FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

64487 in Austin

Office / nonfacility

$256.56

Base rate per service

Facility setting

$56.19

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.

Regional anesthesia

About 64487: Unilateral continuous TAP block

Reports a unilateral transversus abdominis plane block delivered by continuous infusion, typically for analgesia after abdominal surgery.

This service provides regional pain control by delivering local anesthetic continuously into the transversus abdominis plane on one side of the abdominal wall, commonly through a catheter. An anesthesiologist or other qualified anesthesia professional may perform the block around abdominal surgery to support postoperative analgesia. Imaging guidance, when used, is included in the service. The infusion method distinguishes this code from a TAP block delivered by injection alone.

Report 64487 for the unilateral continuous-infusion service; use the family’s bilateral code, 64489, for a bilateral continuous infusion. Documentation should identify the side, block technique, continuous delivery, and clinical purpose. Medicare 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 pays a bilateral procedure submitted with modifier 50 at 150%; follow the code family’s bilateral reporting convention. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 64487

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 RVU1.36 · 19%
  • Practice expense (office) RVU5.88 · 80%
  • Malpractice RVU0.11 · 1%

190

Medicare services in 2024 · #4365 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.

64487 compared with similar codes

Office rates for Austin, from the same CMS release.

64486

TAP block

Unilateral injection

$130.17

Both describe a unilateral TAP block, but 64487 is for continuous infusion and 64486 is for injection.

64489

TAP block

Bilateral continuous infusion

$422.47

64489 describes bilateral continuous-infusion TAP blockade; 64487 is the unilateral service.

64488

TAP block

Bilateral, injection technique

$152.94

64488 describes bilateral TAP block by injection. Choose 64487 for unilateral continuous infusion.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 64487 is $227.56—$29.00 lower than the $256.56 rate in Austin. Both use the same code, release and participation basis.

64487 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $256.56

  2. Beaumont

    $227.56

    $29.00 lower than Austin

  3. Brazoria

    $243.28

    $13.28 lower than Austin

  4. Dallas

    $244.60

    $11.96 lower than Austin

  5. Fort Worth

    $242.68

    $13.88 lower than Austin

  6. Galveston

    $243.85

    $12.71 lower than Austin

  7. Houston

    $245.87

    $10.69 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, 64487 ranges from $216.02 in Arkansas to $335.60 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 · 64487

    Office

    $235.12

    Facility

    $55.40

    $21.44 lower than Austin for the office setting.

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

    California · 64487

    Office

    $282.07

    Facility

    $58.03

    $25.51 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64487

    Office

    $283.32

    Facility

    $60.23

    $26.76 higher than Austin for the office setting.

  • Miami

    Florida · 64487

    Office

    $259.17

    Facility

    $62.02

    $2.61 higher than Austin for the office setting.

  • Chicago

    Illinois · 64487

    Office

    $251.55

    Facility

    $61.22

    $5.01 lower than Austin for the office setting.

  • Manhattan

    New York · 64487

    Office

    $282.37

    Facility

    $62.31

    $25.81 higher than Austin for the office setting.

  • Alaska*

    Alaska · 64487

    Office

    $279.33

    Facility

    $77.63

    $22.77 higher than Austin for the office setting.

  • Alabama

    Alabama · 64487

    Office

    $219.35

    Facility

    $53.64

    $37.21 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 64487

    Office

    $216.02

    Facility

    $53.34

    $40.54 lower than Austin for the office setting.

  • Arizona

    Arizona · 64487

    Office

    $238.88

    Facility

    $55.37

    $17.68 lower than Austin for the office setting.

  • Bakersfield

    California · 64487

    Office

    $263.78

    Facility

    $56.21

    $7.22 higher than Austin for the office setting.

  • Chico

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • El Centro

    California · 64487

    Office

    $263.44

    Facility

    $55.87

    $6.88 higher than Austin for the office setting.

