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CMS RVU26D · Effective 2026-10-01

64479 in Merced

Office / nonfacility

$303.00

Base rate per service

Facility setting

$118.13

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 injection

About 64479: Cervical or thoracic transforaminal epidural injection

Reports an image-guided transforaminal epidural injection at one cervical or thoracic level to deliver anesthetic and/or steroid near a spinal nerve root.

This service places anesthetic and/or steroid into the epidural space through a transforaminal approach at one cervical or thoracic spinal level. The clinician guides a needle toward the targeted nerve root using fluoroscopy or CT. Pain medicine physicians, anesthesiologists, physiatrists, and other qualified clinicians commonly perform it for cervical or thoracic radicular symptoms, such as pain associated with nerve-root irritation from foraminal narrowing or a disc problem, in an office or facility setting.

Report 64479 for the first treated level in the cervical or thoracic region; documentation should identify the level and side, clinical indication, approach, imaging guidance, and injected agents. Code 64480 is used for each qualifying additional level. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. For a bilateral procedure reported with modifier 50, CMS pays at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 64479

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 RVU2.23 · 26%
  • Practice expense (office) RVU6.11 · 72%
  • Malpractice RVU0.20 · 2%

42.1K

Medicare services in 2024 · #850 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.

64479 compared with similar codes

Office rates for Merced, from the same CMS release.

64480

Epidural injection

Additional cervical/thoracic level

$151.53

64479 reports the first cervical or thoracic level. Use 64480 for each qualifying additional level in that region.

64483

Transforaminal epidural injection

Lumbar or sacral, first level

$282.24

Both describe first-level transforaminal epidural injection, but 64483 is for the lumbar or sacral region; 64479 is for cervical or thoracic.

62321

Epidural injection

Cervical or thoracic, image-guided

$294.73

This is a cervical or thoracic interlaminar epidural approach. Choose 64479 when the injection is transforaminal and directed toward a nerve root.

64490

Facet injection

Cervical or thoracic, one level

$216.92

64490 targets a cervical or thoracic facet joint. Code 64479 targets the epidural space through a transforaminal route.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 64479 is $303.64—$0.64 higher than the $303.00 rate in Merced. Both use the same code, release and participation basis.

64479 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $303.00

  2. Bakersfield

    $303.64

    $0.64 higher than Merced

  3. Chico

    $303.00

    The same base rate than Merced

  4. El Centro

    $303.04

    $0.04 higher than Merced

  5. Fresno

    $303.00

    The same base rate than Merced

  6. Hanford-Corcoran

    $303.00

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $323.40

    $20.40 higher than Merced

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, 64479 ranges from $253.23 in Arkansas to $380.54 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

  • Madera

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Modesto

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Napa

    California · 64479

    Office

    $351.55

    Facility

    $129.23

    $48.55 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64479

    Office

    $321.95

    Facility

    $122.58

    $18.95 higher than Merced for the office setting.

  • Redding

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64479

    Office

    $305.19

    Facility

    $120.33

    $2.19 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64479

    Office

    $318.09

    Facility

    $121.92

    $15.09 higher than Merced for the office setting.

  • Salinas

    California · 64479

    Office

    $316.90

    Facility

    $121.41

    $13.90 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64479

    Office

    $324.42

    Facility

    $122.68

    $21.42 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64479

    Office

    $372.38

    Facility

    $134.55

    $69.38 higher than Merced for the office setting.

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

    California · 64479

    Office

    $372.15

    Facility

    $134.32

    $69.15 higher than Merced for the office setting.

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

    California · 64479

    Office

    $380.54

    Facility

    $137.31

    $77.54 higher than Merced for the office setting.

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

    California · 64479

    Office

    $379.61

    Facility

    $136.38

    $76.61 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64479

    Office

    $311.78

    Facility

    $119.66

    $8.78 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 64479

    Office

    $327.59

    Facility

    $122.65

    $24.59 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 64479

    Office

    $318.11

    Facility

    $121.43

    $15.11 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 64479

    Office

    $330.91

    Facility

    $123.78

    $27.91 higher than Merced for the office setting.

  • Stockton

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 64479

    Office

    $351.22

    Facility

    $128.91

    $48.22 higher than Merced for the office setting.

  • Visalia

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 64479

    Office

    $303.00

    Facility

    $118.13

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64479

    Office

    $326.35

    Facility

    $127.65

    $23.35 higher than Merced for the office setting.

  • Miami

    Florida · 64479

    Office

    $303.82

    Facility

    $128.23

    $0.82 higher than Merced for the office setting.

  • Chicago

    Illinois · 64479

    Office

    $295.44

    Facility

    $125.92

    $7.56 lower than Merced for the office setting.

  • Manhattan

    New York · 64479

    Office

    $326.99

    Facility

    $130.99

    $23.99 higher than Merced for the office setting.

  • Alaska*

    Alaska · 64479

    Office

    $332.75

    Facility

    $153.11

    $29.75 higher than Merced for the office setting.

  • Alabama

    Alabama · 64479

    Office

    $256.83

    Facility

    $109.24

    $46.17 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 64479

    Office

    $253.23

    Facility

    $108.34

    $49.77 lower than Merced for the office setting.

  • Arizona

    Arizona · 64479

    Office

    $277.96

    Facility

    $114.51

    $25.04 lower than Merced for the office setting.

  • Colorado

    Colorado · 64479

    Office

    $297.74

    Facility

    $118.27

    $5.26 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 64479

    Office

    $303.85

    Facility

    $122.19

    $0.85 higher than Merced for the office setting.

  • Delaware

    Delaware · 64479

    Office

    $282.49

    Facility

    $115.84

    $20.51 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 64479

    Office

    $293.29

    Facility

    $122.43

    $9.71 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 64479

    Office

    $279.62

    Facility

    $118.37

    $23.38 lower than Merced for the office setting.

  • Atlanta

    Georgia · 64479

    Office

    $290.08

    Facility

    $118.70

    $12.92 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 64479

    Office

    $264.49

    Facility

    $114.03

    $38.51 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 64479

    Office

    $310.39

    Facility

    $118.61

    $7.39 higher than Merced for the office setting.

  • Iowa

    Iowa · 64479

    Office

    $263.87

    Facility

    $109.53

    $39.13 lower than Merced for the office setting.

  • Idaho

    Idaho · 64479

    Office

    $265.40

    Facility

    $110.22

    $37.60 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 64479

    Office

    $275.69

    Facility

    $120.51

    $27.31 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 64479

    Office

    $271.25

    Facility

    $117.25

    $31.75 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 64479

    Office

    $296.43

    Facility

    $123.20

    $6.57 lower than Merced for the office setting.

  • Indiana

    Indiana · 64479

    Office

    $266.91

    Facility

    $110.55

    $36.09 lower than Merced for the office setting.

  • Kansas

    Kansas · 64479

    Office

    $262.34

    Facility

    $109.86

    $40.66 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 64479

    Office

    $262.02

    Facility

    $112.07

    $40.98 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 64479

    Office

    $274.11

    Facility

    $115.39

    $28.89 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 64479

    Office

    $261.49

    Facility

    $112.22

    $41.51 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 64479

    Office

    $327.15

    Facility

    $125.76

    $24.15 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64479

    Office

    $295.90

    Facility

    $118.28

    $7.10 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64479

    Office

    $302.92

    Facility

    $121.93

    $0.08 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 64479

    Office

    $287.89

    Facility

    $117.19

    $15.11 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 64479

    Office

    $266.39

    Facility

    $111.21

    $36.61 lower than Merced for the office setting.

  • Southern Maine

    Maine · 64479

    Office

    $280.94

    Facility

    $113.79

    $22.06 lower than Merced for the office setting.

  • Detroit

    Michigan · 64479

    Office

    $282.68

    Facility

    $119.91

    $20.32 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 64479

    Office

    $268.35

    Facility

    $114.35

    $34.65 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 64479

    Office

    $286.46

    Facility

    $112.89

    $16.54 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 64479

    Office

    $272.64

    Facility

    $114.26

    $30.36 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 64479

    Office

    $275.46

    Facility

    $114.88

    $27.54 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 64479

    Office

    $256.91

    Facility

    $111.51

    $46.09 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 64479

    Office

    $255.13

    Facility

    $109.90

    $47.87 lower than Merced for the office setting.

  • Montana**

    Montana · 64479

    Office

    $285.23

    Facility

    $116.56

    $17.77 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 64479

    Office

    $269.16

    Facility

    $111.79

    $33.84 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 64479

    Office

    $281.28

    Facility

    $112.60

    $21.72 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 64479

    Office

    $265.37

    Facility

    $109.69

    $37.63 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 64479

    Office

    $292.78

    Facility

    $117.19

    $10.22 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 64479

    Office

    $323.04

    Facility

    $127.38

    $20.04 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 64479

    Office

    $307.65

    Facility

    $123.45

    $4.65 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 64479

    Office

    $269.65

    Facility

    $114.97

    $33.35 lower than Merced for the office setting.

  • Nevada**

    Nevada · 64479

    Office

    $284.33

    Facility

    $115.49

    $18.67 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64479

    Office

    $334.31

    Facility

    $133.75

    $31.31 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64479

    Office

    $309.39

    Facility

    $124.69

    $6.39 higher than Merced for the office setting.

  • Queens

    New York · 64479

    Office

    $330.11

    Facility

    $130.73

    $27.11 higher than Merced for the office setting.

  • Rest Of New York

    New York · 64479

    Office

    $273.06

    Facility

    $112.81

    $29.94 lower than Merced for the office setting.

  • Ohio

    Ohio · 64479

    Office

    $267.54

    Facility

    $113.54

    $35.46 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 64479

    Office

    $261.92

    Facility

    $111.29

    $41.08 lower than Merced for the office setting.

  • Portland

    Oregon · 64479

    Office

    $307.38

    Facility

    $119.98

    $4.38 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 64479

    Office

    $282.44

    Facility

    $114.44

    $20.56 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64479

    Office

    $296.24

    Facility

    $120.65

    $6.76 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64479

    Office

    $268.14

    Facility

    $113.30

    $34.86 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 64479

    Office

    $287.39

    Facility

    $116.86

    $15.61 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 64479

    Office

    $292.67

    Facility

    $118.43

    $10.33 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 64479

    Office

    $268.73

    Facility

    $112.88

    $34.27 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 64479

    Office

    $280.81

    Facility

    $112.13

    $22.19 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 64479

    Office

    $263.58

    Facility

    $110.25

    $39.42 lower than Merced for the office setting.

  • Austin

    Texas · 64479

    Office

    $296.47

    Facility

    $118.01

    $6.53 lower than Merced for the office setting.

  • Beaumont

    Texas · 64479

    Office

    $266.40

    Facility

    $112.91

    $36.60 lower than Merced for the office setting.

  • Brazoria

    Texas · 64479

    Office

    $282.53

    Facility

    $115.38

    $20.47 lower than Merced for the office setting.

  • Dallas

    Texas · 64479

    Office

    $284.15

    Facility

    $116.15

    $18.85 lower than Merced for the office setting.

  • Fort Worth

    Texas · 64479

    Office

    $282.20

    Facility

    $115.88

    $20.80 lower than Merced for the office setting.

  • Galveston

    Texas · 64479

    Office

    $283.26

    Facility

    $115.77

    $19.74 lower than Merced for the office setting.

  • Houston

    Texas · 64479

    Office

    $286.92

    Facility

    $119.43

    $16.08 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 64479

    Office

    $274.19

    Facility

    $114.12

    $28.81 lower than Merced for the office setting.

  • Utah

    Utah · 64479

    Office

    $272.32

    Facility

    $113.76

    $30.68 lower than Merced for the office setting.

  • Virginia

    Virginia · 64479

    Office

    $279.81

    Facility

    $114.00

    $23.19 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64479

    Office

    $287.39

    Facility

    $116.86

    $15.61 lower than Merced for the office setting.

  • Vermont

    Vermont · 64479

    Office

    $279.90

    Facility

    $112.92

    $23.10 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 64479

    Office

    $295.43

    Facility

    $117.82

    $7.57 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 64479

    Office

    $334.07

    Facility

    $127.11

    $31.07 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 64479

    Office

    $272.05

    Facility

    $110.46

    $30.95 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 64479

    Office

    $261.39

    Facility

    $114.81

    $41.61 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 64479

    Office

    $283.51

    Facility

    $114.83

    $19.49 lower than Merced for the office setting.

