CPT code 64488: TAP block, bilateral, injection technique2026 Medicare rate & RVUs in Wisconsin
Bilateral transversus abdominis plane block by injection provides abdominal wall regional analgesia, commonly for perioperative pain control using an injection technique.
In Wisconsin, Medicare pays $140.75 for 64488 in the office and $53.71 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64488 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64488 covers
A transversus abdominis plane (TAP) block places local anesthetic in the tissue plane between abdominal wall muscles to reduce sensation from the anterior abdominal wall. An anesthesiologist, pain physician, or other qualified clinician may perform the block, often with ultrasound guidance, for perioperative pain control around abdominal surgery. This code identifies a bilateral block delivered by injection rather than through a catheter for continuous infusion.
Report the code when the documented service is a bilateral TAP injection; the record should support the block’s purpose, bilateral performance, and injection technique. Medicare prices the code as bilateral, so modifier 50 does not increase payment. The procedure has a 0-day global period, which includes same-day preoperative and postoperative care. When performed in the same session as other procedures, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; 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 Wisconsin compares for 64488
Across 109 of 109 payment localities, the office rate for 64488 runs from $131.89 in Arkansas to $194.06 in San Benito County, CA. Wisconsin pays $140.75. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wisconsin · this page$140.75
- Los Angeles, CA · California$166.07+$25.32
- Washington, DC area · District of Columbia$167.98+$27.23
- Miami, FL · Florida$157.77+$17.02
- Chicago, IL · Illinois$153.63+$12.88
- Manhattan, NY · New York$168.76+$28.01
- Alaska · Alaska$175.07+$34.32
Other areas in Wisconsin first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $133.66 | $54.17 |
| ArkansasArkansas | $131.89 | $53.85 |
| ArizonaArizona | $144.02 | $55.99 |
| Bakersfield, CACalifornia | $156.33 | $56.76 |
| Chico, CACalifornia | $155.95 | $56.37 |
| El Centro, CACalifornia | $155.97 | $56.39 |
| Fresno, CACalifornia | $155.95 | $56.37 |
| Hanford, CACalifornia | $155.95 | $56.37 |
| Madera, CACalifornia | $155.95 | $56.37 |
| Merced, CACalifornia | $155.95 | $56.37 |
| Modesto, CACalifornia | $155.95 | $56.37 |
| Napa, CACalifornia | $179.66 | $59.92 |
| Oxnard, CACalifornia | $165.21 | $57.83 |
| Redding, CACalifornia | $155.95 | $56.37 |
| Rest of CaliforniaCalifornia | $155.95 | $56.37 |
| Riverside, CACalifornia | $157.26 | $57.69 |
| Sacramento, CACalifornia | $163.37 | $57.71 |
| Salinas, CACalifornia | $162.75 | $57.46 |
| San Diego, CACalifornia | $166.35 | $57.69 |
| Marin County, CACalifornia | $189.94 | $61.84 |
| San Francisco, CACalifornia | $189.80 | $61.70 |
| San Benito County, CACalifornia | $194.06 | $63.06 |
| Santa Clara County, CACalifornia | $193.50 | $62.50 |
| San Luis Obispo, CACalifornia | $160.15 | $56.67 |
| Santa Cruz, CACalifornia | $167.77 | $57.39 |
| Santa Maria, CACalifornia | $163.30 | $57.37 |
| Santa Rosa, CACalifornia | $169.46 | $57.89 |
| Stockton, CACalifornia | $155.95 | $56.37 |
| Vallejo, CACalifornia | $179.47 | $59.73 |
| Visalia, CACalifornia | $155.95 | $56.37 |
| Yuba City, CACalifornia | $155.95 | $56.37 |
| ColoradoColorado | $153.57 | $56.90 |
| ConnecticutConnecticut | $156.92 | $59.08 |
| DelawareDelaware | $146.28 | $56.52 |
| Fort Lauderdale, FLFlorida | $152.14 | $60.11 |
| Rest of FloridaFlorida | $145.34 | $58.49 |
| Atlanta, GAGeorgia | $150.14 | $57.84 |
| Rest of GeorgiaGeorgia | $137.83 | $56.79 |
| Hawaii, Guam, HIHawaii | $159.35 | $56.06 |
| IowaIowa | $136.90 | $53.77 |
| IdahoIdaho | $137.69 | $54.11 |
| East St. Louis, ILIllinois | $143.87 | $60.28 |
| Rest of IllinoisIllinois | $141.37 | $58.43 |
| Suburban Chicago, ILIllinois | $153.69 | $60.39 |
| IndianaIndiana | $138.43 | $54.21 |
| KansasKansas | $136.25 | $54.12 |
| KentuckyKentucky | $136.43 | $55.66 |
| New Orleans, LALouisiana | $142.40 | $56.91 |
| Rest of LouisianaLouisiana | $136.21 | $55.81 |
| Metropolitan Boston, MAMassachusetts | $168.05 | $59.58 |
| Rest of MassachusettsMassachusetts | $152.74 | $57.07 |
| Baltimore area, MDMaryland | $156.46 | $58.98 |
| Rest of MarylandMaryland | $148.94 | $56.99 |
| Rest of MaineMaine | $138.29 | $54.71 |
| Southern Maine, MEMaine | $145.27 | $55.24 |
| Detroit, MIMichigan | $146.96 | $59.29 |
| Rest of MichiganMichigan | $139.63 | $56.69 |
| MinnesotaMinnesota | $147.65 | $54.16 |
| Metropolitan Kansas City, MOMissouri | $141.57 | $56.26 |
| Metropolitan St. Louis, MOMissouri | $142.94 | $56.45 |
| Rest of MissouriMissouri | $134.02 | $55.71 |
| MississippiMississippi | $132.98 | $54.76 |
| MontanaMontana | $147.62 | $56.77 |
| North CarolinaNorth Carolina | $139.63 | $54.86 |
| North DakotaNorth Dakota | $145.25 | $54.40 |
| NebraskaNebraska | $137.60 | $53.75 |
| New HampshireNew Hampshire | $151.14 | $56.57 |
| Northern New JerseyNew Jersey | $166.45 | $61.06 |
| Rest of New JerseyNew Jersey | $158.85 | $59.65 |
| New MexicoNew Mexico | $140.31 | $57.00 |
| NevadaNevada | $147.06 | $56.12 |
| NYC suburbs and Long Island, NYNew York | $172.49 | $64.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $159.83 | $60.35 |
| Queens, NYNew York | $170.14 | $62.76 |
| Rest of New YorkNew York | $141.55 | $55.24 |
| OhioOhio | $139.15 | $56.20 |
| OklahomaOklahoma | $136.27 | $55.14 |
| Portland, OROregon | $158.20 | $57.27 |
| Rest of OregonOregon | $146.05 | $55.56 |
| Metropolitan Philadelphia, PAPennsylvania | $153.24 | $58.67 |
| Rest of PennsylvaniaPennsylvania | $139.39 | $55.99 |
| Puerto RicoPuerto Rico | $148.65 | $56.80 |
| Rhode IslandRhode Island | $151.30 | $57.45 |
| South CarolinaSouth Carolina | $139.59 | $55.65 |
| South DakotaSouth Dakota | $144.97 | $54.12 |
| TennesseeTennessee | $136.87 | $54.29 |
| Austin, TXTexas | $152.94 | $56.82 |
| Beaumont, TXTexas | $138.54 | $55.87 |
| Brazoria, TXTexas | $146.24 | $56.20 |
| Dallas, TXTexas | $147.08 | $56.60 |
| Fort Worth, TXTexas | $146.16 | $56.58 |
| Galveston, TXTexas | $146.62 | $56.41 |
| Houston, TXTexas | $148.82 | $58.61 |
| Rest of TexasTexas | $142.25 | $56.04 |
| UtahUtah | $141.35 | $55.95 |
| VirginiaVirginia | $144.79 | $55.48 |
| Virgin Islands, VIUnited States Virgin Islands | $148.65 | $56.80 |
| VermontVermont | $144.67 | $54.73 |
| Rest of WashingtonWashington | $152.46 | $56.79 |
| King County, WAWashington | $171.40 | $59.93 |
| West VirginiaWest Virginia | $136.54 | $57.59 |
| WyomingWyoming | $146.59 | $55.74 |
64488 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.
$131.89
$175.07
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $175.07 | 1 |
| AL | $133.66 | 1 |
| AR | $131.89 | 1 |
| AZ | $144.02 | 1 |
| CA | $155.95–$194.06 | 29 |
| CO | $153.57 | 1 |
| CT | $156.92 | 1 |
| DC | $167.98 | 1 |
| DE | $146.28 | 1 |
| FL | $145.34–$157.77 | 3 |
| GA | $137.83–$150.14 | 2 |
| GU | $159.35 | 1 |
| HI | $159.35 | 1 |
| IA | $136.90 | 1 |
| ID | $137.69 | 1 |
| IL | $141.37–$153.69 | 4 |
| IN | $138.43 | 1 |
| KS | $136.25 | 1 |
| KY | $136.43 | 1 |
| LA | $136.21–$142.40 | 2 |
| MA | $152.74–$168.05 | 2 |
| MD | $148.94–$167.98 | 3 |
| ME | $138.29–$145.27 | 2 |
| MI | $139.63–$146.96 | 2 |
| MN | $147.65 | 1 |
| MO | $134.02–$142.94 | 3 |
| MS | $132.98 | 1 |
| MT | $147.62 | 1 |
| NC | $139.63 | 1 |
| ND | $145.25 | 1 |
| NE | $137.60 | 1 |
| NH | $151.14 | 1 |
| NJ | $158.85–$166.45 | 2 |
| NM | $140.31 | 1 |
| NV | $147.06 | 1 |
| NY | $141.55–$172.49 | 5 |
| OH | $139.15 | 1 |
| OK | $136.27 | 1 |
| OR | $146.05–$158.20 | 2 |
| PA | $139.39–$153.24 | 2 |
| PR | $148.65 | 1 |
| RI | $151.30 | 1 |
| SC | $139.59 | 1 |
| SD | $144.97 | 1 |
| TN | $136.87 | 1 |
| TX | $138.54–$152.94 | 8 |
| UT | $141.35 | 1 |
| VA | $144.79–$167.98 | 2 |
| VI | $148.65 | 1 |
| VT | $144.67 | 1 |
| WA | $152.46–$171.40 | 2 |
| WI | $140.75 | 1 |
| WV | $136.54 | 1 |
| WY | $146.59 | 1 |
How the 64488 rate is calculated
Each of 64488’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 · 64488
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense2.93
2.93 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
4.4200
Conversion factor
$33.4009
Medicare rate
$147.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Wisconsin inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,132
- Code
- 64488
- Physician work
- 1.37
- Practice expense
- 2.93
- Malpractice
- 0.12
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 2.93 | × 0.958 | 2.8069 |
| Malpractice | 0.12 | × 0.308 | 0.0370 |
| Total RVUs | 4.2139 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Wisconsin$140.75
Office: (1.37 × 1 + 2.93 × 0.958 + 0.12 × 0.308) × $33.4009 = $140.75
Facility: (1.37 × 1 + 0.21 × 0.958 + 0.12 × 0.308) × $33.4009 = $53.71
Payment rules and modifiers for 64488
The CMS indicators that decide how 64488 is paid alongside other services.
CMS payment indicators · 64488
TAP block, bilateral, injection technique
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64488 without 51 · national office
$147.63
TAP block, bilateral, injection technique
64488-51 · Second procedure: 50%
$73.82
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 64488 has changed in Wisconsin
64488 · Office / nonfacility
$140.75
Effective 2026-10-01
The base rate is $24.42 higher than on 2025-10-01, moving from $116.33 to $140.75 (21.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$116.33changed to$140.75
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.40 changed to 1.37
- Practice expense RVU 2.25 changed to 2.93
- Malpractice RVU 0.13 changed to 0.12
- Practice expense GPCI 0.957 changed to 0.958
- Malpractice GPCI 0.331 changed to 0.308
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$130.83changed to$116.33
- Conversion factor 33.2875 changed to 32.3465
- Work RVU 1.60 changed to 1.40
- Practice expense RVU 2.39 changed to 2.25
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$128.69changed to$130.83
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$133.72changed to$128.69
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.43 changed to 2.39
- Malpractice RVU 0.12 changed to 0.13
- Practice expense GPCI 0.950 changed to 0.957
- Malpractice GPCI 0.314 changed to 0.331
January 1, 2023
RVU23A
$136.14changed to$133.72
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.44 changed to 2.43
- Practice expense GPCI 0.942 changed to 0.950
- Malpractice GPCI 0.296 changed to 0.314
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$136.39changed to$136.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.41 changed to 2.44
- Malpractice RVU 0.13 changed to 0.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$133.46changed to$136.39
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.17 changed to 2.41
- Malpractice RVU 0.12 changed to 0.13
- Practice expense GPCI 0.949 changed to 0.942
- Malpractice GPCI 0.322 changed to 0.296
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$131.72changed to$133.46
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.10 changed to 2.17
- Malpractice RVU 0.13 changed to 0.12
