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CMS RVU26D · Effective 2026-10-01

64468 in Beaumont

Office / nonfacility

$154.54

Base rate per service

Facility setting

$67.00

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 64468: Bilateral thoracic fascial plane injection block

Reports bilateral injection of anesthetic into thoracic fascial planes for chest-wall analgesia, commonly around breast or other thoracic surgery.

This code covers injection of anesthetic into thoracic fascial planes on both sides for regional analgesia. Anesthesiologists and acute-pain specialists commonly perform the block around breast or other thoracic surgery to manage chest-wall pain. It describes injections, not delivery through a catheter for continuous infusion; imaging guidance, when performed, is included in the block service.

Report one unit for the bilateral block, with documentation identifying the sites and both sides treated, the anesthetic injected, and the clinical purpose. The 0-day global period includes same-day preoperative and postoperative care. When this block is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 64468

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
The code is already priced as bilateral; modifier 50 does not increase payment.
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 RVU1.63 · 33%
  • Practice expense (office) RVU3.14 · 64%
  • Malpractice RVU0.15 · 3%

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.

64468 compared with similar codes

Office rates for Beaumont, from the same CMS release.

64466

Thoracic block

Unilateral injection

$133.66

Use 64468 when the thoracic fascial plane injections are bilateral; use 64466 when they are unilateral.

64469

Thoracic plane block

Bilateral continuous catheter

$385.09

Use 64468 for bilateral injections; 64469 describes bilateral delivery by continuous infusion.

64461

Paravertebral block

Thoracic, single site

$141.41

64461 describes a thoracic paravertebral block, not a thoracic fascial plane injection.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 64468 is $169.95—$15.41 higher than the $154.54 rate in Beaumont. Both use the same code, release and participation basis.

64468 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $154.54

  2. Austin

    $169.95

    $15.41 higher than Beaumont

  3. Brazoria

    $162.72

    $8.18 higher than Beaumont

  4. Dallas

    $163.69

    $9.15 higher than Beaumont

  5. Fort Worth

    $162.71

    $8.17 higher than Beaumont

  6. Galveston

    $163.17

    $8.63 higher than Beaumont

  7. Houston

    $165.92

    $11.38 higher than Beaumont

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, 64468 ranges from $147.11 in Arkansas to $214.35 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 · 64468

    Office

    $158.50

    Facility

    $67.21

    $3.96 higher than Beaumont for the office setting.

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

    California · 64468

    Office

    $184.07

    Facility

    $70.28

    $29.53 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64468

    Office

    $186.51

    Facility

    $73.19

    $31.97 higher than Beaumont for the office setting.

  • Miami

    Florida · 64468

    Office

    $176.29

    Facility

    $76.15

    $21.75 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 64468

    Office

    $171.73

    Facility

    $75.05

    $17.19 higher than Beaumont for the office setting.

  • Manhattan

    New York · 64468

    Office

    $187.74

    Facility

    $75.97

    $33.20 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 64468

    Office

    $196.12

    Facility

    $93.67

    $41.58 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 64468

    Office

    $149.05

    Facility

    $64.88

    $5.49 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 64468

    Office

    $147.11

    Facility

    $64.48

    $7.43 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 64468

    Office

    $160.36

    Facility

    $67.15

    $5.82 higher than Beaumont for the office setting.

  • Bakersfield

    California · 64468

    Office

    $173.48

    Facility

    $68.05

    $18.94 higher than Beaumont for the office setting.

  • Chico

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • El Centro

    California · 64468

    Office

    $173.03

    Facility

    $67.60

    $18.49 higher than Beaumont for the office setting.

  • Fresno

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Madera

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Merced

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Modesto

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Napa

    California · 64468

    Office

    $198.65

    Facility

    $71.86

    $44.11 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64468

    Office

    $183.06

    Facility

    $69.35

    $28.52 higher than Beaumont for the office setting.

  • Redding

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Rest Of California

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64468

    Office

    $174.64

    Facility

    $69.22

    $20.10 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64468

    Office

    $181.06

    Facility

    $69.19

    $26.52 higher than Beaumont for the office setting.

  • Salinas

    California · 64468

    Office

    $180.37

    Facility

    $68.88

    $25.83 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64468

    Office

    $184.23

    Facility

    $69.18

    $29.69 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64468

    Office

    $209.79

    Facility

    $74.16

    $55.25 higher than Beaumont for the office setting.

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

    California · 64468

    Office

    $209.62

    Facility

    $73.99

    $55.08 higher than Beaumont for the office setting.

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

    California · 64468

    Office

    $214.35

    Facility

    $75.64

    $59.81 higher than Beaumont for the office setting.

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

    California · 64468

    Office

    $213.66

    Facility

    $74.94

    $59.12 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64468

    Office

    $177.51

    Facility

    $67.95

    $22.97 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 64468

    Office

    $185.70

    Facility

    $68.82

    $31.16 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 64468

    Office

    $180.94

    Facility

    $68.78

    $26.40 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 64468

    Office

    $187.55

    Facility

    $69.43

    $33.01 higher than Beaumont for the office setting.

  • Stockton

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Vallejo

    California · 64468

    Office

    $198.40

    Facility

    $71.62

    $43.86 higher than Beaumont for the office setting.

  • Visalia

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Yuba City

    California · 64468

    Office

    $173.00

    Facility

    $67.57

    $18.46 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 64468

    Office

    $170.60

    Facility

    $68.25

    $16.06 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 64468

    Office

    $174.55

    Facility

    $70.95

    $20.01 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 64468

    Office

    $162.84

    Facility

    $67.80

    $8.30 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 64468

    Office

    $169.74

    Facility

    $72.30

    $15.20 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 64468

    Office

    $162.24

    Facility

    $70.28

    $7.70 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 64468

    Office

    $167.18

    Facility

    $69.45

    $12.64 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 64468

    Office

    $153.97

    Facility

    $68.16

    $0.57 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 64468

    Office

    $176.59

    Facility

    $67.22

    $22.05 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 64468

    Office

    $152.40

    Facility

    $64.38

    $2.14 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 64468

    Office

    $153.30

    Facility

    $64.80

    $1.24 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 64468

    Office

    $161.02

    Facility

    $72.52

    $6.48 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 64468

    Office

    $158.03

    Facility

    $70.20

    $3.49 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 64468

    Office

    $171.41

    Facility

    $72.62

    $16.87 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 64468

    Office

    $154.10

    Facility

    $64.93

    $0.44 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 64468

    Office

    $151.78

    Facility

    $64.82

    $2.76 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 64468

    Office

    $152.27

    Facility

    $66.75

    $2.27 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 64468

    Office

    $158.83

    Facility

    $68.31

    $4.29 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 64468

    Office

    $152.06

    Facility

    $66.93

    $2.48 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 64468

    Office

    $186.36

    Facility

    $71.50

    $31.82 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64468

    Office

    $169.75

    Facility

    $68.45

    $15.21 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64468

    Office

    $174.05

    Facility

    $70.83

    $19.51 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 64468

    Office

    $165.72

    Facility

    $68.38

    $11.18 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 64468

    Office

    $154.05

    Facility

    $65.55

    $0.49 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 64468

    Office

    $161.54

    Facility

    $66.21

    $7.00 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 64468

    Office

    $164.10

    Facility

    $71.27

    $9.56 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 64468

    Office

    $155.85

    Facility

    $68.03

    $1.31 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 64468

    Office

    $163.85

    Facility

    $64.86

    $9.31 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 64468

    Office

    $157.82

    Facility

    $67.49

    $3.28 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 64468

    Office

    $159.31

    Facility

    $67.73

    $4.77 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 64468

    Office

    $149.73

    Facility

    $66.81

    $4.81 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 64468

    Office

    $148.45

    Facility

    $65.62

    $6.09 lower than Beaumont for the office setting.

  • Montana**

    Montana · 64468

    Office

    $164.32

    Facility

    $68.13

    $9.78 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 64468

    Office

    $155.50

    Facility

    $65.75

    $0.96 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 64468

    Office

    $161.36

    Facility

    $65.16

    $6.82 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 64468

    Office

    $153.14

    Facility

    $64.35

    $1.40 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 64468

    Office

    $168.01

    Facility

    $67.87

    $13.47 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 64468

    Office

    $184.88

    Facility

    $73.30

    $30.34 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 64468

    Office

    $176.65

    Facility

    $71.60

    $22.11 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 64468

    Office

    $156.63

    Facility

    $68.42

    $2.09 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 64468

    Office

    $163.60

    Facility

    $67.31

    $9.06 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64468

    Office

    $191.93

    Facility

    $77.56

    $37.39 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64468

    Office

    $177.80

    Facility

    $72.46

    $23.26 higher than Beaumont for the office setting.

  • Queens

    New York · 64468

    Office

    $189.12

    Facility

    $75.42

    $34.58 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 64468

    Office

    $157.60

    Facility

    $66.22

    $3.06 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 64468

    Office

    $155.25

    Facility

    $67.42

    $0.71 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 64468

    Office

    $151.99

    Facility

    $66.09

    $2.55 lower than Beaumont for the office setting.

  • Portland

    Oregon · 64468

    Office

    $175.56

    Facility

    $68.69

    $21.02 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 64468

    Office

    $162.42

    Facility

    $66.62

    $7.88 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64468

    Office

    $170.58

    Facility

    $70.44

    $16.04 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64468

    Office

    $155.46

    Facility

    $67.15

    $0.92 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 64468

    Office

    $165.41

    Facility

    $68.16

    $10.87 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 64468

    Office

    $168.29

    Facility

    $68.92

    $13.75 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 64468

    Office

    $155.61

    Facility

    $66.73

    $1.07 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 64468

    Office

    $161.01

    Facility

    $64.81

    $6.47 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 64468

    Office

    $152.47

    Facility

    $65.03

    $2.07 lower than Beaumont for the office setting.

  • Utah

    Utah · 64468

    Office

    $157.53

    Facility

    $67.11

    $2.99 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 64468

    Office

    $161.08

    Facility

    $66.52

    $6.54 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64468

    Office

    $165.41

    Facility

    $68.16

    $10.87 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 64468

    Office

    $160.81

    Facility

    $65.58

    $6.27 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 64468

    Office

    $169.40

    Facility

    $68.11

    $14.86 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 64468

    Office

    $189.95

    Facility

    $71.91

    $35.41 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 64468

    Office

    $156.46

    Facility

    $64.31

    $1.92 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 64468

    Office

    $152.75

    Facility

    $69.16

    $1.79 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 64468

    Office

    $163.03

    Facility

    $66.84

    $8.49 higher than Beaumont for the office setting.

See how rates vary across the country

64468 · 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.

$147.11

$196.12

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$196.121
AL$149.051
AR$147.111
AZ$160.361
CA$173.00–$214.3529
CO$170.601
CT$174.551
DC$186.511
DE$162.841
FL$162.24–$176.293
GA$153.97–$167.182
GU$176.591
HI$176.591
IA$152.401
ID$153.301
IL$158.03–$171.734
IN$154.101
KS$151.781
KY$152.271
LA$152.06–$158.832
MA$169.75–$186.362
MD$165.72–$186.513
ME$154.05–$161.542
MI$155.85–$164.102
MN$163.851
MO$149.73–$159.313
MS$148.451
MT$164.321
NC$155.501
ND$161.361
NE$153.141
NH$168.011
NJ$176.65–$184.882
NM$156.631
NV$163.601
NY$157.60–$191.935
OH$155.251
OK$151.991
OR$162.42–$175.562
PA$155.46–$170.582
PR$165.411
RI$168.291
SC$155.611
SD$161.011
TN$152.471
TX$154.54–$169.958
UT$157.531
VA$161.08–$186.512
VI$165.411
VT$160.811
WA$169.40–$189.952
WI$156.461
WV$152.751
WY$163.031

Explore 64468 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 64468 in Beaumont, the physician’s office rate is $154.54 and the facility-setting rate is $67.00: a difference of $87.54.

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 64468 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$169.99

$154.54 × 110% = $169.99

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 64468 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

7,122

Code
64468
Physician work
1.63
Practice expense
3.14
Malpractice
0.15

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 64468 in Beaumont
ComponentRVULocality factorAdjusted
Physician work1.63× 1.0001.6300
Practice expense3.14× 0.9102.8574
Malpractice0.15× 0.9290.1394
Total RVUs4.6268
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$154.54

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

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.631
Practice expense3.140.91
Malpractice0.150.929

(1.63 × 1 + 3.14 × 0.91 + 0.15 × 0.929) × $33.4009 = $154.54

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.631
Practice expense0.260.91
Malpractice0.150.929

(1.63 × 1 + 0.26 × 0.91 + 0.15 × 0.929) × $33.4009 = $67.00

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

64468 · Office / nonfacility

$154.54

Effective 2026-10-01

The base rate is $24.06 higher than on 2025-10-01, moving from $130.48 to $154.54 (18.4%).

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

    $130.48changed to$154.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.67 changed to 1.63
    • Practice expense RVU 2.45 changed to 3.14
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $130.48

    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$154.54$67.00RVU26D
2026-07-01$154.54$67.00RVU26C
2026-04-01$154.54$67.00RVU26B
2026-01-01$154.54$67.00RVU26A
2025-10-01$130.48$69.43RVU25D
2025-07-01$130.48$69.43RVU25C
2025-04-01$130.48$69.43RVU25B
2025-01-01$130.48$69.43RVU25A

64468 billing questions

How does 64468 differ from 64466?

64468 describes injection treatment on both sides. 64466 describes the corresponding unilateral injection service.

How does 64468 differ from 64469?

Both describe bilateral thoracic fascial plane blocks, but 64468 is for injections and 64469 is for continuous infusion.

Should modifier 50 be appended?

The code is already priced as bilateral, and modifier 50 does not increase payment. Document that the block was performed on both sides.

Can imaging guidance be billed separately?

Imaging guidance, when performed, is included in the thoracic fascial plane block service.

What documentation supports reporting 64468?

Document the thoracic fascial plane sites, bilateral treatment, anesthetic injected, and reason for the block, such as perioperative chest-wall analgesia.

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

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction. The 0-day global period includes same-day preoperative and postoperative care.

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 64468PPRRVU2026_Oct_nonQPP.csv, line 7,122 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet