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

In Puerto Rico, Medicare pays $268.40 for 64474 in the office and $68.16 when it’s performed in a hospital or facility.

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.

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 Puerto Rico 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. Puerto Rico pays $268.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64474 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 64474

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

What modifiers do to the payment

When to use modifier 50

Codes related to 64474

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 64474 has changed in Puerto Rico

Price 64474 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates