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CMS RVU26D · Effective 2026-10-01

64415 in Austin

Office / nonfacility

$160.55

Base rate per service

Facility setting

$66.90

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Peripheral nerve block

About 64415: Single-injection brachial plexus block

Reports a single injection to block the brachial plexus, commonly for anesthesia or pain control during shoulder and upper-arm procedures.

This service is a single injection of anesthetic, steroid, or both to block the brachial plexus. Anesthesiologists, pain physicians, and other clinicians performing regional anesthesia commonly use it for perioperative anesthesia or analgesia for shoulder and upper-arm procedures. The approach may be interscalene, supraclavicular, or infraclavicular, depending on the intended block. Imaging guidance, when performed, is included in the service.

Report this code for a single-injection brachial plexus block; use the continuous-infusion catheter code when the clinician places a catheter for ongoing infusion instead. Document the indication, side, injection approach, medication, and technique, including imaging guidance when used. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 identifies a bilateral service, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 64415

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.46 · 31%
  • Practice expense (office) RVU3.06 · 66%
  • Malpractice RVU0.12 · 3%

202.1K

Medicare services in 2024 · #384 by national volume

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.

64415 compared with similar codes

Office rates for Austin, from the same CMS release.

64416

Nerve block

Brachial plexus catheter infusion

No office rate

64415 is for a single brachial plexus injection. Choose 64416 when a catheter is used for continuous infusion.

64417

Axillary nerve block

Image guidance included

$193.69

64417 blocks the axillary nerve specifically; 64415 targets the brachial plexus.

64418

Nerve injection

Suprascapular nerve

$92.43

64418 targets the suprascapular nerve. Use 64415 when the service is a brachial plexus block.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 64415 is $145.50—$15.05 lower than the $160.55 rate in Austin. Both use the same code, release and participation basis.

64415 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $160.55

  2. Beaumont

    $145.50

    $15.05 lower than Austin

  3. Brazoria

    $153.57

    $6.98 lower than Austin

  4. Dallas

    $154.44

    $6.11 lower than Austin

  5. Fort Worth

    $153.47

    $7.08 lower than Austin

  6. Galveston

    $153.97

    $6.58 lower than Austin

  7. Houston

    $156.16

    $4.39 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 64415 ranges from $138.63 in Arkansas to $203.66 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 64415

    Office

    $149.38

    Facility

    $65.38

    $11.17 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 64415

    Office

    $174.34

    Facility

    $69.63

    $13.79 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64415

    Office

    $176.26

    Facility

    $71.99

    $15.71 higher than Austin for the office setting.

  • Miami

    Florida · 64415

    Office

    $165.30

    Facility

    $73.16

    $4.75 higher than Austin for the office setting.

  • Chicago

    Illinois · 64415

    Office

    $161.02

    Facility

    $72.07

    $0.47 higher than Austin for the office setting.

  • Manhattan

    New York · 64415

    Office

    $177.01

    Facility

    $74.16

    $16.46 higher than Austin for the office setting.

  • Alaska*

    Alaska · 64415

    Office

    $184.21

    Facility

    $89.94

    $23.66 higher than Austin for the office setting.

  • Alabama

    Alabama · 64415

    Office

    $140.46

    Facility

    $63.02

    $20.09 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 64415

    Office

    $138.63

    Facility

    $62.59

    $21.92 lower than Austin for the office setting.

  • Arizona

    Arizona · 64415

    Office

    $151.23

    Facility

    $65.47

    $9.32 lower than Austin for the office setting.

  • Bakersfield

    California · 64415

    Office

    $164.15

    Facility

    $67.14

    $3.60 higher than Austin for the office setting.

  • Chico

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • El Centro

    California · 64415

    Office

    $163.78

    Facility

    $66.77

    $3.23 higher than Austin for the office setting.

  • Fresno

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Madera

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Merced

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Modesto

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Napa

    California · 64415

    Office

    $188.58

    Facility

    $71.92

    $28.03 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64415

    Office

    $173.44

    Facility

    $68.81

    $12.89 higher than Austin for the office setting.

  • Redding

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Rest Of California

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64415

    Office

    $165.08

    Facility

    $68.07

    $4.53 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64415

    Office

    $171.54

    Facility

    $68.60

    $10.99 higher than Austin for the office setting.

  • Salinas

    California · 64415

    Office

    $170.88

    Facility

    $68.30

    $10.33 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64415

    Office

    $174.64

    Facility

    $68.78

    $14.09 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64415

    Office

    $199.35

    Facility

    $74.55

    $38.80 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 64415

    Office

    $199.21

    Facility

    $74.41

    $38.66 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 64415

    Office

    $203.66

    Facility

    $76.03

    $43.11 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 64415

    Office

    $203.10

    Facility

    $75.47

    $42.55 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64415

    Office

    $168.16

    Facility

    $67.34

    $7.61 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 64415

    Office

    $176.12

    Facility

    $68.58

    $15.57 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 64415

    Office

    $171.45

    Facility

    $68.25

    $10.90 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 64415

    Office

    $177.89

    Facility

    $69.19

    $17.34 higher than Austin for the office setting.

  • Stockton

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Vallejo

    California · 64415

    Office

    $188.39

    Facility

    $71.73

    $27.84 higher than Austin for the office setting.

  • Visalia

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Yuba City

    California · 64415

    Office

    $163.76

    Facility

    $66.75

    $3.21 higher than Austin for the office setting.

  • Colorado

    Colorado · 64415

    Office

    $161.23

    Facility

    $67.05

    $0.68 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 64415

    Office

    $164.67

    Facility

    $69.34

    $4.12 higher than Austin for the office setting.

  • Delaware

    Delaware · 64415

    Office

    $153.59

    Facility

    $66.14

    $6.96 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 64415

    Office

    $159.55

    Facility

    $69.88

    $1.00 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 64415

    Office

    $152.50

    Facility

    $67.88

    $8.05 lower than Austin for the office setting.

  • Atlanta

    Georgia · 64415

    Office

    $157.57

    Facility

    $67.64

    $2.98 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 64415

    Office

    $144.71

    Facility

    $65.76

    $15.84 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 64415

    Office

    $167.30

    Facility

    $66.66

    $6.75 higher than Austin for the office setting.

  • Iowa

    Iowa · 64415

    Office

    $143.88

    Facility

    $62.89

    $16.67 lower than Austin for the office setting.

  • Idaho

    Idaho · 64415

    Office

    $144.69

    Facility

    $63.26

    $15.86 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 64415

    Office

    $150.87

    Facility

    $69.44

    $9.68 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 64415

    Office

    $148.34

    Facility

    $67.53

    $12.21 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 64415

    Office

    $161.18

    Facility

    $70.27

    $0.63 higher than Austin for the office setting.

  • Indiana

    Indiana · 64415

    Office

    $145.46

    Facility

    $63.41

    $15.09 lower than Austin for the office setting.

  • Kansas

    Kansas · 64415

    Office

    $143.18

    Facility

    $63.17

    $17.37 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 64415

    Office

    $143.29

    Facility

    $64.61

    $17.26 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 64415

    Office

    $149.50

    Facility

    $66.20

    $11.05 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 64415

    Office

    $143.06

    Facility

    $64.72

    $17.49 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 64415

    Office

    $176.37

    Facility

    $70.68

    $15.82 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64415

    Office

    $160.36

    Facility

    $67.16

    $0.19 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64415

    Office

    $164.17

    Facility

    $69.20

    $3.62 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 64415

    Office

    $156.37

    Facility

    $66.79

    $4.18 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 64415

    Office

    $145.29

    Facility

    $63.86

    $15.26 lower than Austin for the office setting.

  • Southern Maine

    Maine · 64415

    Office

    $152.58

    Facility

    $64.87

    $7.97 lower than Austin for the office setting.

  • Detroit

    Michigan · 64415

    Office

    $154.15

    Facility

    $68.74

    $6.40 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 64415

    Office

    $146.61

    Facility

    $65.79

    $13.94 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 64415

    Office

    $155.12

    Facility

    $64.04

    $5.43 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 64415

    Office

    $148.65

    Facility

    $65.54

    $11.90 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 64415

    Office

    $150.08

    Facility

    $65.82

    $10.47 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 64415

    Office

    $140.77

    Facility

    $64.47

    $19.78 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 64415

    Office

    $139.73

    Facility

    $63.52

    $20.82 lower than Austin for the office setting.

  • Montana**

    Montana · 64415

    Office

    $154.97

    Facility

    $66.46

    $5.58 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 64415

    Office

    $146.69

    Facility

    $64.10

    $13.86 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 64415

    Office

    $152.60

    Facility

    $64.09

    $7.95 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 64415

    Office

    $144.62

    Facility

    $62.92

    $15.93 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 64415

    Office

    $158.67

    Facility

    $66.53

    $1.88 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 64415

    Office

    $174.68

    Facility

    $72.00

    $14.13 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 64415

    Office

    $166.72

    Facility

    $70.07

    $6.17 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 64415

    Office

    $147.30

    Facility

    $66.14

    $13.25 lower than Austin for the office setting.

  • Nevada**

    Nevada · 64415

    Office

    $154.41

    Facility

    $65.81

    $6.14 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64415

    Office

    $180.85

    Facility

    $75.61

    $20.30 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64415

    Office

    $167.73

    Facility

    $70.80

    $7.18 higher than Austin for the office setting.

  • Queens

    New York · 64415

    Office

    $178.47

    Facility

    $73.85

    $17.92 higher than Austin for the office setting.

  • Rest Of New York

    New York · 64415

    Office

    $148.68

    Facility

    $64.59

    $11.87 lower than Austin for the office setting.

  • Ohio

    Ohio · 64415

    Office

    $146.12

    Facility

    $65.31

    $14.43 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 64415

    Office

    $143.15

    Facility

    $64.11

    $17.40 lower than Austin for the office setting.

  • Portland

    Oregon · 64415

    Office

    $166.08

    Facility

    $67.74

    $5.53 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 64415

    Office

    $153.38

    Facility

    $65.22

    $7.17 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64415

    Office

    $160.82

    Facility

    $68.68

    $0.27 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64415

    Office

    $146.38

    Facility

    $65.12

    $14.17 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 64415

    Office

    $156.04

    Facility

    $66.56

    $4.51 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 64415

    Office

    $158.85

    Facility

    $67.41

    $1.70 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 64415

    Office

    $146.61

    Facility

    $64.83

    $13.94 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 64415

    Office

    $152.32

    Facility

    $63.81

    $8.23 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 64415

    Office

    $143.82

    Facility

    $63.37

    $16.73 lower than Austin for the office setting.

  • Utah

    Utah · 64415

    Office

    $148.44

    Facility

    $65.24

    $12.11 lower than Austin for the office setting.

  • Virginia

    Virginia · 64415

    Office

    $152.06

    Facility

    $65.06

    $8.49 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64415

    Office

    $156.04

    Facility

    $66.56

    $4.51 lower than Austin for the office setting.

  • Vermont

    Vermont · 64415

    Office

    $151.98

    Facility

    $64.35

    $8.57 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 64415

    Office

    $160.07

    Facility

    $66.87

    $0.48 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 64415

    Office

    $179.89

    Facility

    $71.28

    $19.34 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 64415

    Office

    $147.91

    Facility

    $63.12

    $12.64 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 64415

    Office

    $143.32

    Facility

    $66.40

    $17.23 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 64415

    Office

    $153.94

    Facility

    $65.43

    $6.61 lower than Austin for the office setting.

See how rates vary across the country

64415 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$138.63

$184.21

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$184.211
AL$140.461
AR$138.631
AZ$151.231
CA$163.76–$203.6629
CO$161.231
CT$164.671
DC$176.261
DE$153.591
FL$152.50–$165.303
GA$144.71–$157.572
GU$167.301
HI$167.301
IA$143.881
ID$144.691
IL$148.34–$161.184
IN$145.461
KS$143.181
KY$143.291
LA$143.06–$149.502
MA$160.36–$176.372
MD$156.37–$176.263
ME$145.29–$152.582
MI$146.61–$154.152
MN$155.121
MO$140.77–$150.083
MS$139.731
MT$154.971
NC$146.691
ND$152.601
NE$144.621
NH$158.671
NJ$166.72–$174.682
NM$147.301
NV$154.411
NY$148.68–$180.855
OH$146.121
OK$143.151
OR$153.38–$166.082
PA$146.38–$160.822
PR$156.041
RI$158.851
SC$146.611
SD$152.321
TN$143.821
TX$145.50–$160.558
UT$148.441
VA$152.06–$176.262
VI$156.041
VT$151.981
WA$160.07–$179.892
WI$147.911
WV$143.321
WY$153.941

Explore 64415 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 64415 in Austin, the physician’s office rate is $160.55 and the facility-setting rate is $66.90: a difference of $93.65.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 64415 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$176.61

$160.55 × 110% = $176.61

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64415 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,099

Code
64415
Physician work
1.46
Practice expense
3.06
Malpractice
0.12

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 64415 in Austin
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0021.4629
Practice expense3.06× 1.0583.2375
Malpractice0.12× 0.8860.1063
Total RVUs4.8067
Conversion factor× 33.4009

Office / nonfacility rate, Austin$160.55

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 64415 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.461.002
Practice expense3.061.058
Malpractice0.120.886

(1.46 × 1.002 + 3.06 × 1.058 + 0.12 × 0.886) × $33.4009 = $160.55

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.461.002
Practice expense0.411.058
Malpractice0.120.886

(1.46 × 1.002 + 0.41 × 1.058 + 0.12 × 0.886) × $33.4009 = $66.90

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

64415 · Office / nonfacility

$160.55

Effective 2026-10-01

The base rate is $28.34 higher than on 2025-10-01, moving from $132.21 to $160.55 (21.4%).

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

    $132.21changed to$160.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 2.36 changed to 3.06
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $132.21

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$160.55$66.90RVU26D
2026-07-01$160.55$66.90RVU26C
2026-04-01$160.55$66.90RVU26B
2026-01-01$160.55$66.90RVU26A
2025-10-01$132.21$67.59RVU25D
2025-07-01$132.21$67.59RVU25C
2025-04-01$132.21$67.59RVU25B
2025-01-01$132.21$67.59RVU25A

64415 billing questions

When should 64415 be reported instead of 64416?

Use 64415 for a single-injection brachial plexus block. Use 64416 when a catheter is placed for continuous infusion.

Is imaging guidance separately reported with this block?

Imaging guidance, when performed, is included in 64415. Document the guidance and block approach in the procedure record.

What documentation supports 64415?

Record the clinical indication, laterality, brachial plexus approach, medication injected, and whether imaging guidance was used.

How is a bilateral block reported?

Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.

How does the multiple-procedure reduction affect 64415?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported for this procedure?

CMS does not pay an assistant at surgery for this service. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 64415PPRRVU2026_Oct_nonQPP.csv, line 7,099 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)