See how rates vary across the country

64479 · 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.

$253.23

$341.77

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$332.751
AL$256.831
AR$253.231
AZ$277.961
CA$303.00–$380.5429
CO$297.741
CT$303.851
DC$326.351
DE$282.491
FL$279.62–$303.823
GA$264.49–$290.082
GU$310.391
HI$310.391
IA$263.871
ID$265.401
IL$271.25–$296.434
IN$266.911
KS$262.341
KY$262.021
LA$261.49–$274.112
MA$295.90–$327.152
MD$287.89–$326.353
ME$266.39–$280.942
MI$268.35–$282.682
MN$286.461
MO$256.91–$275.463
MS$255.131
MT$285.231
NC$269.161
ND$281.281
NE$265.371
NH$292.781
NJ$307.65–$323.042
NM$269.651
NV$284.331
NY$273.06–$334.315
OH$267.541
OK$261.921
OR$282.44–$307.382
PA$268.14–$296.242
PR$287.391
RI$292.671
SC$268.731
SD$280.811
TN$263.581
TX$266.40–$296.478
UT$272.321
VA$279.81–$326.352
VI$287.391
VT$279.901
WA$295.43–$334.072
WI$272.051
WV$261.391
WY$283.511

Explore 64479 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 64479 in Merced, the physician’s office rate is $303.00 and the facility-setting rate is $118.13: a difference of $184.87.

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 64479 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$333.30

$303.00 × 110% = $333.30

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 64479 in Merced.

PPRRVU2026_Oct_nonQPP.csv

7,126

Code
64479
Physician work
2.23
Practice expense
6.11
Malpractice
0.20

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64479 in Merced
ComponentRVULocality factorAdjusted
Physician work2.23× 1.0172.2679
Practice expense6.11× 1.0966.6966
Malpractice0.20× 0.5360.1072
Total RVUs9.0717
Conversion factor× 33.4009

Office / nonfacility rate, Merced$303.00

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

Open 64479 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.231.017
Practice expense6.111.096
Malpractice0.20.536

(2.23 × 1.017 + 6.11 × 1.096 + 0.2 × 0.536) × $33.4009 = $303.00

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.231.017
Practice expense1.061.096
Malpractice0.20.536

(2.23 × 1.017 + 1.06 × 1.096 + 0.2 × 0.536) × $33.4009 = $118.13

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

64479 · Office / nonfacility

$303.00

Effective 2026-10-01

The base rate is $32.46 higher than on 2025-10-01, moving from $270.54 to $303.00 (12.0%).

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

    $270.54changed to$303.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.29 changed to 2.23
    • Practice expense RVU 5.42 changed to 6.11
    • Malpractice RVU 0.21 changed to 0.20
    • 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: $270.54

    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$303.00$118.13RVU26D
2026-07-01$303.00$118.13RVU26C
2026-04-01$303.00$118.13RVU26B
2026-01-01$303.00$118.13RVU26A
2025-10-01$270.54$129.12RVU25D
2025-07-01$270.54$129.12RVU25C
2025-04-01$270.54$129.12RVU25B
2025-01-01$270.54$129.12RVU25A

64479 billing questions

When should 64479 be chosen instead of 64483?

Use 64479 for a cervical or thoracic transforaminal epidural injection at the first level. Code 64483 describes the corresponding first-level service in the lumbar or sacral region.

How is an additional cervical or thoracic level reported?

Use add-on code 64480 for each qualifying additional level. It is reported with the primary-level service, not by itself.

Is imaging guidance included?

Yes. The service includes fluoroscopic or CT guidance for needle placement; the documentation should support the approach and targeted level.

What documentation supports this code?

Record the clinical indication, cervical or thoracic level, side, transforaminal approach, imaging guidance, and agents injected. The note should make clear whether an additional level was treated.

How does Medicare treat a bilateral service?

CMS identifies this as a bilateral procedure; when reported with modifier 50, it is paid at 150%.

What same-session payment rules apply?

The service has a 0-day global period, so same-day preoperative and postoperative care is included. Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 64479PPRRVU2026_Oct_nonQPP.csv, line 7,126 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet