CPT code 64487: TAP block, unilateral, continuous infusion2026 Medicare rate & RVUs in Iowa

In Iowa, Medicare pays $226.59 for 64487 in the office and $53.30 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 64487 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 64487 covers

This service provides regional pain control by delivering local anesthetic continuously into the transversus abdominis plane on one side of the abdominal wall, commonly through a catheter. An anesthesiologist or other qualified anesthesia professional may perform the block around abdominal surgery to support postoperative analgesia. Imaging guidance, when used, is included in the service. The infusion method distinguishes this code from a TAP block delivered by injection alone.

Report 64487 for the unilateral continuous-infusion service; use the family’s bilateral code, 64489, for a bilateral continuous infusion. Documentation should identify the side, block technique, continuous delivery, and clinical purpose. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 pays a bilateral procedure submitted with modifier 50 at 150%; follow the code family’s bilateral reporting convention. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery payment 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 Iowa compares for 64487

Across 109 of 109 payment localities, the office rate for 64487 runs from $216.02 in Arkansas to $335.60 in San Benito County, CA. Iowa pays $226.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

64487 rates by state

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

See 64487 in every payment locality

How the 64487 rate is calculated

Each of 64487’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 64487

The CMS indicators that decide how 64487 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 64487

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

How 64487 has changed in Iowa

Price 64487 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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