  • Fresno

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Madera

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Merced

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Modesto

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Napa

    California · 64487

    Office

    $309.01

    Facility

    $59.40

    $52.45 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64487

    Office

    $281.13

    Facility

    $57.28

    $24.57 higher than Austin for the office setting.

  • Redding

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Rest Of California

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64487

    Office

    $264.63

    Facility

    $57.06

    $8.07 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64487

    Office

    $277.44

    Facility

    $57.19

    $20.88 higher than Austin for the office setting.

  • Salinas

    California · 64487

    Office

    $276.43

    Facility

    $56.93

    $19.87 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64487

    Office

    $283.67

    Facility

    $57.17

    $27.11 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64487

    Office

    $328.35

    Facility

    $61.32

    $71.79 higher than Austin for the office setting.

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

    California · 64487

    Office

    $328.22

    Facility

    $61.19

    $71.66 higher than Austin for the office setting.

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

    California · 64487

    Office

    $335.60

    Facility

    $62.51

    $79.04 higher than Austin for the office setting.

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

    California · 64487

    Office

    $335.09

    Facility

    $62.00

    $78.53 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64487

    Office

    $271.86

    Facility

    $56.16

    $15.30 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 64487

    Office

    $286.97

    Facility

    $56.87

    $30.41 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 64487

    Office

    $277.67

    Facility

    $56.84

    $21.11 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 64487

    Office

    $289.93

    Facility

    $57.37

    $33.37 higher than Austin for the office setting.

  • Stockton

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Vallejo

    California · 64487

    Office

    $308.83

    Facility

    $59.22

    $52.27 higher than Austin for the office setting.

  • Visalia

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Yuba City

    California · 64487

    Office

    $263.42

    Facility

    $55.85

    $6.86 higher than Austin for the office setting.

  • Colorado

    Colorado · 64487

    Office

    $257.81

    Facility

    $56.30

    $1.25 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 64487

    Office

    $262.30

    Facility

    $58.33

    $5.74 higher than Austin for the office setting.

  • Delaware

    Delaware · 64487

    Office

    $243.00

    Facility

    $55.89

    $13.56 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 64487

    Office

    $251.02

    Facility

    $59.17

    $5.54 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 64487

    Office

    $238.70

    Facility

    $57.65

    $17.86 lower than Austin for the office setting.

  • Atlanta

    Georgia · 64487

    Office

    $249.51

    Facility

    $57.10

    $7.05 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 64487

    Office

    $224.99

    Facility

    $56.06

    $31.57 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 64487

    Office

    $270.86

    Facility

    $55.53

    $14.30 higher than Austin for the office setting.

  • Iowa

    Iowa · 64487

    Office

    $226.59

    Facility

    $53.30

    $29.97 lower than Austin for the office setting.

  • Idaho

    Idaho · 64487

    Office

    $227.85

    Facility

    $53.62

    $28.71 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 64487

    Office

    $233.51

    Facility

    $59.28

    $23.05 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 64487

    Office

    $230.48

    Facility

    $57.57

    $26.08 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 64487

    Office

    $253.95

    Facility

    $59.46

    $2.61 lower than Austin for the office setting.

  • Indiana

    Indiana · 64487

    Office

    $229.27

    Facility

    $53.71

    $27.29 lower than Austin for the office setting.

  • Kansas

    Kansas · 64487

    Office

    $224.82

    Facility

    $53.62

    $31.74 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 64487

    Office

    $223.38

    Facility

    $55.02

    $33.18 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 64487

    Office

    $234.41

    Facility

    $56.20

    $22.15 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 64487

    Office

    $222.76

    Facility

    $55.15

    $33.80 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 64487

    Office

    $285.06

    Facility

    $58.93

    $28.50 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64487

    Office

    $255.89

    Facility

    $56.47

    $0.67 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64487

    Office

    $261.43

    Facility

    $58.22

    $4.87 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 64487

    Office

    $248.01

    Facility

    $56.35

    $8.55 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 64487

    Office

    $228.40

    Facility

    $54.16

    $28.16 lower than Austin for the office setting.

  • Southern Maine

    Maine · 64487

    Office

    $242.37

    Facility

    $54.69

    $14.19 lower than Austin for the office setting.

  • Detroit

    Michigan · 64487

    Office

    $241.14

    Facility

    $58.39

    $15.42 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 64487

    Office

    $228.88

    Facility

    $55.98

    $27.68 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 64487

    Office

    $248.61

    Facility

    $53.73

    $7.95 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 64487

    Office

    $233.43

    Facility

    $55.60

    $23.13 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 64487

    Office

    $236.08

    Facility

    $55.78

    $20.48 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 64487

    Office

    $218.30

    Facility

    $55.05

    $38.26 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 64487

    Office

    $217.24

    Facility

    $54.18

    $39.32 lower than Austin for the office setting.

  • Montana**

    Montana · 64487

    Office

    $245.49

    Facility

    $56.11

    $11.07 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 64487

    Office

    $231.01

    Facility

    $54.32

    $25.55 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 64487

    Office

    $243.31

    Facility

    $53.93

    $13.25 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 64487

    Office

    $228.09

    Facility

    $53.29

    $28.47 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 64487

    Office

    $253.09

    Facility

    $55.94

    $3.47 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 64487

    Office

    $280.03

    Facility

    $60.35

    $23.47 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 64487

    Office

    $265.74

    Facility

    $58.93

    $9.18 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 64487

    Office

    $229.93

    Facility

    $56.27

    $26.63 lower than Austin for the office setting.

  • Nevada**

    Nevada · 64487

    Office

    $245.08

    Facility

    $55.51

    $11.48 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64487

    Office

    $288.67

    Facility

    $63.50

    $32.11 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64487

    Office

    $266.97

    Facility

    $59.60

    $10.41 higher than Austin for the office setting.

  • Queens

    New York · 64487

    Office

    $285.77

    Facility

    $61.92

    $29.21 higher than Austin for the office setting.

  • Rest Of New York

    New York · 64487

    Office

    $234.59

    Facility

    $54.67

    $21.97 lower than Austin for the office setting.

  • Ohio

    Ohio · 64487

    Office

    $228.44

    Facility

    $55.53

    $28.12 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 64487

    Office

    $223.66

    Facility

    $54.54

    $32.90 lower than Austin for the office setting.

  • Portland

    Oregon · 64487

    Office

    $267.08

    Facility

    $56.68

    $10.52 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 64487

    Office

    $243.62

    Facility

    $54.99

    $12.94 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64487

    Office

    $255.08

    Facility

    $57.93

    $1.48 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64487

    Office

    $229.19

    Facility

    $55.34

    $27.37 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 64487

    Office

    $247.60

    Facility

    $56.14

    $8.96 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 64487

    Office

    $252.44

    Facility

    $56.81

    $4.12 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 64487

    Office

    $230.02

    Facility

    $55.03

    $26.54 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 64487

    Office

    $243.06

    Facility

    $53.67

    $13.50 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 64487

    Office

    $225.92

    Facility

    $53.77

    $30.64 lower than Austin for the office setting.

  • Utah

    Utah · 64487

    Office

    $233.34

    Facility

    $55.32

    $23.22 lower than Austin for the office setting.

  • Virginia

    Virginia · 64487

    Office

    $241.08

    Facility

    $54.91

    $15.48 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64487

    Office

    $247.60

    Facility

    $56.14

    $8.96 lower than Austin for the office setting.

  • Vermont

    Vermont · 64487

    Office

    $241.72

    Facility

    $54.23

    $14.84 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 64487

    Office

    $255.62

    Facility

    $56.20

    $0.94 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 64487

    Office

    $291.68

    Facility

    $59.30

    $35.12 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 64487

    Office

    $234.71

    Facility

    $53.28

    $21.85 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 64487

    Office

    $221.35

    Facility

    $56.78

    $35.21 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 64487

    Office

    $244.54

    Facility

    $55.16

    $12.02 lower than Austin for the office setting.

See how rates vary across the country

64487 · 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.

$216.02

$299.51

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$279.331
AL$219.351
AR$216.021
AZ$238.881
CA$263.42–$335.6029
CO$257.811
CT$262.301
DC$283.321
DE$243.001
FL$238.70–$259.173
GA$224.99–$249.512
GU$270.861
HI$270.861
IA$226.591
ID$227.851
IL$230.48–$253.954
IN$229.271
KS$224.821
KY$223.381
LA$222.76–$234.412
MA$255.89–$285.062
MD$248.01–$283.323
ME$228.40–$242.372
MI$228.88–$241.142
MN$248.611
MO$218.30–$236.083
MS$217.241
MT$245.491
NC$231.011
ND$243.311
NE$228.091
NH$253.091
NJ$265.74–$280.032
NM$229.931
NV$245.081
NY$234.59–$288.675
OH$228.441
OK$223.661
OR$243.62–$267.082
PA$229.19–$255.082
PR$247.601
RI$252.441
SC$230.021
SD$243.061
TN$225.921
TX$227.56–$256.568
UT$233.341
VA$241.08–$283.322
VI$247.601
VT$241.721
WA$255.62–$291.682
WI$234.711
WV$221.351
WY$244.541

Explore 64487 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 64487 in Austin, the physician’s office rate is $256.56 and the facility-setting rate is $56.19: a difference of $200.37.

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 64487 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$282.22

$256.56 × 110% = $282.22

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 64487 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,131

Code
64487
Physician work
1.36
Practice expense
5.88
Malpractice
0.11

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 64487 in Austin
ComponentRVULocality factorAdjusted
Physician work1.36× 1.0021.3627
Practice expense5.88× 1.0586.2210
Malpractice0.11× 0.8860.0975
Total RVUs7.6812
Conversion factor× 33.4009

Office / nonfacility rate, Austin$256.56

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

Open 64487 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.361.002
Practice expense5.881.058
Malpractice0.110.886

(1.36 × 1.002 + 5.88 × 1.058 + 0.11 × 0.886) × $33.4009 = $256.56

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.361.002
Practice expense0.211.058
Malpractice0.110.886

(1.36 × 1.002 + 0.21 × 1.058 + 0.11 × 0.886) × $33.4009 = $56.19

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

64487 · Office / nonfacility

$256.56

Effective 2026-10-01

The base rate is $52.12 higher than on 2025-10-01, moving from $204.44 to $256.56 (25.5%).

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

    $204.44changed to$256.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.39 changed to 1.36
    • Practice expense RVU 4.60 changed to 5.88
    • Malpractice RVU 0.13 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: $204.44

    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$256.56$56.19RVU26D
2026-07-01$256.56$56.19RVU26C
2026-04-01$256.56$56.19RVU26B
2026-01-01$256.56$56.19RVU26A
2025-10-01$204.44$57.60RVU25D
2025-07-01$204.44$57.60RVU25C
2025-04-01$204.44$57.60RVU25B
2025-01-01$204.44$57.60RVU25A

64487 billing questions

When should 64487 be reported instead of 64486?

Use 64487 for a unilateral TAP block delivered by continuous infusion. Code 64486 describes the unilateral injection method.

Which code describes a bilateral continuous TAP infusion?

The family includes 64489 for bilateral continuous infusion. CMS applies its 150% bilateral payment method when a bilateral procedure is submitted with modifier 50; follow the applicable code-family reporting convention.

Is imaging guidance separately reported with 64487?

Imaging guidance, when performed for this continuous-infusion TAP block, is included in the service.

What documentation supports 64487?

Document the TAP block, the side treated, the continuous-infusion technique, and the clinical purpose, such as analgesia associated with abdominal surgery.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 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 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 64487PPRRVU2026_Oct_nonQPP.csv, line 7,131 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet