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CMS RVU26D · Effective 2026-10-01

64480 in Austin

Office / nonfacility

$148.43

Base rate per service

Facility setting

$53.37

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.

Pain management

About 64480: Additional cervical thoracic nerve root level

Reports an additional cervical or thoracic transforaminal epidural level beyond the first when treating a targeted spinal nerve root.

This add-on represents an injection at another cervical or thoracic spinal level, using a transforaminal approach to deliver anesthetic and/or steroid near a targeted nerve root. Interventional pain physicians, anesthesiologists, physiatrists, and radiologists may perform it for conditions such as cervical or thoracic radicular pain. Imaging guidance, such as fluoroscopy or CT, is part of the service; the code does not represent a separate imaging service.

Report 64480 for each additional level treated after the first, with 64479 for the initial cervical or thoracic level. The record should identify the treated spinal levels, approach, injectate, and guidance used; another injection or needle pass at the same level is not another level. CMS classifies 64480 as an add-on code, so it must be billed with its primary procedure and is paid within that procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.

CMS billing rules for 64480

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.

Where the value comes from

  • Work RVU1.17 · 27%
  • Practice expense (office) RVU3.00 · 70%
  • Malpractice RVU0.11 · 3%

11K

Medicare services in 2024 · #1428 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.

64480 compared with similar codes

Office rates for Austin, from the same CMS release.

64479

Epidural injection

Cervical/thoracic, first level

$296.47

64479 covers the initial cervical or thoracic transforaminal level; 64480 covers each additional level and is reported with 64479.

64484

Epidural injection

Each additional lumbar or sacral level

$122.10

64484 covers additional lumbar or sacral transforaminal levels. Choose the add-on code according to the spinal region treated.

64490

Facet injection

Cervical or thoracic, one level

$212.69

64490 targets a cervical or thoracic facet joint. 64480 targets an additional nerve-root level through a transforaminal approach.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 64480 is $133.68—$14.75 lower than the $148.43 rate in Austin. Both use the same code, release and participation basis.

64480 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $148.43

  2. Beaumont

    $133.68

    $14.75 lower than Austin

  3. Brazoria

    $141.56

    $6.87 lower than Austin

  4. Dallas

    $142.39

    $6.04 lower than Austin

  5. Fort Worth

    $141.43

    $7.00 lower than Austin

  6. Galveston

    $141.94

    $6.49 lower than Austin

  7. Houston

    $143.95

    $4.48 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, 64480 ranges from $127.05 in Arkansas to $189.84 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 · 64480

    Office

    $137.49

    Facility

    $52.22

    $10.94 lower than Austin for the office setting.

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

    California · 64480

    Office

    $161.66

    Facility

    $55.37

    $13.23 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64480

    Office

    $163.32

    Facility

    $57.48

    $14.89 higher than Austin for the office setting.

  • Miami

    Florida · 64480

    Office

    $152.68

    Facility

    $59.15

    $4.25 higher than Austin for the office setting.

  • Chicago

    Illinois · 64480

    Office

    $148.49

    Facility

    $58.19

    $0.06 higher than Austin for the office setting.

  • Manhattan

    New York · 64480

    Office

    $163.84

    Facility

    $59.44

    $15.41 higher than Austin for the office setting.

  • Alaska*

    Alaska · 64480

    Office

    $167.36

    Facility

    $71.67

    $18.93 higher than Austin for the office setting.

  • Alabama

    Alabama · 64480

    Office

    $128.84

    Facility

    $50.22

    $19.59 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 64480

    Office

    $127.05

    Facility

    $49.87

    $21.38 lower than Austin for the office setting.

  • Arizona

    Arizona · 64480

    Office

    $139.32

    Facility

    $52.26

    $9.11 lower than Austin for the office setting.

  • Bakersfield

    California · 64480

    Office

    $151.88

    Facility

    $53.41

    $3.45 higher than Austin for the office setting.

  • Chico

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • El Centro

    California · 64480

    Office

    $151.55

    Facility

    $53.08

    $3.12 higher than Austin for the office setting.

  • Fresno

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Madera

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Merced

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Modesto

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Napa

    California · 64480

    Office

    $175.47

    Facility

    $57.05

    $27.04 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64480

    Office

    $160.90

    Facility

    $54.70

    $12.47 higher than Austin for the office setting.

  • Redding

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Rest Of California

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64480

    Office

    $152.74

    Facility

    $54.26

    $4.31 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64480

    Office

    $158.99

    Facility

    $54.50

    $10.56 higher than Austin for the office setting.

  • Salinas

    California · 64480

    Office

    $158.39

    Facility

    $54.26

    $9.96 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64480

    Office

    $162.09

    Facility

    $54.63

    $13.66 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64480

    Office

    $185.76

    Facility

    $59.08

    $37.33 higher than Austin for the office setting.

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

    California · 64480

    Office

    $185.64

    Facility

    $58.95

    $37.21 higher than Austin for the office setting.

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

    California · 64480

    Office

    $189.84

    Facility

    $60.28

    $41.41 higher than Austin for the office setting.

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

    California · 64480

    Office

    $189.33

    Facility

    $59.77

    $40.90 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64480

    Office

    $155.84

    Facility

    $53.51

    $7.41 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 64480

    Office

    $163.62

    Facility

    $54.45

    $15.19 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 64480

    Office

    $158.98

    Facility

    $54.22

    $10.55 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 64480

    Office

    $165.27

    Facility

    $54.94

    $16.84 higher than Austin for the office setting.

  • Stockton

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Vallejo

    California · 64480

    Office

    $175.29

    Facility

    $56.87

    $26.86 higher than Austin for the office setting.

  • Visalia

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Yuba City

    California · 64480

    Office

    $151.53

    Facility

    $53.06

    $3.10 higher than Austin for the office setting.

  • Colorado

    Colorado · 64480

    Office

    $149.03

    Facility

    $53.43

    $0.60 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 64480

    Office

    $152.22

    Facility

    $55.46

    $3.79 higher than Austin for the office setting.

  • Delaware

    Delaware · 64480

    Office

    $141.58

    Facility

    $52.81

    $6.85 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 64480

    Office

    $147.23

    Facility

    $56.21

    $1.20 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 64480

    Office

    $140.40

    Facility

    $54.50

    $8.03 lower than Austin for the office setting.

  • Atlanta

    Georgia · 64480

    Office

    $145.41

    Facility

    $54.13

    $3.02 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 64480

    Office

    $132.84

    Facility

    $52.69

    $15.59 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 64480

    Office

    $155.14

    Facility

    $52.98

    $6.71 higher than Austin for the office setting.

  • Iowa

    Iowa · 64480

    Office

    $132.22

    Facility

    $50.01

    $16.21 lower than Austin for the office setting.

  • Idaho

    Idaho · 64480

    Office

    $133.00

    Facility

    $50.34

    $15.43 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 64480

    Office

    $138.67

    Facility

    $56.00

    $9.76 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 64480

    Office

    $136.31

    Facility

    $54.28

    $12.12 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 64480

    Office

    $148.77

    Facility

    $56.50

    $0.34 higher than Austin for the office setting.

  • Indiana

    Indiana · 64480

    Office

    $133.75

    Facility

    $50.46

    $14.68 lower than Austin for the office setting.

  • Kansas

    Kansas · 64480

    Office

    $131.51

    Facility

    $50.29

    $16.92 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 64480

    Office

    $131.52

    Facility

    $51.65

    $16.91 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 64480

    Office

    $137.54

    Facility

    $53.00

    $10.89 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 64480

    Office

    $131.28

    Facility

    $51.76

    $17.15 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 64480

    Office

    $163.59

    Facility

    $56.31

    $15.16 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64480

    Office

    $148.15

    Facility

    $53.54

    $0.28 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64480

    Office

    $151.77

    Facility

    $55.36

    $3.34 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 64480

    Office

    $144.25

    Facility

    $53.32

    $4.18 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 64480

    Office

    $133.55

    Facility

    $50.89

    $14.88 lower than Austin for the office setting.

  • Southern Maine

    Maine · 64480

    Office

    $140.70

    Facility

    $51.66

    $7.73 lower than Austin for the office setting.

  • Detroit

    Michigan · 64480

    Office

    $141.97

    Facility

    $55.27

    $6.46 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 64480

    Office

    $134.71

    Facility

    $52.68

    $13.72 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 64480

    Office

    $143.28

    Facility

    $50.82

    $5.15 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 64480

    Office

    $136.76

    Facility

    $52.39

    $11.67 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 64480

    Office

    $138.15

    Facility

    $52.62

    $10.28 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 64480

    Office

    $129.03

    Facility

    $51.58

    $19.40 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 64480

    Office

    $128.07

    Facility

    $50.71

    $20.36 lower than Austin for the office setting.

  • Montana**

    Montana · 64480

    Office

    $142.95

    Facility

    $53.10

    $5.48 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 64480

    Office

    $134.92

    Facility

    $51.09

    $13.51 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 64480

    Office

    $140.77

    Facility

    $50.93

    $7.66 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 64480

    Office

    $132.95

    Facility

    $50.02

    $15.48 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 64480

    Office

    $146.60

    Facility

    $53.07

    $1.83 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 64480

    Office

    $161.70

    Facility

    $57.48

    $13.27 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 64480

    Office

    $154.09

    Facility

    $55.98

    $5.66 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 64480

    Office

    $135.38

    Facility

    $52.99

    $13.05 lower than Austin for the office setting.

  • Nevada**

    Nevada · 64480

    Office

    $142.44

    Facility

    $52.50

    $5.99 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64480

    Office

    $167.54

    Facility

    $60.71

    $19.11 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64480

    Office

    $155.01

    Facility

    $56.62

    $6.58 higher than Austin for the office setting.

  • Queens

    New York · 64480

    Office

    $165.32

    Facility

    $59.12

    $16.89 higher than Austin for the office setting.

  • Rest Of New York

    New York · 64480

    Office

    $136.85

    Facility

    $51.50

    $11.58 lower than Austin for the office setting.

  • Ohio

    Ohio · 64480

    Office

    $134.27

    Facility

    $52.24

    $14.16 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 64480

    Office

    $131.41

    Facility

    $51.18

    $17.02 lower than Austin for the office setting.

  • Portland

    Oregon · 64480

    Office

    $153.76

    Facility

    $53.94

    $5.33 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 64480

    Office

    $141.46

    Facility

    $51.97

    $6.97 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64480

    Office

    $148.48

    Facility

    $54.94

    $0.05 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64480

    Office

    $134.54

    Facility

    $52.06

    $13.89 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 64480

    Office

    $144.00

    Facility

    $53.17

    $4.43 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 64480

    Office

    $146.61

    Facility

    $53.79

    $1.82 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 64480

    Office

    $134.79

    Facility

    $51.77

    $13.64 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 64480

    Office

    $140.52

    Facility

    $50.67

    $7.91 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 64480

    Office

    $132.14

    Facility

    $50.46

    $16.29 lower than Austin for the office setting.

  • Utah

    Utah · 64480

    Office

    $136.57

    Facility

    $52.11

    $11.86 lower than Austin for the office setting.

  • Virginia

    Virginia · 64480

    Office

    $140.17

    Facility

    $51.85

    $8.26 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64480

    Office

    $144.00

    Facility

    $53.17

    $4.43 lower than Austin for the office setting.

  • Vermont

    Vermont · 64480

    Office

    $140.14

    Facility

    $51.19

    $8.29 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 64480

    Office

    $147.90

    Facility

    $53.29

    $0.53 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 64480

    Office

    $166.98

    Facility

    $56.74

    $18.55 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 64480

    Office

    $136.20

    Facility

    $50.13

    $12.23 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 64480

    Office

    $131.41

    Facility

    $53.33

    $17.02 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 64480

    Office

    $142.00

    Facility

    $52.15

    $6.43 lower than Austin for the office setting.

See how rates vary across the country

64480 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$127.05

$170.69

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$167.361
AL$128.841
AR$127.051
AZ$139.321
CA$151.53–$189.8429
CO$149.031
CT$152.221
DC$163.321
DE$141.581
FL$140.40–$152.683
GA$132.84–$145.412
GU$155.141
HI$155.141
IA$132.221
ID$133.001
IL$136.31–$148.774
IN$133.751
KS$131.511
KY$131.521
LA$131.28–$137.542
MA$148.15–$163.592
MD$144.25–$163.323
ME$133.55–$140.702
MI$134.71–$141.972
MN$143.281
MO$129.03–$138.153
MS$128.071
MT$142.951
NC$134.921
ND$140.771
NE$132.951
NH$146.601
NJ$154.09–$161.702
NM$135.381
NV$142.441
NY$136.85–$167.545
OH$134.271
OK$131.411
OR$141.46–$153.762
PA$134.54–$148.482
PR$144.001
RI$146.611
SC$134.791
SD$140.521
TN$132.141
TX$133.68–$148.438
UT$136.571
VA$140.17–$163.322
VI$144.001
VT$140.141
WA$147.90–$166.982
WI$136.201
WV$131.411
WY$142.001

Explore 64480 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.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 64480 in Austin, the physician’s office rate is $148.43 and the facility-setting rate is $53.37: a difference of $95.06.

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 64480 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$163.27

$148.43 × 110% = $163.27

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.

Compare your contract offer →

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 64480 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,127

Code
64480
Physician work
1.17
Practice expense
3.00
Malpractice
0.11

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 64480 in Austin
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0021.1723
Practice expense3.00× 1.0583.1740
Malpractice0.11× 0.8860.0975
Total RVUs4.4438
Conversion factor× 33.4009

Office / nonfacility rate, Austin$148.43

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

Open 64480 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.171.002
Practice expense31.058
Malpractice0.110.886

(1.17 × 1.002 + 3 × 1.058 + 0.11 × 0.886) × $33.4009 = $148.43

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.171.002
Practice expense0.311.058
Malpractice0.110.886

(1.17 × 1.002 + 0.31 × 1.058 + 0.11 × 0.886) × $33.4009 = $53.37

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

64480 · Office / nonfacility

$148.43

Effective 2026-10-01

The base rate is $15.05 higher than on 2025-10-01, moving from $133.38 to $148.43 (11.3%).

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

    $133.38changed to$148.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 2.69 changed to 3.00
    • Malpractice RVU 0.12 changed to 0.11
    • 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: $133.38

    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$148.43$53.37RVU26D
2026-07-01$148.43$53.37RVU26C
2026-04-01$148.43$53.37RVU26B
2026-01-01$148.43$53.37RVU26A
2025-10-01$133.38$59.96RVU25D
2025-07-01$133.38$59.96RVU25C
2025-04-01$133.38$59.96RVU25B
2025-01-01$133.38$59.96RVU25A

64480 billing questions

When is 64480 reported instead of 64479?

Use 64479 for the initial cervical or thoracic transforaminal level. Report 64480 for each additional level treated in the same procedure.

Can 64480 be billed by itself?

No. It is an add-on code and must be reported with the primary procedure, 64479.

Does another injection at the same level support another unit?

No. The add-on is based on an additional spinal level, not additional needle passes or injections at the same level.

How is bilateral treatment reported under the CMS rule?

For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.

What distinguishes 64480 from 64484?

64480 is for each additional cervical or thoracic transforaminal level. 64484 is for each additional lumbar or sacral level.

What documentation supports the additional-level code?

Document the cervical or thoracic levels treated, the transforaminal approach, the injectate, and the imaging guidance used.

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 64480PPRRVU2026_Oct_nonQPP.csv, line 7,127 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet