CPT code 64483: Transforaminal epidural injection, lumbar or sacral, first level2026 Medicare rate & RVUs in Napa, CA

In Napa, CA, Medicare pays $328.74 for 64483 in the office and $110.83 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64483 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 64483 covers

At a lumbar or sacral neural foramen, the clinician advances a needle under fluoroscopy or CT to deliver local anesthetic, corticosteroid, or both near the affected nerve root and epidural space. Typical indications include radicular leg pain associated with a herniated lumbar disc or foraminal stenosis; an S1 foraminal injection is a sacral example. Interventional pain physicians, anesthesiologists, and physiatrists perform these injections in offices, ambulatory surgery centers, and hospital outpatient departments. Contrast may be used to confirm needle position and epidural spread.

Report one unit of 64483 for the first lumbar or sacral level, whether unilateral or bilateral; report 64484 for each additional level. Fluoroscopic or CT guidance is included. Document the treated level, side, guidance method, contrast findings when contrast is used, and injectate. For both sides at the same level, report 64483 with modifier 50; CMS pays bilateral procedures at 150% of the unilateral amount. The 0-day global includes routine same-day preoperative and postoperative care. When multiple procedures are performed in one session, CMS pays the highest-valued procedure in full and other eligible procedures at 50%. CMS does not pay an assistant at surgery; 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 Napa, CA compares for 64483

Across 109 of 109 payment localities, the office rate for 64483 runs from $234.28 in Arkansas to $356.28 in San Benito County, CA. Napa, CA pays $328.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64483 rates by state

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

See 64483 in every payment locality

How the 64483 rate is calculated

Each of 64483’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 64483

The CMS indicators that decide how 64483 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64483

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

How 64483 has changed in Napa, CA

Price 64483 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Napa
• American Canyon
• Angwin
• Calistoga
• Deer Park
• Moskowite Corner
• Oakville
• Rutherford

Browse all communities in California

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