CPT code 64489: TAP block, bilateral continuous infusion2026 Medicare rate & RVUs in Minnesota

Reports a bilateral transversus abdominis plane block with continuous catheter infusion for abdominal wall analgesia, commonly around abdominal surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality790 Medicare services in 2024

In Minnesota, Medicare pays $409.51 for 64489 in the office and $67.53 when it’s performed in a hospital or facility.

$409.51Office (non-facility)
$67.53Hospital or facility
+1.6%vs the national office rate ($403.15)

Check a contract rate as a % of Medicare · 64489 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 64489 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 64489 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 64489 covers

A transversus abdominis plane (TAP) block places local anesthetic in the fascial plane of the abdominal wall to provide analgesia. This code describes the block on both sides with continuous infusion through catheters; catheter insertion is included when performed. Anesthesia professionals commonly place these blocks around abdominal operations to support postoperative pain control, often in a hospital or surgical facility.

Choose this code when the service is bilateral and uses continuous catheter infusion, rather than a single injection. Document the block sites, bilateral service, catheter placement when performed, and the infusion plan. CMS assigns the code a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. The code is priced as bilateral, so modifier 50 does not increase payment. CMS does not pay an assistant at surgery and does not permit co-surgeon or team-surgery payment for this code.

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 Minnesota compares for 64489

Across 109 of 109 payment localities, the office rate for 64489 runs from $352.63 in Arkansas to $557.84 in San Benito County, CA. Minnesota pays $409.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

64489 in Minnesota vs other payment areas
  1. Minnesota · this page$409.51
  2. Los Angeles, CA · California$466.21+$56.70
  3. Washington, DC area · District of Columbia$467.50+$57.99
  4. Miami, FL · Florida$424.79+$15.28
  5. Chicago, IL · Illinois$411.74+$2.23
  6. Manhattan, NY · New York$464.99+$55.48
  7. Alaska · Alaska$451.62+$42.11

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

Every other payment area

64489 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$358.35$67.55
ArkansasArkansas$352.63$67.16
ArizonaArizona$391.86$69.82
Bakersfield, CACalifornia$435.01$70.77
Chico, CACalifornia$434.53$70.29
El Centro, CACalifornia$434.56$70.31
Fresno, CACalifornia$434.53$70.29
Hanford, CACalifornia$434.53$70.29

64489 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.

$352.63

$496.19

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

View every state and territory as a table
64489 office rate range by state
State / territoryOffice rate rangeLocalities
AK$451.621
AL$358.351
AR$352.631
AZ$391.861
CA$434.53–$557.8429
CO$424.561
CT$431.601
DC$467.501
DE$398.841
FL$390.66–$424.793
GA$367.28–$409.782
GU$447.761
HI$447.761
IA$371.141
ID$373.231
IL$376.30–$416.624
IN$375.681
KS$367.931
KY$364.871
LA$363.72–$383.712
MA$421.12–$471.102
MD$407.40–$467.503
ME$373.97–$398.232
MI$374.13–$394.652
MN$409.511
MO$355.96–$386.793
MS$354.441
MT$403.141
NC$378.491
ND$400.171
NE$373.771
NH$416.501
NJ$437.29–$461.652
NM$375.851
NV$402.651
NY$384.61–$475.555
OH$373.521
OK$365.541
OR$400.30–$440.632
PA$374.91–$419.132
PR$406.821
RI$414.951
SC$376.481
SD$399.821
TN$369.801
TX$372.10–$422.478
UT$382.181
VA$395.88–$467.502
VI$406.821
VT$397.261
WA$420.77–$482.502
WI$385.361
WV$360.631
WY$401.851

See 64489 in every payment locality

How the 64489 rate is calculated

Each of 64489’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 · 64489

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense10.21

10.21 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

12.0700

Conversion factor

$33.4009

Medicare rate

$403.15

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,133

Code
64489
Physician work
1.71
Practice expense
10.21
Malpractice
0.15

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 64489 in Minnesota
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0001.7100
Practice expense10.21× 1.02910.5061
Malpractice0.15× 0.2960.0444
Total RVUs12.2605
Conversion factor× 33.4009

Office rate, Minnesota$409.51

Office: (1.71 × 1 + 10.21 × 1.029 + 0.15 × 0.296) × $33.4009 = $409.51

Facility: (1.71 × 1 + 0.26 × 1.029 + 0.15 × 0.296) × $33.4009 = $67.53

Open 64489 in the RVU calculator

Payment rules and modifiers for 64489

The CMS indicators that decide how 64489 is paid alongside other services.

CMS payment indicators · 64489

TAP block, bilateral 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)2Already bilateral by definition: paid once at 100%.
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 51 · payment effect

With and without the modifier

64489 without 51 · national office

$403.15

TAP block, bilateral continuous infusion

64489-51 · Second procedure: 50%

$201.58

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%).

When to use modifier 51

How 64489 has changed in Minnesota

64489 · Office / nonfacility

$409.51

Effective 2026-10-01

The base rate is $83.79 higher than on 2025-10-01, moving from $325.72 to $409.51 (25.7%).

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

    $325.72changed to$409.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.75 changed to 1.71
    • Practice expense RVU 8.07 changed to 10.21
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $348.36changed to$325.72

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 1.80 changed to 1.75
    • Practice expense RVU 8.41 changed to 8.07
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $342.68changed to$348.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $362.26changed to$342.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.67 changed to 8.41
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $375.30changed to$362.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.88 changed to 8.67
    • Malpractice RVU 0.14 changed to 0.17
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $344.60changed to$375.30

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.92 changed to 8.88
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $287.96changed to$344.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.06 changed to 7.92
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $238.31changed to$287.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.71 changed to 6.06
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $184.91changed to$238.31

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.25 changed to 4.71

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $180.08changed to$184.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.12 changed to 3.25
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $216.24changed to$180.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.10 changed to 3.12
    • Malpractice RVU 0.18 changed to 0.14
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $215.94changed to$216.24

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.08 changed to 4.10
    • Malpractice RVU 0.15 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $214.87changed to$215.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$214.87

    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$409.51$67.53RVU26D
2026-07-01$409.51$67.53RVU26C
2026-04-01$409.51$67.53RVU26B
2026-01-01$409.51$67.53RVU26A
2025-10-01$325.72$69.10RVU25D
2025-07-01$325.72$69.10RVU25C
2025-04-01$325.72$69.10RVU25B
2025-01-01$325.72$69.10RVU25A
2024-10-01$348.36$72.67RVU24D
2024-07-01$348.36$72.67RVU24C
2024-04-01$348.36$72.67RVU24B
2024-03-09$348.36$72.67RVU24AR
2024-01-01$342.68$71.49RVU24A
2023-10-01$362.26$74.62RVU23D
2023-07-01$362.26$74.62RVU23C
2023-04-01$362.26$74.62RVU23B
2023-01-01$362.26$74.62RVU23A
2022-10-01$375.30$75.22RVU22D
2022-07-01$375.30$75.22RVU22C
2022-04-01$375.30$75.22RVU22B
2022-01-01$375.30$75.22RVU22A
2021-10-01$344.60$75.97RVU21D
2021-07-01$344.60$75.97RVU21C
2021-04-01$344.60$75.97RVU21B
2021-01-01$344.60$75.97RVU21A
2020-10-01$287.96$78.32RVU20D
2020-07-01$287.96$78.32RVU20C
2020-04-01$287.96$78.32RVU20B
2020-01-01$287.96$78.32RVU20A
2019-10-01$238.31$78.72RVU19D
2019-07-01$238.31$78.72RVU19C
2019-04-01$238.31$78.72RVU19B
2019-01-01$238.31$78.72RVU19A
2018-10-01$184.91$79.00RVU18D
2018-07-01$184.91$79.00RVU18C
2018-04-01$184.91$79.00RVU18B
2018-01-01$184.91$79.00RVU18AR1
2017-10-01$180.08$77.98RVU17D
2017-07-01$180.08$77.98RVU17C
2017-04-01$180.08$77.98RVU17B
2017-01-01$180.08$77.98RVU17A
2016-10-01$216.24$88.78RVU16D
2016-07-01$216.24$88.78RVU16C
2016-04-01$216.24$88.78RVU16B
2016-01-01$216.24$88.78RVU16A
2015-10-01$215.94$88.39RVU15D
2015-07-01$215.94$88.39RVU15C
2015-04-01$214.87$87.95RVU15B
2015-01-01$214.87$87.95RVU15A
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 64489 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

64489 billing questions

How does 64489 differ from 64488?

64489 is for bilateral TAP blocks delivered by continuous catheter infusion. 64488 describes bilateral TAP blocks by injection.

Can modifier 50 be added?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

What documentation supports continuous infusion?

Record that the block was performed on both sides and document catheter placement when performed and the plan for continuous infusion.

Does the code include catheter insertion?

Catheter insertion is included when performed as part of the bilateral TAP block with continuous infusion.

How does the multiple-procedure reduction work?

For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 64489PPRRVU2026_Oct_nonQPP.csv, line 7,133 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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