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CMS RVU26D · Effective 2026-10-01

64462 in Chico

Office / nonfacility

$81.34

Base rate per service

Facility setting

$44.37

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 64462: Additional thoracic paravertebral injection site

Report this add-on for each additional thoracic paravertebral injection site beyond the first during a session using single-injection blocks.

This add-on represents an additional thoracic paravertebral injection site using anesthetic and/or steroid, beyond the first site. Anesthesiologists and pain specialists commonly perform these blocks for perioperative pain control in thoracic surgery or for chest-wall analgesia. The service may be performed in an operating room, procedure suite, or other setting where regional anesthesia is provided.

Report 64462 only with the primary single-site thoracic paravertebral injection code, 64461; it is not a standalone service. Documentation should identify the thoracic paravertebral block, the additional injection site or sites, and the clinical purpose. CMS pays this add-on within the primary procedure’s global period. When the service is reported as bilateral with modifier 50, CMS pays it at 150%.

CMS billing rules for 64462

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 RVU1.07 · 46%
  • Practice expense (office) RVU1.19 · 51%
  • Malpractice RVU0.08 · 3%

1.9K

Medicare services in 2024 · #2499 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.

64462 compared with similar codes

Office rates for Chico, from the same CMS release.

64461

Paravertebral block

Thoracic, single site

$156.50

64461 reports the first thoracic paravertebral injection site; 64462 is the add-on for each additional site and cannot stand alone.

64463

Paravertebral block

Thoracic continuous infusion

$281.69

Use 64463 for a thoracic paravertebral continuous infusion through a catheter, rather than additional single-injection sites.

64466

Thoracic block

Unilateral injection

$149.11

64466 describes a unilateral thoracic fascial plane block by injection. Choose it when that fascial plane technique is performed, not a paravertebral injection.

64468

Thoracic block

Bilateral injection

$173.00

64468 describes a bilateral thoracic fascial plane block by injection; 64462 applies to additional thoracic paravertebral injection sites.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 64462 is $81.61—$0.27 higher than the $81.34 rate in Chico. Both use the same code, release and participation basis.

64462 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $81.34

  2. $0.27 higher than Chico

  3. El Centro

    $81.35

    $0.01 higher than Chico

  4. Fresno

    $81.34

    The same base rate than Chico

  5. The same base rate than Chico

  6. $4.66 higher than Chico

  7. Madera

    $81.34

    The same base rate than Chico

Other payment areas listed in California 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, 64462 ranges from $71.26 in Arkansas to $98.42 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
  • Merced

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Modesto

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Napa

    California · 64462

    Office

    $91.73

    Facility

    $47.27

    $10.39 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64462

    Office

    $85.39

    Facility

    $45.51

    $4.05 higher than Chico for the office setting.

  • Redding

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64462

    Office

    $82.22

    Facility

    $45.25

    $0.88 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64462

    Office

    $84.68

    Facility

    $45.45

    $3.34 higher than Chico for the office setting.

  • Salinas

    California · 64462

    Office

    $84.35

    Facility

    $45.25

    $3.01 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64462

    Office

    $85.80

    Facility

    $45.45

    $4.46 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64462

    Office

    $96.40

    Facility

    $48.84

    $15.06 higher than Chico for the office setting.

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

    California · 64462

    Office

    $96.31

    Facility

    $48.75

    $14.97 higher than Chico for the office setting.

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

    California · 64462

    Office

    $98.42

    Facility

    $49.77

    $17.08 higher than Chico for the office setting.

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

    California · 64462

    Office

    $98.05

    Facility

    $49.40

    $16.71 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64462

    Office

    $83.05

    Facility

    $44.63

    $1.71 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 64462

    Office

    $86.21

    Facility

    $45.23

    $4.87 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 64462

    Office

    $84.52

    Facility

    $45.18

    $3.18 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 64462

    Office

    $87.05

    Facility

    $45.63

    $5.71 higher than Chico for the office setting.

  • Stockton

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 64462

    Office

    $91.60

    Facility

    $47.14

    $10.26 higher than Chico for the office setting.

  • Visalia

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 64462

    Office

    $81.34

    Facility

    $44.37

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64462

    Office

    $87.46

    Facility

    $47.73

    $6.12 higher than Chico for the office setting.

  • Miami

    Florida · 64462

    Office

    $83.87

    Facility

    $48.76

    $2.53 higher than Chico for the office setting.

  • Chicago

    Illinois · 64462

    Office

    $82.07

    Facility

    $48.16

    $0.73 higher than Chico for the office setting.

  • Manhattan

    New York · 64462

    Office

    $88.45

    Facility

    $49.25

    $7.11 higher than Chico for the office setting.

  • Alaska*

    Alaska · 64462

    Office

    $97.41

    Facility

    $61.48

    $16.07 higher than Chico for the office setting.

  • Alabama

    Alabama · 64462

    Office

    $72.03

    Facility

    $42.51

    $9.31 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 64462

    Office

    $71.26

    Facility

    $42.28

    $10.08 lower than Chico for the office setting.

  • Arizona

    Arizona · 64462

    Office

    $76.54

    Facility

    $43.85

    $4.80 lower than Chico for the office setting.

  • Colorado

    Colorado · 64462

    Office

    $80.55

    Facility

    $44.65

    $0.79 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 64462

    Office

    $82.49

    Facility

    $46.16

    $1.15 higher than Chico for the office setting.

  • Delaware

    Delaware · 64462

    Office

    $77.59

    Facility

    $44.26

    $3.75 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 64462

    Office

    $80.83

    Facility

    $46.66

    $0.51 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 64462

    Office

    $77.75

    Facility

    $45.50

    $3.59 lower than Chico for the office setting.

  • Atlanta

    Georgia · 64462

    Office

    $79.44

    Facility

    $45.16

    $1.90 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 64462

    Office

    $74.38

    Facility

    $44.29

    $6.96 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 64462

    Office

    $82.48

    Facility

    $44.12

    $1.14 higher than Chico for the office setting.

  • Iowa

    Iowa · 64462

    Office

    $73.17

    Facility

    $42.30

    $8.17 lower than Chico for the office setting.

  • Idaho

    Idaho · 64462

    Office

    $73.57

    Facility

    $42.53

    $7.77 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 64462

    Office

    $77.69

    Facility

    $46.65

    $3.65 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 64462

    Office

    $76.20

    Facility

    $45.40

    $5.14 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 64462

    Office

    $81.54

    Facility

    $46.90

    $0.20 higher than Chico for the office setting.

  • Indiana

    Indiana · 64462

    Office

    $73.88

    Facility

    $42.61

    $7.46 lower than Chico for the office setting.

  • Kansas

    Kansas · 64462

    Office

    $73.02

    Facility

    $42.52

    $8.32 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 64462

    Office

    $73.52

    Facility

    $43.53

    $7.82 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 64462

    Office

    $76.18

    Facility

    $44.43

    $5.16 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 64462

    Office

    $73.47

    Facility

    $43.62

    $7.87 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 64462

    Office

    $87.04

    Facility

    $46.76

    $5.70 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64462

    Office

    $80.29

    Facility

    $44.77

    $1.05 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64462

    Office

    $82.26

    Facility

    $46.07

    $0.92 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 64462

    Office

    $78.77

    Facility

    $44.63

    $2.57 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 64462

    Office

    $73.97

    Facility

    $42.93

    $7.37 lower than Chico for the office setting.

  • Southern Maine

    Maine · 64462

    Office

    $76.81

    Facility

    $43.38

    $4.53 lower than Chico for the office setting.

  • Detroit

    Michigan · 64462

    Office

    $78.60

    Facility

    $46.05

    $2.74 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 64462

    Office

    $75.04

    Facility

    $44.24

    $6.30 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 64462

    Office

    $77.43

    Facility

    $42.72

    $3.91 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 64462

    Office

    $75.67

    Facility

    $43.99

    $5.67 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 64462

    Office

    $76.26

    Facility

    $44.14

    $5.08 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 64462

    Office

    $72.60

    Facility

    $43.52

    $8.74 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 64462

    Office

    $71.94

    Facility

    $42.89

    $9.40 lower than Chico for the office setting.

  • Montana**

    Montana · 64462

    Office

    $78.15

    Facility

    $44.42

    $3.19 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 64462

    Office

    $74.53

    Facility

    $43.06

    $6.81 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 64462

    Office

    $76.57

    Facility

    $42.84

    $4.77 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 64462

    Office

    $73.44

    Facility

    $42.30

    $7.90 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 64462

    Office

    $79.45

    Facility

    $44.34

    $1.89 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 64462

    Office

    $86.95

    Facility

    $47.82

    $5.61 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 64462

    Office

    $83.50

    Facility

    $46.67

    $2.16 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 64462

    Office

    $75.40

    Facility

    $44.46

    $5.94 lower than Chico for the office setting.

  • Nevada**

    Nevada · 64462

    Office

    $77.75

    Facility

    $43.98

    $3.59 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64462

    Office

    $90.25

    Facility

    $50.14

    $8.91 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64462

    Office

    $84.10

    Facility

    $47.16

    $2.76 higher than Chico for the office setting.

  • Queens

    New York · 64462

    Office

    $88.86

    Facility

    $48.99

    $7.52 higher than Chico for the office setting.

  • Rest Of New York

    New York · 64462

    Office

    $75.38

    Facility

    $43.33

    $5.96 lower than Chico for the office setting.

  • Ohio

    Ohio · 64462

    Office

    $74.72

    Facility

    $43.92

    $6.62 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 64462

    Office

    $73.31

    Facility

    $43.18

    $8.03 lower than Chico for the office setting.

  • Portland

    Oregon · 64462

    Office

    $82.46

    Facility

    $44.98

    $1.12 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 64462

    Office

    $77.21

    Facility

    $43.61

    $4.13 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64462

    Office

    $80.95

    Facility

    $45.83

    $0.39 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64462

    Office

    $74.75

    Facility

    $43.78

    $6.59 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 64462

    Office

    $78.56

    Facility

    $44.45

    $2.78 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 64462

    Office

    $79.86

    Facility

    $45.01

    $1.48 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 64462

    Office

    $74.74

    Facility

    $43.57

    $6.60 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 64462

    Office

    $76.38

    Facility

    $42.65

    $4.96 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 64462

    Office

    $73.30

    Facility

    $42.64

    $8.04 lower than Chico for the office setting.

  • Austin

    Texas · 64462

    Office

    $80.23

    Facility

    $44.54

    $1.11 lower than Chico for the office setting.

  • Beaumont

    Texas · 64462

    Office

    $74.39

    Facility

    $43.69

    $6.95 lower than Chico for the office setting.

  • Brazoria

    Texas · 64462

    Office

    $77.50

    Facility

    $44.07

    $3.84 lower than Chico for the office setting.

  • Dallas

    Texas · 64462

    Office

    $77.94

    Facility

    $44.34

    $3.40 lower than Chico for the office setting.

  • Fort Worth

    Texas · 64462

    Office

    $77.58

    Facility

    $44.32

    $3.76 lower than Chico for the office setting.

  • Galveston

    Texas · 64462

    Office

    $77.71

    Facility

    $44.21

    $3.63 lower than Chico for the office setting.

  • Houston

    Texas · 64462

    Office

    $79.17

    Facility

    $45.67

    $2.17 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 64462

    Office

    $75.87

    Facility

    $43.86

    $5.47 lower than Chico for the office setting.

  • Utah

    Utah · 64462

    Office

    $75.50

    Facility

    $43.79

    $5.84 lower than Chico for the office setting.

  • Virginia

    Virginia · 64462

    Office

    $76.70

    Facility

    $43.54

    $4.64 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64462

    Office

    $78.56

    Facility

    $44.45

    $2.78 lower than Chico for the office setting.

  • Vermont

    Vermont · 64462

    Office

    $76.44

    Facility

    $43.04

    $4.90 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 64462

    Office

    $80.09

    Facility

    $44.57

    $1.25 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 64462

    Office

    $88.48

    Facility

    $47.09

    $7.14 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 64462

    Office

    $74.64

    Facility

    $42.32

    $6.70 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 64462

    Office

    $74.10

    Facility

    $44.79

    $7.24 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 64462

    Office

    $77.46

    Facility

    $43.73

    $3.88 lower than Chico for the office setting.

See how rates vary across the country

64462 · 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.

$71.26

$97.41

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$97.411
AL$72.031
AR$71.261
AZ$76.541
CA$81.34–$98.4229
CO$80.551
CT$82.491
DC$87.461
DE$77.591
FL$77.75–$83.873
GA$74.38–$79.442
GU$82.481
HI$82.481
IA$73.171
ID$73.571
IL$76.20–$82.074
IN$73.881
KS$73.021
KY$73.521
LA$73.47–$76.182
MA$80.29–$87.042
MD$78.77–$87.463
ME$73.97–$76.812
MI$75.04–$78.602
MN$77.431
MO$72.60–$76.263
MS$71.941
MT$78.151
NC$74.531
ND$76.571
NE$73.441
NH$79.451
NJ$83.50–$86.952
NM$75.401
NV$77.751
NY$75.38–$90.255
OH$74.721
OK$73.311
OR$77.21–$82.462
PA$74.75–$80.952
PR$78.561
RI$79.861
SC$74.741
SD$76.381
TN$73.301
TX$74.39–$80.238
UT$75.501
VA$76.70–$87.462
VI$78.561
VT$76.441
WA$80.09–$88.482
WI$74.641
WV$74.101
WY$77.461

Explore 64462 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 64462 in Chico, the physician’s office rate is $81.34 and the facility-setting rate is $44.37: a difference of $36.97.

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 64462 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$89.47

$81.34 × 110% = $89.47

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 64462 in Chico.

PPRRVU2026_Oct_nonQPP.csv

7,118

Code
64462
Physician work
1.07
Practice expense
1.19
Malpractice
0.08

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64462 in Chico
ComponentRVULocality factorAdjusted
Physician work1.07× 1.0171.0882
Practice expense1.19× 1.0961.3042
Malpractice0.08× 0.5360.0429
Total RVUs2.4353
Conversion factor× 33.4009

Office / nonfacility rate, Chico$81.34

Open 64462 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.071.017
Practice expense1.191.096
Malpractice0.080.536

(1.07 × 1.017 + 1.19 × 1.096 + 0.08 × 0.536) × $33.4009 = $81.34

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.071.017
Practice expense0.181.096
Malpractice0.080.536

(1.07 × 1.017 + 0.18 × 1.096 + 0.08 × 0.536) × $33.4009 = $44.37

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

64462 · Office / nonfacility

$81.34

Effective 2026-10-01

The base rate is $10.93 higher than on 2025-10-01, moving from $70.41 to $81.34 (15.5%).

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

    $70.41changed to$81.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.10 changed to 1.07
    • Practice expense RVU 0.93 changed to 1.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $70.41

    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$81.34$44.37RVU26D
2026-07-01$81.34$44.37RVU26C
2026-04-01$81.34$44.37RVU26B
2026-01-01$81.34$44.37RVU26A
2025-10-01$70.41$46.37RVU25D
2025-07-01$70.41$46.37RVU25C
2025-04-01$70.41$46.37RVU25B
2025-01-01$70.41$46.37RVU25A

64462 billing questions

Can 64462 be billed by itself?

No. It is an add-on code and must be reported with 64461 for the first thoracic paravertebral injection site.

How is 64462 distinguished from 64461?

64461 represents the first injection site. Report 64462 for each additional thoracic paravertebral injection site in the session.

When should 64463 be used instead?

64463 describes a thoracic paravertebral block delivered by continuous infusion through a catheter. 64462 is for additional sites in a single-injection service.

What should the record support?

Document the thoracic paravertebral technique, the additional site or sites treated, and the reason for the block, such as perioperative or chest-wall pain control.

How does CMS handle bilateral reporting?

CMS pays the bilateral procedure at 150% when modifier 50 is reported.

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 64462PPRRVU2026_Oct_nonQPP.csv, line 7,118 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)