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

Reports a unilateral transversus abdominis plane block delivered by continuous infusion, typically for analgesia after abdominal surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality190 Medicare services in 2024

In South Dakota, Medicare pays $243.06 for 64487 in the office and $53.67 when it’s performed in a hospital or facility.

$243.06Office (non-facility)
$53.67Hospital or facility
−1.0%vs the national office rate ($245.50)

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.

We’ll open 64487 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 64487 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 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 South Dakota 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. South Dakota pays $243.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

64487 in South Dakota vs other payment areas
  1. South Dakota · this page$243.06
  2. Los Angeles, CA · California$282.07+$39.01
  3. Washington, DC area · District of Columbia$283.32+$40.26
  4. Miami, FL · Florida$259.17+$16.11
  5. Chicago, IL · Illinois$251.55+$8.49
  6. Manhattan, NY · New York$282.37+$39.31
  7. Alaska · Alaska$279.33+$36.27

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

Every other payment area

64487 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$219.35$53.64
ArkansasArkansas$216.02$53.34
ArizonaArizona$238.88$55.37
Bakersfield, CACalifornia$263.78$56.21
Chico, CACalifornia$263.42$55.85
El Centro, CACalifornia$263.44$55.87
Fresno, CACalifornia$263.42$55.85
Hanford, CACalifornia$263.42$55.85

64487 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.

$216.02

$299.51

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

View every state and territory as a table
64487 office rate range by state
State / territoryOffice rate rangeLocalities
AK$279.331
AL$219.351
AR$216.021
AZ$238.881
CA$263.42–$335.6029
CO$257.811
CT$262.301
DC$283.321
DE$243.001
FL$238.70–$259.173
GA$224.99–$249.512
GU$270.861
HI$270.861
IA$226.591
ID$227.851
IL$230.48–$253.954
IN$229.271
KS$224.821
KY$223.381
LA$222.76–$234.412
MA$255.89–$285.062
MD$248.01–$283.323
ME$228.40–$242.372
MI$228.88–$241.142
MN$248.611
MO$218.30–$236.083
MS$217.241
MT$245.491
NC$231.011
ND$243.311
NE$228.091
NH$253.091
NJ$265.74–$280.032
NM$229.931
NV$245.081
NY$234.59–$288.675
OH$228.441
OK$223.661
OR$243.62–$267.082
PA$229.19–$255.082
PR$247.601
RI$252.441
SC$230.021
SD$243.061
TN$225.921
TX$227.56–$256.568
UT$233.341
VA$241.08–$283.322
VI$247.601
VT$241.721
WA$255.62–$291.682
WI$234.711
WV$221.351
WY$244.541

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.

How the rate is built · 64487

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.36

1.36 RVUs× 1.000 GPCI

Practice expense5.88

5.88 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

7.3500

Conversion factor

$33.4009

Medicare rate

$245.50

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,131

Code
64487
Physician work
1.36
Practice expense
5.88
Malpractice
0.11

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 64487 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.36× 1.0001.3600
Practice expense5.88× 1.0005.8800
Malpractice0.11× 0.3360.0370
Total RVUs7.2770
Conversion factor× 33.4009

Office rate, South Dakota$243.06

Office: (1.36 × 1 + 5.88 × 1 + 0.11 × 0.336) × $33.4009 = $243.06

Facility: (1.36 × 1 + 0.21 × 1 + 0.11 × 0.336) × $33.4009 = $53.67

Open 64487 in the RVU calculator

Payment rules and modifiers for 64487

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

CMS payment indicators · 64487

TAP 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

64487 without 50 · national office

$245.50

TAP block, unilateral, continuous infusion

64487-50 · Bilateral: 150%

$368.25

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 64487 has changed in South Dakota

64487 · Office / nonfacility

$243.06

Effective 2026-10-01

The base rate is $47.70 higher than on 2025-10-01, moving from $195.36 to $243.06 (24.4%).

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

    $195.36changed to$243.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.39 changed to 1.36
    • Practice expense RVU 4.60 changed to 5.88
    • Malpractice RVU 0.13 changed to 0.11
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $210.24changed to$195.36

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 1.48 changed to 1.39
    • Practice expense RVU 4.79 changed to 4.60
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $206.81changed to$210.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $218.02changed to$206.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.91 changed to 4.79
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $225.92changed to$218.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.01 changed to 4.91
    • Malpractice RVU 0.11 changed to 0.12
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $212.68changed to$225.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.57 changed to 5.01
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $183.71changed to$212.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.57 changed to 4.57
    • Malpractice RVU 0.11 changed to 0.13
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $159.17changed to$183.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.89 changed to 3.57
    • Malpractice RVU 0.12 changed to 0.11
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $134.16changed to$159.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.20 changed to 2.89

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $134.49changed to$134.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.22 changed to 2.20
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $152.88changed to$134.49

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.73 changed to 2.22
    • Malpractice RVU 0.15 changed to 0.12
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $152.50changed to$152.88

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.72 changed to 2.73
    • Malpractice RVU 0.11 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $151.74changed to$152.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$151.74

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$243.06$53.67RVU26D
2026-07-01$243.06$53.67RVU26C
2026-04-01$243.06$53.67RVU26B
2026-01-01$243.06$53.67RVU26A
2025-10-01$195.36$54.98RVU25D
2025-07-01$195.36$54.98RVU25C
2025-04-01$195.36$54.98RVU25B
2025-01-01$195.36$54.98RVU25A
2024-10-01$210.24$59.78RVU24D
2024-07-01$210.24$59.78RVU24C
2024-04-01$210.24$59.78RVU24B
2024-03-09$210.24$59.78RVU24AR
2024-01-01$206.81$58.80RVU24A
2023-10-01$218.02$60.78RVU23D
2023-07-01$218.02$60.78RVU23C
2023-04-01$218.02$60.78RVU23B
2023-01-01$218.02$60.78RVU23A
2022-10-01$225.92$61.88RVU22D
2022-07-01$225.92$61.88RVU22C
2022-04-01$225.92$61.88RVU22B
2022-01-01$225.92$61.88RVU22A
2021-10-01$212.68$62.64RVU21D
2021-07-01$212.68$62.64RVU21C
2021-04-01$212.68$62.64RVU21B
2021-01-01$212.68$62.64RVU21A
2020-10-01$183.71$64.26RVU20D
2020-07-01$183.71$64.26RVU20C
2020-04-01$183.71$64.26RVU20B
2020-01-01$183.71$64.26RVU20A
2019-10-01$159.17$64.75RVU19D
2019-07-01$159.17$64.75RVU19C
2019-04-01$159.17$64.75RVU19B
2019-01-01$159.17$64.75RVU19A
2018-10-01$134.16$66.12RVU18D
2018-07-01$134.16$66.12RVU18C
2018-04-01$134.16$66.12RVU18B
2018-01-01$134.16$66.12RVU18AR1
2017-10-01$134.49$67.02RVU17D
2017-07-01$134.49$67.02RVU17C
2017-04-01$134.49$67.02RVU17B
2017-01-01$134.49$67.02RVU17A
2016-10-01$152.88$73.04RVU16D
2016-07-01$152.88$73.04RVU16C
2016-04-01$152.88$73.04RVU16B
2016-01-01$152.88$73.04RVU16A
2015-10-01$152.50$72.37RVU15D
2015-07-01$152.50$72.37RVU15C
2015-04-01$151.74$72.01RVU15B
2015-01-01$151.74$72.01RVU15A
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 64487 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

64487 billing questions

When should 64487 be reported instead of 64486?

Use 64487 for a unilateral TAP block delivered by continuous infusion. Code 64486 describes the unilateral injection method.

Which code describes a bilateral continuous TAP infusion?

The family includes 64489 for bilateral continuous infusion. CMS applies its 150% bilateral payment method when a bilateral procedure is submitted with modifier 50; follow the applicable code-family reporting convention.

Is imaging guidance separately reported with 64487?

Imaging guidance, when performed for this continuous-infusion TAP block, is included in the service.

What documentation supports 64487?

Document the TAP block, the side treated, the continuous-infusion technique, and the clinical purpose, such as analgesia associated with abdominal surgery.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 0-day global period.

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 64487PPRRVU2026_Oct_nonQPP.csv, line 7,131 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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