CPT code 64486: TAP block, unilateral injection2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $133.43 for 64486 in the office and $50.33 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64486 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 64486 covers

This service places local anesthetic into the plane between abdominal wall muscle layers to reduce pain from the abdominal wall on one side. Anesthesiologists, pain physicians, and other qualified clinicians commonly perform the block for perioperative analgesia, including after abdominal operations. The service covers injection rather than delivery through a catheter for continuous infusion; imaging guidance, when used, is included in the block service.

Report 64486 for the unilateral injection service, documenting the side, block site, medication, and clinical purpose. A catheter-based continuous infusion is reported with 64487, while bilateral injection has its own code, 64488. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS lists bilateral modifier 50 payment at 150%; assistant-at-surgery payment is restricted, and 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 Connecticut compares for 64486

Across 109 of 109 payment localities, the office rate for 64486 runs from $112.36 in Arkansas to $165.40 in San Benito County, CA. Connecticut pays $133.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64486 rates by state

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

See 64486 in every payment locality

How the 64486 rate is calculated

Each of 64486’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 64486

The CMS indicators that decide how 64486 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64486

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

How 64486 has changed in Connecticut

Price 64486 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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