- Practice expense GPCI 0.957 changed to 0.949
- Malpractice GPCI 0.347 changed to 0.322
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$131.35changed to$131.72
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.09 changed to 2.10
- Malpractice RVU 0.14 changed to 0.13
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$135.71changed to$131.35
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.21 changed to 2.09
- Malpractice RVU 0.15 changed to 0.14
- Practice expense GPCI 0.956 changed to 0.957
- Malpractice GPCI 0.457 changed to 0.347
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$149.77changed to$135.71
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.61 changed to 2.21
- Malpractice RVU 0.16 changed to 0.15
- Practice expense GPCI 0.955 changed to 0.956
- Malpractice GPCI 0.566 changed to 0.457
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$149.84changed to$149.77
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.62 changed to 2.61
- Malpractice RVU 0.12 changed to 0.16
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$149.10changed to$149.84
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$149.10
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $140.75 | $53.71 | RVU26D |
| 2026-07-01 | $140.75 | $53.71 | RVU26C |
| 2026-04-01 | $140.75 | $53.71 | RVU26B |
| 2026-01-01 | $140.75 | $53.71 | RVU26A |
| 2025-10-01 | $116.33 | $55.03 | RVU25D |
| 2025-07-01 | $116.33 | $55.03 | RVU25C |
| 2025-04-01 | $116.33 | $55.03 | RVU25B |
| 2025-01-01 | $116.33 | $55.03 | RVU25A |
| 2024-10-01 | $130.83 | $64.25 | RVU24D |
| 2024-07-01 | $130.83 | $64.25 | RVU24C |
| 2024-04-01 | $130.83 | $64.25 | RVU24B |
| 2024-03-09 | $130.83 | $64.25 | RVU24AR |
| 2024-01-01 | $128.69 | $63.20 | RVU24A |
| 2023-10-01 | $133.72 | $65.15 | RVU23D |
| 2023-07-01 | $133.72 | $65.15 | RVU23C |
| 2023-04-01 | $133.72 | $65.15 | RVU23B |
| 2023-01-01 | $133.72 | $65.15 | RVU23A |
| 2022-10-01 | $136.14 | $66.05 | RVU22D |
| 2022-07-01 | $136.14 | $66.05 | RVU22C |
| 2022-04-01 | $136.14 | $66.05 | RVU22B |
| 2022-01-01 | $136.14 | $66.05 | RVU22A |
| 2021-10-01 | $136.39 | $66.70 | RVU21D |
| 2021-07-01 | $136.39 | $66.70 | RVU21C |
| 2021-04-01 | $136.39 | $66.70 | RVU21B |
| 2021-01-01 | $136.39 | $66.70 | RVU21A |
| 2020-10-01 | $133.46 | $68.73 | RVU20D |
| 2020-07-01 | $133.46 | $68.73 | RVU20C |
| 2020-04-01 | $133.46 | $68.73 | RVU20B |
| 2020-01-01 | $133.46 | $68.73 | RVU20A |
| 2019-10-01 | $131.72 | $69.29 | RVU19D |
| 2019-07-01 | $131.72 | $69.29 | RVU19C |
| 2019-04-01 | $131.72 | $69.29 | RVU19B |
| 2019-01-01 | $131.72 | $69.29 | RVU19A |
| 2018-10-01 | $131.35 | $70.03 | RVU18D |
| 2018-07-01 | $131.35 | $70.03 | RVU18C |
| 2018-04-01 | $131.35 | $70.03 | RVU18B |
| 2018-01-01 | $131.35 | $70.03 | RVU18AR1 |
| 2017-10-01 | $135.71 | $72.58 | RVU17D |
| 2017-07-01 | $135.71 | $72.58 | RVU17C |
| 2017-04-01 | $135.71 | $72.58 | RVU17B |
| 2017-01-01 | $135.71 | $72.58 | RVU17A |
| 2016-10-01 | $149.77 | $78.99 | RVU16D |
| 2016-07-01 | $149.77 | $78.99 | RVU16C |
| 2016-04-01 | $149.77 | $78.99 | RVU16B |
| 2016-01-01 | $149.77 | $78.99 | RVU16A |
| 2015-10-01 | $149.84 | $78.81 | RVU15D |
| 2015-07-01 | $149.84 | $78.81 | RVU15C |
| 2015-04-01 | $149.10 | $78.42 | RVU15B |
| 2015-01-01 | $149.10 | $78.42 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Wisconsin rate applies
Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.
- Abbotsford
- Abrams
- Adams
- Adell
- Albany
- Algoma
- Allens Grove
- Allenton
64488 billing questions
When should this code be chosen over 64486?
Use 64488 for a bilateral TAP block by injection. Code 64486 describes the unilateral injection service.
Is this code for a catheter-based continuous infusion?
No. It represents bilateral injection(s); 64489 is the related bilateral code for continuous infusion by catheter.
Should modifier 50 be appended?
No. Medicare prices 64488 as bilateral, and modifier 50 does not increase payment.
What should the documentation identify?
Document the TAP block, that it was performed bilaterally, and that the technique was injection rather than continuous catheter infusion.
How is it paid when other procedures occur in the same session?
The highest-valued procedure is paid in full and the other procedures are paid at 50%. Same-day preoperative and postoperative care is included in this code’s 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
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