ArizonaArizona$259.07$67.15
Bakersfield, CACalifornia$285.13$68.05
Chico, CACalifornia$284.65$67.57
El Centro, CACalifornia$284.68$67.60
Fresno, CACalifornia$284.65$67.57
Hanford, CACalifornia$284.65$67.57

64474 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.

$234.62

$322.95

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

View every state and territory as a table
64474 office rate range by state
State / territoryOffice rate rangeLocalities
AK$304.621
AL$238.191
AR$234.621
AZ$259.071
CA$284.65–$361.2529
CO$278.991
CT$284.271
DC$306.511
DE$263.491
FL$259.63–$282.343
GA$244.84–$270.682
GU$292.421
HI$292.421
IA$245.611
ID$247.021
IL$251.04–$276.044
IN$248.541
KS$243.871
KY$242.831
LA$242.22–$254.692
MA$277.02–$308.002
MD$268.82–$306.513
ME$247.77–$262.502
MI$248.86–$262.412
MN$268.671
MO$237.54–$256.293
MS$236.161
MT$266.201
NC$250.541
ND$263.231
NE$247.171
NH$274.061
NJ$287.89–$303.062
NM$250.051
NV$265.581
NY$254.38–$313.065
OH$248.261
OK$242.971
OR$263.89–$288.742
PA$248.98–$276.632
PR$268.401
RI$273.521
SC$249.741
SD$262.881
TN$245.071
TX$247.24–$277.738
UT$253.291
VA$261.22–$306.512
VI$268.401
VT$261.661
WA$276.67–$314.942
WI$254.051
WV$241.281
WY$264.901

See 64474 in every payment locality

How the 64474 rate is calculated

Each of 64474’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 · 64474

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.63

1.63 RVUs× 1.000 GPCI

Practice expense6.19

6.19 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

7.9700

Conversion factor

$33.4009

Medicare rate

$266.21

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

The exact Oklahoma inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,125

Code
64474
Physician work
1.63
Practice expense
6.19
Malpractice
0.15

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office calculation for 64474 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work1.63× 1.0001.6300
Practice expense6.19× 0.8935.5277
Malpractice0.15× 0.7770.1166
Total RVUs7.2742
Conversion factor× 33.4009

Office rate, Oklahoma$242.97

Office: (1.63 × 1 + 6.19 × 0.893 + 0.15 × 0.777) × $33.4009 = $242.97

Facility: (1.63 × 1 + 0.26 × 0.893 + 0.15 × 0.777) × $33.4009 = $66.09

Open 64474 in the RVU calculator

Payment rules and modifiers for 64474

The CMS indicators that decide how 64474 is paid alongside other services.

CMS payment indicators · 64474

Fascial plane block, unilateral continuous infusion

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

64474 without 50 · national office

$266.21

Fascial plane block, unilateral continuous infusion

64474-50 · Bilateral: 150%

$399.32

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 64474 has changed in Oklahoma

64474 · Office / nonfacility

$242.97

Effective 2026-10-01

The base rate is $42.08 higher than on 2025-10-01, moving from $200.89 to $242.97 (20.9%).

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

    $200.89changed to$242.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.67 changed to 1.63
    • Practice expense RVU 4.95 changed to 6.19
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.891 changed to 0.893
    • Malpractice GPCI 0.813 changed to 0.777

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$200.89

    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$242.97$66.09RVU26D
2026-07-01$242.97$66.09RVU26C
2026-04-01$242.97$66.09RVU26B
2026-01-01$242.97$66.09RVU26A
2025-10-01$200.89$68.60RVU25D
2025-07-01$200.89$68.60RVU25C
2025-04-01$200.89$68.60RVU25B
2025-01-01$200.89$68.60RVU25A
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 64474 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

  • Lahoma
  • Achille
  • Ada
  • Adair
  • Adams
  • Adamson
  • Addington
  • Afton

Browse all communities in Oklahoma

64474 billing questions

How does 64474 differ from 64473?

64474 is for a unilateral lower-extremity fascial plane block delivered by continuous infusion through a catheter. 64473 represents the unilateral injection approach.

What documentation supports continuous infusion?

Document the block site and side, catheter placement, the continuous-infusion plan, and the clinical reason for regional analgesia. Record imaging guidance when it is used.

Can modifier 50 be used when both sides are treated?

Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.

Is same-day postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, and 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 64474PPRRVU2026_Oct_nonQPP.csv, line 7,125 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 64474 pays in Oklahoma?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 64474 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist