Billing code 64467: Thoracic plane blockMedicare rate & RVUs
Reports a unilateral thoracic fascial plane block, such as an erector spinae or serratus anterior plane block, in the circumstances designated by this code.
Medicare pays $269.88 for 64467 nationally in the office and $71.14 in a hospital or facility. Local office rates run $237.99–$365.47.
Medicare rate · 64467
Thoracic plane block
Swap in your local Medicare rate.
- Work RVUs
- 1.7
- Total RVUs
- 8.08
- Global days
- 000
National rate · 2026
$269.88
Office setting, before claim adjustments.
See every locality for 64467 → · Billed by an NP, PA or therapist? →
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 10 sections
What 64467 covers
This code represents a block delivered into a fascial plane in the thoracic region on one side. Thoracic plane blocks, including erector spinae and serratus anterior plane approaches, are used to provide regional analgesia for chest-wall or thoracic procedures and pain. Anesthesia and pain-management clinicians commonly perform them in operating rooms, procedural areas, or other settings where regional blocks are provided. Imaging guidance may be used as part of the block service when performed.
Select this unilateral code only when the documented thoracic block and service circumstance match the code; distinguish it from 64466, the unilateral injection code, and from the bilateral code options. Record the block approach, side, medication delivery, and clinical purpose. CMS 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 lists bilateral payment with modifier 50 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.
Where 64467 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$237.99 to $365.47
109 of 109 payment localities
64467 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$237.99
$326.89
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 | $309.37 | 1 |
| AL | $241.59 | 1 |
| AR | $237.99 | 1 |
| AZ | $262.67 | 1 |
| CA | $288.31–$365.47 | 29 |
| CO | $282.69 | 1 |
| CT | $288.13 | 1 |
| DC | $310.53 | 1 |
| DE | $267.13 | 1 |
| FL | $263.43–$286.57 | 3 |
| GA | $248.47–$274.45 | 2 |
| GU | $296.09 | 1 |
| HI | $296.09 | 1 |
| IA | $249.00 | 1 |
| ID | $250.44 | 1 |
| IL | $254.81–$280.01 | 4 |
| IN | $251.97 | 1 |
| KS | $247.28 | 1 |
| KY | $246.36 | 1 |
| LA | $245.76–$258.35 | 2 |
| MA | $280.71–$311.92 | 2 |
| MD | $272.50–$310.53 | 3 |
| ME | $251.24–$266.04 | 2 |
| MI | $252.49–$266.27 | 2 |
| MN | $272.14 | 1 |
| MO | $241.07–$259.92 | 3 |
| MS | $239.61 | 1 |
| MT | $269.87 | 1 |
| NC | $254.03 | 1 |
| ND | $266.70 | 1 |
| NE | $250.56 | 1 |
| NH | $277.73 | 1 |
| NJ | $291.78–$307.06 | 2 |
| NM | $253.71 | 1 |
| NV | $269.19 | 1 |
| NY | $257.90–$317.36 | 5 |
| OH | $251.85 | 1 |
| OK | $246.46 | 1 |
| OR | $267.46–$292.48 | 2 |
| PA | $252.55–$280.45 | 2 |
| PR | $272.08 | 1 |
| RI | $277.24 | 1 |
| SC | $253.29 | 1 |
| SD | $266.33 | 1 |
| TN | $248.50 | 1 |
| TX | $250.80–$281.43 | 8 |
| UT | $256.87 | 1 |
| VA | $264.78–$310.53 | 2 |
| VI | $272.08 | 1 |
| VT | $265.16 | 1 |
| WA | $280.35–$318.90 | 2 |
| WI | $257.46 | 1 |
| WV | $244.97 | 1 |
| WY | $268.49 | 1 |
How the 64467 rate is calculated
Each of 64467’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 · 64467
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.70Practice expense 6.22Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64467
The CMS indicators that decide how 64467 is paid alongside other services.
CMS payment indicators · 64467
Thoracic plane block
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
64467 without 50 · national office
$269.88
Thoracic plane block
64467-50 · Bilateral: 150%
$404.82
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).
64467 compared with similar codes
Compare codes
64467 vs 64466 vs 64469 vs 64468 vs 64461: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64466Thoracic block
- Both are unilateral thoracic fascial plane blocks; 64466 identifies the injection service. Check the documented service against the NFS designation for 64467.
- 64469Thoracic plane block
- This is the bilateral NFS-designated sibling. 64467 is the unilateral code.
- 64468Thoracic block
- This is the bilateral injection-code sibling; 64467 is unilateral and carries the NFS designation.
- 64461Paravertebral block
- 64461 describes a thoracic paravertebral block. Use 64467 for a thoracic fascial plane approach, not a paravertebral injection site.
64467 billing questions
How does 64467 differ from 64466?
Both describe a unilateral thoracic fascial plane block, but 64466 is the injection code. Use 64467 only when the documented service meets its distinct NFS designation.
Which thoracic blocks can be represented by this code?
Thoracic fascial plane approaches include erector spinae and serratus anterior plane blocks. Documentation should identify the approach, thoracic site, and side.
Can the block be reported with the related surgical procedure?
A same-session block and another procedure may be subject to CMS's multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.
What does CMS specify for bilateral reporting?
CMS lists bilateral payment with modifier 50 at 150%. The code family also has bilateral counterparts, so distinguish the documented bilateral service from a unilateral block.
What should the record support?
Document the thoracic fascial plane approach, side, medication delivery, and clinical purpose, along with the details that establish the service's NFS designation.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
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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