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CMS RVU26D · Effective 2026-10-01

64447 in Modesto

Office / nonfacility

$141.46

Base rate per service

Facility setting

$60.92

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.

Nerve block

About 64447: Single-injection femoral nerve block

Report this code for a single-injection femoral nerve block, with imaging guidance included when performed, for perioperative or other targeted analgesia.

This service is a single-injection block of the femoral nerve, commonly performed by an anesthesiologist or other qualified clinician for pain control around lower-extremity surgery, such as knee procedures. It may be performed in a preoperative area, procedure room, or facility operating setting. Imaging guidance, when used to place the injection, is included in the service. A catheter placed for continuous infusion is distinguished from this single-injection service.

Report the code when the documented target is the femoral nerve and the block is a single-injection technique. The record should identify the indication, side, nerve target, technique, and whether imaging was used. The CMS global period is zero days, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 64447

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 RVU1.31 · 33%
  • Practice expense (office) RVU2.59 · 64%
  • Malpractice RVU0.12 · 3%

357.1K

Medicare services in 2024 · #279 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.

64447 compared with similar codes

Office rates for Modesto, from the same CMS release.

64448

Femoral nerve block

Continuous catheter infusion

No office rate

64447 describes a single-injection femoral block. Choose 64448 when a femoral catheter is placed for continuous infusion.

64445

Sciatic nerve block

Single injection

$183.60

64445 targets the sciatic nerve with a single injection; 64447 targets the femoral nerve. Select by the nerve actually blocked.

64446

Sciatic nerve block

Continuous catheter infusion

No office rate

64446 is the continuous-infusion sciatic nerve service. It differs from 64447 in both the targeted nerve and the catheter-based technique.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 64447 is $141.84—$0.38 higher than the $141.46 rate in Modesto. Both use the same code, release and participation basis.

64447 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $141.46

  2. Bakersfield

    $141.84

    $0.38 higher than Modesto

  3. Chico

    $141.46

    The same base rate than Modesto

  4. El Centro

    $141.48

    $0.02 higher than Modesto

  5. Fresno

    $141.46

    The same base rate than Modesto

  6. Hanford-Corcoran

    $141.46

    The same base rate than Modesto

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

    $150.55

    $9.09 higher than Modesto

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, 64447 ranges from $120.13 in Arkansas to $175.46 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 · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Merced

    California · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Napa

    California · 64447

    Office

    $162.57

    Facility

    $65.72

    $21.11 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64447

    Office

    $149.73

    Facility

    $62.87

    $8.27 higher than Modesto for the office setting.

  • Redding

    California · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64447

    Office

    $142.77

    Facility

    $62.24

    $1.31 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64447

    Office

    $148.09

    Facility

    $62.63

    $6.63 higher than Modesto for the office setting.

  • Salinas

    California · 64447

    Office

    $147.52

    Facility

    $62.36

    $6.06 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64447

    Office

    $150.70

    Facility

    $62.82

    $9.24 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64447

    Office

    $171.73

    Facility

    $68.12

    $30.27 higher than Modesto for the office setting.

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

    California · 64447

    Office

    $171.59

    Facility

    $67.98

    $30.13 higher than Modesto for the office setting.

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

    California · 64447

    Office

    $175.46

    Facility

    $69.50

    $34.00 higher than Modesto for the office setting.

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

    California · 64447

    Office

    $174.90

    Facility

    $68.94

    $33.44 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64447

    Office

    $145.18

    Facility

    $61.48

    $3.72 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 64447

    Office

    $151.93

    Facility

    $62.65

    $10.47 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 64447

    Office

    $148.00

    Facility

    $62.32

    $6.54 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 64447

    Office

    $153.45

    Facility

    $63.21

    $11.99 higher than Modesto for the office setting.

  • Stockton

    California · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 64447

    Office

    $162.37

    Facility

    $65.52

    $20.91 higher than Modesto for the office setting.

  • Visalia

    California · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 64447

    Office

    $141.46

    Facility

    $60.92

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64447

    Office

    $152.49

    Facility

    $65.92

    $11.03 higher than Modesto for the office setting.

  • Miami

    Florida · 64447

    Office

    $143.95

    Facility

    $67.45

    $2.49 higher than Modesto for the office setting.

  • Chicago

    Illinois · 64447

    Office

    $140.20

    Facility

    $66.35

    $1.26 lower than Modesto for the office setting.

  • Manhattan

    New York · 64447

    Office

    $153.44

    Facility

    $68.05

    $11.98 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 64447

    Office

    $159.97

    Facility

    $81.71

    $18.51 higher than Modesto for the office setting.

  • Alabama

    Alabama · 64447

    Office

    $121.72

    Facility

    $57.42

    $19.74 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 64447

    Office

    $120.13

    Facility

    $57.01

    $21.33 lower than Modesto for the office setting.

  • Arizona

    Arizona · 64447

    Office

    $131.01

    Facility

    $59.81

    $10.45 lower than Modesto for the office setting.

  • Colorado

    Colorado · 64447

    Office

    $139.46

    Facility

    $61.27

    $2.00 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 64447

    Office

    $142.65

    Facility

    $63.51

    $1.19 higher than Modesto for the office setting.

  • Delaware

    Delaware · 64447

    Office

    $133.05

    Facility

    $60.45

    $8.41 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 64447

    Office

    $138.63

    Facility

    $64.20

    $2.83 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 64447

    Office

    $132.48

    Facility

    $62.23

    $8.98 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 64447

    Office

    $136.59

    Facility

    $61.93

    $4.87 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 64447

    Office

    $125.70

    Facility

    $60.15

    $15.76 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 64447

    Office

    $144.44

    Facility

    $60.89

    $2.98 higher than Modesto for the office setting.

  • Iowa

    Iowa · 64447

    Office

    $124.50

    Facility

    $57.27

    $16.96 lower than Modesto for the office setting.

  • Idaho

    Idaho · 64447

    Office

    $125.24

    Facility

    $57.64

    $16.22 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 64447

    Office

    $131.42

    Facility

    $63.81

    $10.04 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 64447

    Office

    $129.00

    Facility

    $61.91

    $12.46 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 64447

    Office

    $140.01

    Facility

    $64.54

    $1.45 lower than Modesto for the office setting.

  • Indiana

    Indiana · 64447

    Office

    $125.90

    Facility

    $57.78

    $15.56 lower than Modesto for the office setting.

  • Kansas

    Kansas · 64447

    Office

    $123.98

    Facility

    $57.55

    $17.48 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 64447

    Office

    $124.33

    Facility

    $59.00

    $17.13 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 64447

    Office

    $129.71

    Facility

    $60.57

    $11.75 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 64447

    Office

    $124.15

    Facility

    $59.12

    $17.31 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 64447

    Office

    $152.41

    Facility

    $64.67

    $10.95 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64447

    Office

    $138.74

    Facility

    $61.37

    $2.72 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64447

    Office

    $142.24

    Facility

    $63.39

    $0.78 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 64447

    Office

    $135.42

    Facility

    $61.05

    $6.04 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 64447

    Office

    $125.84

    Facility

    $58.23

    $15.62 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 64447

    Office

    $132.01

    Facility

    $59.19

    $9.45 lower than Modesto for the office setting.

  • Detroit

    Michigan · 64447

    Office

    $133.99

    Facility

    $63.08

    $7.47 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 64447

    Office

    $127.26

    Facility

    $60.17

    $14.20 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 64447

    Office

    $133.96

    Facility

    $58.35

    $7.50 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 64447

    Office

    $128.90

    Facility

    $59.90

    $12.56 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 64447

    Office

    $130.13

    Facility

    $60.17

    $11.33 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 64447

    Office

    $122.23

    Facility

    $58.89

    $19.23 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 64447

    Office

    $121.20

    Facility

    $57.93

    $20.26 lower than Modesto for the office setting.

  • Montana**

    Montana · 64447

    Office

    $134.26

    Facility

    $60.78

    $7.20 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 64447

    Office

    $127.03

    Facility

    $58.47

    $14.43 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 64447

    Office

    $131.89

    Facility

    $58.41

    $9.57 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 64447

    Office

    $125.12

    Facility

    $57.29

    $16.34 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 64447

    Office

    $137.32

    Facility

    $60.82

    $4.14 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 64447

    Office

    $151.14

    Facility

    $65.90

    $9.68 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 64447

    Office

    $144.37

    Facility

    $64.13

    $2.91 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 64447

    Office

    $127.90

    Facility

    $60.51

    $13.56 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 64447

    Office

    $133.69

    Facility

    $60.13

    $7.77 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64447

    Office

    $156.86

    Facility

    $69.49

    $15.40 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64447

    Office

    $145.30

    Facility

    $64.84

    $3.84 higher than Modesto for the office setting.

  • Queens

    New York · 64447

    Office

    $154.59

    Facility

    $67.73

    $13.13 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 64447

    Office

    $128.76

    Facility

    $58.95

    $12.70 lower than Modesto for the office setting.

  • Ohio

    Ohio · 64447

    Office

    $126.78

    Facility

    $59.69

    $14.68 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 64447

    Office

    $124.12

    Facility

    $58.50

    $17.34 lower than Modesto for the office setting.

  • Portland

    Oregon · 64447

    Office

    $143.55

    Facility

    $61.91

    $2.09 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 64447

    Office

    $132.74

    Facility

    $59.55

    $8.72 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64447

    Office

    $139.38

    Facility

    $62.88

    $2.08 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64447

    Office

    $126.96

    Facility

    $59.50

    $14.50 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 64447

    Office

    $135.16

    Facility

    $60.87

    $6.30 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 64447

    Office

    $137.52

    Facility

    $61.62

    $3.94 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 64447

    Office

    $127.10

    Facility

    $59.20

    $14.36 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 64447

    Office

    $131.61

    Facility

    $58.13

    $9.85 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 64447

    Office

    $124.54

    Facility

    $57.75

    $16.92 lower than Modesto for the office setting.

  • Austin

    Texas · 64447

    Office

    $138.92

    Facility

    $61.18

    $2.54 lower than Modesto for the office setting.

  • Beaumont

    Texas · 64447

    Office

    $126.20

    Facility

    $59.33

    $15.26 lower than Modesto for the office setting.

  • Brazoria

    Texas · 64447

    Office

    $132.96

    Facility

    $60.14

    $8.50 lower than Modesto for the office setting.

  • Dallas

    Texas · 64447

    Office

    $133.75

    Facility

    $60.56

    $7.71 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 64447

    Office

    $132.94

    Facility

    $60.48

    $8.52 lower than Modesto for the office setting.

  • Galveston

    Texas · 64447

    Office

    $133.33

    Facility

    $60.36

    $8.13 lower than Modesto for the office setting.

  • Houston

    Texas · 64447

    Office

    $135.52

    Facility

    $62.56

    $5.94 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 64447

    Office

    $129.47

    Facility

    $59.74

    $11.99 lower than Modesto for the office setting.

  • Utah

    Utah · 64447

    Office

    $128.67

    Facility

    $59.60

    $12.79 lower than Modesto for the office setting.

  • Virginia

    Virginia · 64447

    Office

    $131.62

    Facility

    $59.39

    $9.84 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64447

    Office

    $135.16

    Facility

    $60.87

    $6.30 lower than Modesto for the office setting.

  • Vermont

    Vermont · 64447

    Office

    $131.43

    Facility

    $58.68

    $10.03 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 64447

    Office

    $138.47

    Facility

    $61.09

    $2.99 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 64447

    Office

    $155.36

    Facility

    $65.20

    $13.90 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 64447

    Office

    $127.86

    Facility

    $57.47

    $13.60 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 64447

    Office

    $124.67

    Facility

    $60.81

    $16.79 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 64447

    Office

    $133.23

    Facility

    $59.75

    $8.23 lower than Modesto for the office setting.

See how rates vary across the country

64447 · 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.

$120.13

$159.97

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$159.971
AL$121.721
AR$120.131
AZ$131.011
CA$141.46–$175.4629
CO$139.461
CT$142.651
DC$152.491
DE$133.051
FL$132.48–$143.953
GA$125.70–$136.592
GU$144.441
HI$144.441
IA$124.501
ID$125.241
IL$129.00–$140.204
IN$125.901
KS$123.981
KY$124.331
LA$124.15–$129.712
MA$138.74–$152.412
MD$135.42–$152.493
ME$125.84–$132.012
MI$127.26–$133.992
MN$133.961
MO$122.23–$130.133
MS$121.201
MT$134.261
NC$127.031
ND$131.891
NE$125.121
NH$137.321
NJ$144.37–$151.142
NM$127.901
NV$133.691
NY$128.76–$156.865
OH$126.781
OK$124.121
OR$132.74–$143.552
PA$126.96–$139.382
PR$135.161
RI$137.521
SC$127.101
SD$131.611
TN$124.541
TX$126.20–$138.928
UT$128.671
VA$131.62–$152.492
VI$135.161
VT$131.431
WA$138.47–$155.362
WI$127.861
WV$124.671
WY$133.231

Explore 64447 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 64447 in Modesto, the physician’s office rate is $141.46 and the facility-setting rate is $60.92: a difference of $80.54.

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 64447 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$155.61

$141.46 × 110% = $155.61

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 64447 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

7,110

Code
64447
Physician work
1.31
Practice expense
2.59
Malpractice
0.12

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64447 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0171.3323
Practice expense2.59× 1.0962.8386
Malpractice0.12× 0.5360.0643
Total RVUs4.2352
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$141.46

Open 64447 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.311.017
Practice expense2.591.096
Malpractice0.120.536

(1.31 × 1.017 + 2.59 × 1.096 + 0.12 × 0.536) × $33.4009 = $141.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.311.017
Practice expense0.391.096
Malpractice0.120.536

(1.31 × 1.017 + 0.39 × 1.096 + 0.12 × 0.536) × $33.4009 = $60.92

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

64447 · Office / nonfacility

$141.46

Effective 2026-10-01

The base rate is $24.09 higher than on 2025-10-01, moving from $117.37 to $141.46 (20.5%).

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

    $117.37changed to$141.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.34 changed to 1.31
    • Practice expense RVU 2.01 changed to 2.59
    • Malpractice RVU 0.13 changed to 0.12
    • 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: $117.37

    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$141.46$60.92RVU26D
2026-07-01$141.46$60.92RVU26C
2026-04-01$141.46$60.92RVU26B
2026-01-01$141.46$60.92RVU26A
2025-10-01$117.37$61.51RVU25D
2025-07-01$117.37$61.51RVU25C
2025-04-01$117.37$61.51RVU25B
2025-01-01$117.37$61.51RVU25A

64447 billing questions

When should 64447 be selected instead of 64448?

Use 64447 for a single-injection femoral nerve block. Use 64448 when a catheter is placed for continuous femoral nerve infusion.

Is imaging guidance separately reported?

Imaging guidance used to perform the femoral block is included in 64447. Do not report a separate guidance service for that work.

How is a bilateral femoral block reported?

Report the bilateral procedure with modifier 50. CMS pays the bilateral service at 150%.

Can a sciatic nerve block be reported on the same date?

A sciatic block may be reported separately when it is performed to address the sciatic nerve territory as well as the femoral nerve territory. The documentation should support each distinct nerve block.

What same-session payment reduction applies?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

Can an assistant or co-surgeon be reported for this service?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 64447PPRRVU2026_Oct_nonQPP.csv, line 7,110 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet