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CMS RVU26D · Effective 2026-10-01

64467 in Modesto

Office / nonfacility

$288.31

Base rate per service

Facility setting

$70.50

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 64467: Unilateral thoracic fascial plane block

Reports a unilateral thoracic fascial plane block, such as an erector spinae or serratus anterior plane block, in the circumstances designated by this code.

This code represents a block delivered into a fascial plane in the thoracic region on one side. Thoracic plane blocks, including erector spinae and serratus anterior plane approaches, are used to provide regional analgesia for chest-wall or thoracic procedures and pain. Anesthesia and pain-management clinicians commonly perform them in operating rooms, procedural areas, or other settings where regional blocks are provided. Imaging guidance may be used as part of the block service when performed.

Select this unilateral code only when the documented thoracic block and service circumstance match the code; distinguish it from 64466, the unilateral injection code, and from the bilateral code options. Record the block approach, side, medication delivery, and clinical purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS lists bilateral payment with modifier 50 at 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 64467

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 RVU1.70 · 21%
  • Practice expense (office) RVU6.22 · 77%
  • Malpractice RVU0.16 · 2%

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.

64467 compared with similar codes

Office rates for Modesto, from the same CMS release.

64466

Thoracic block

Unilateral injection

$149.11

Both are unilateral thoracic fascial plane blocks; 64466 identifies the injection service. Check the documented service against the NFS designation for 64467.

64469

Thoracic plane block

Bilateral continuous catheter

$449.35

This is the bilateral NFS-designated sibling. 64467 is the unilateral code.

64468

Thoracic block

Bilateral injection

$173.00

This is the bilateral injection-code sibling; 64467 is unilateral and carries the NFS designation.

64461

Paravertebral block

Thoracic, single site

$156.50

64461 describes a thoracic paravertebral block. Use 64467 for a thoracic fascial plane approach, not a paravertebral injection site.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 64467 is $288.81—$0.50 higher than the $288.31 rate in Modesto. Both use the same code, release and participation basis.

64467 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $288.31

  2. Bakersfield

    $288.81

    $0.50 higher than Modesto

  3. Chico

    $288.31

    The same base rate than Modesto

  4. El Centro

    $288.34

    $0.03 higher than Modesto

  5. Fresno

    $288.31

    The same base rate than Modesto

  6. Hanford-Corcoran

    $288.31

    The same base rate than Modesto

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

    $308.43

    $20.12 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, 64467 ranges from $237.99 in Arkansas to $365.47 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 · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Merced

    California · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Napa

    California · 64467

    Office

    $336.89

    Facility

    $74.96

    $48.58 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64467

    Office

    $307.27

    Facility

    $72.36

    $18.96 higher than Modesto for the office setting.

  • Redding

    California · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64467

    Office

    $290.06

    Facility

    $72.25

    $1.75 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64467

    Office

    $303.31

    Facility

    $72.18

    $15.00 higher than Modesto for the office setting.

  • Salinas

    California · 64467

    Office

    $302.19

    Facility

    $71.86

    $13.88 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64467

    Office

    $309.85

    Facility

    $72.17

    $21.54 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64467

    Office

    $357.56

    Facility

    $77.34

    $69.25 higher than Modesto for the office setting.

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

    California · 64467

    Office

    $357.38

    Facility

    $77.16

    $69.07 higher than Modesto for the office setting.

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

    California · 64467

    Office

    $365.47

    Facility

    $78.90

    $77.16 higher than Modesto for the office setting.

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

    California · 64467

    Office

    $364.73

    Facility

    $78.15

    $76.42 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64467

    Office

    $297.24

    Facility

    $70.88

    $8.93 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 64467

    Office

    $313.26

    Facility

    $71.80

    $24.95 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 64467

    Office

    $303.48

    Facility

    $71.75

    $15.17 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 64467

    Office

    $316.47

    Facility

    $72.42

    $28.16 higher than Modesto for the office setting.

  • Stockton

    California · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 64467

    Office

    $336.63

    Facility

    $74.70

    $48.32 higher than Modesto for the office setting.

  • Visalia

    California · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 64467

    Office

    $288.31

    Facility

    $70.50

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64467

    Office

    $310.53

    Facility

    $76.42

    $22.22 higher than Modesto for the office setting.

  • Miami

    Florida · 64467

    Office

    $286.57

    Facility

    $79.68

    $1.74 lower than Modesto for the office setting.

  • Chicago

    Illinois · 64467

    Office

    $278.24

    Facility

    $78.51

    $10.07 lower than Modesto for the office setting.

  • Manhattan

    New York · 64467

    Office

    $310.30

    Facility

    $79.37

    $21.99 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 64467

    Office

    $309.37

    Facility

    $97.72

    $21.06 higher than Modesto for the office setting.

  • Alabama

    Alabama · 64467

    Office

    $241.59

    Facility

    $67.70

    $46.72 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 64467

    Office

    $237.99

    Facility

    $67.28

    $50.32 lower than Modesto for the office setting.

  • Arizona

    Arizona · 64467

    Office

    $262.67

    Facility

    $70.09

    $25.64 lower than Modesto for the office setting.

  • Colorado

    Colorado · 64467

    Office

    $282.69

    Facility

    $71.23

    $5.62 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 64467

    Office

    $288.13

    Facility

    $74.10

    $0.18 lower than Modesto for the office setting.

  • Delaware

    Delaware · 64467

    Office

    $267.13

    Facility

    $70.78

    $21.18 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 64467

    Office

    $276.90

    Facility

    $75.58

    $11.41 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 64467

    Office

    $263.43

    Facility

    $73.44

    $24.88 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 64467

    Office

    $274.45

    Facility

    $72.53

    $13.86 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 64467

    Office

    $248.47

    Facility

    $71.20

    $39.84 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 64467

    Office

    $296.09

    Facility

    $70.13

    $7.78 higher than Modesto for the office setting.

  • Iowa

    Iowa · 64467

    Office

    $249.00

    Facility

    $67.15

    $39.31 lower than Modesto for the office setting.

  • Idaho

    Idaho · 64467

    Office

    $250.44

    Facility

    $67.61

    $37.87 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 64467

    Office

    $258.68

    Facility

    $75.84

    $29.63 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 64467

    Office

    $254.81

    Facility

    $73.37

    $33.50 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 64467

    Office

    $280.01

    Facility

    $75.91

    $8.30 lower than Modesto for the office setting.

  • Indiana

    Indiana · 64467

    Office

    $251.97

    Facility

    $67.74

    $36.34 lower than Modesto for the office setting.

  • Kansas

    Kansas · 64467

    Office

    $247.28

    Facility

    $67.63

    $41.03 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 64467

    Office

    $246.36

    Facility

    $69.69

    $41.95 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 64467

    Office

    $258.35

    Facility

    $71.34

    $29.96 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 64467

    Office

    $245.76

    Facility

    $69.88

    $42.55 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 64467

    Office

    $311.92

    Facility

    $74.63

    $23.61 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64467

    Office

    $280.71

    Facility

    $71.45

    $7.60 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64467

    Office

    $287.22

    Facility

    $73.98

    $1.09 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 64467

    Office

    $272.50

    Facility

    $71.38

    $15.81 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 64467

    Office

    $251.24

    Facility

    $68.40

    $37.07 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 64467

    Office

    $266.04

    Facility

    $69.09

    $22.27 lower than Modesto for the office setting.

  • Detroit

    Michigan · 64467

    Office

    $266.27

    Facility

    $74.49

    $22.04 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 64467

    Office

    $252.49

    Facility

    $71.05

    $35.82 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 64467

    Office

    $272.14

    Facility

    $67.64

    $16.17 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 64467

    Office

    $257.08

    Facility

    $70.47

    $31.23 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 64467

    Office

    $259.92

    Facility

    $70.72

    $28.39 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 64467

    Office

    $241.07

    Facility

    $69.76

    $47.24 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 64467

    Office

    $239.61

    Facility

    $68.50

    $48.70 lower than Modesto for the office setting.

  • Montana**

    Montana · 64467

    Office

    $269.87

    Facility

    $71.13

    $18.44 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 64467

    Office

    $254.03

    Facility

    $68.61

    $34.28 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 64467

    Office

    $266.70

    Facility

    $67.97

    $21.61 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 64467

    Office

    $250.56

    Facility

    $67.13

    $37.75 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 64467

    Office

    $277.73

    Facility

    $70.85

    $10.58 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 64467

    Office

    $307.06

    Facility

    $76.53

    $18.75 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 64467

    Office

    $291.78

    Facility

    $74.76

    $3.47 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 64467

    Office

    $253.71

    Facility

    $71.47

    $34.60 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 64467

    Office

    $269.19

    Facility

    $70.26

    $19.12 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64467

    Office

    $317.36

    Facility

    $81.06

    $29.05 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64467

    Office

    $293.29

    Facility

    $75.68

    $4.98 higher than Modesto for the office setting.

  • Queens

    New York · 64467

    Office

    $313.69

    Facility

    $78.78

    $25.38 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 64467

    Office

    $257.90

    Facility

    $69.11

    $30.41 lower than Modesto for the office setting.

  • Ohio

    Ohio · 64467

    Office

    $251.85

    Facility

    $70.40

    $36.46 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 64467

    Office

    $246.46

    Facility

    $68.99

    $41.85 lower than Modesto for the office setting.

  • Portland

    Oregon · 64467

    Office

    $292.48

    Facility

    $71.69

    $4.17 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 64467

    Office

    $267.46

    Facility

    $69.52

    $20.85 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64467

    Office

    $280.45

    Facility

    $73.57

    $7.86 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64467

    Office

    $252.55

    Facility

    $70.11

    $35.76 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 64467

    Office

    $272.08

    Facility

    $71.16

    $16.23 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 64467

    Office

    $277.24

    Facility

    $71.94

    $11.07 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 64467

    Office

    $253.29

    Facility

    $69.66

    $35.02 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 64467

    Office

    $266.33

    Facility

    $67.60

    $21.98 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 64467

    Office

    $248.50

    Facility

    $67.85

    $39.81 lower than Modesto for the office setting.

  • Austin

    Texas · 64467

    Office

    $281.43

    Facility

    $71.17

    $6.88 lower than Modesto for the office setting.

  • Beaumont

    Texas · 64467

    Office

    $250.80

    Facility

    $69.95

    $37.51 lower than Modesto for the office setting.

  • Brazoria

    Texas · 64467

    Office

    $267.29

    Facility

    $70.34

    $21.02 lower than Modesto for the office setting.

  • Dallas

    Texas · 64467

    Office

    $268.80

    Facility

    $70.86

    $19.51 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 64467

    Office

    $266.79

    Facility

    $70.84

    $21.52 lower than Modesto for the office setting.

  • Galveston

    Texas · 64467

    Office

    $267.96

    Facility

    $70.62

    $20.35 lower than Modesto for the office setting.

  • Houston

    Texas · 64467

    Office

    $270.89

    Facility

    $73.54

    $17.42 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 64467

    Office

    $258.77

    Facility

    $70.17

    $29.54 lower than Modesto for the office setting.

  • Utah

    Utah · 64467

    Office

    $256.87

    Facility

    $70.06

    $31.44 lower than Modesto for the office setting.

  • Virginia

    Virginia · 64467

    Office

    $264.78

    Facility

    $69.42

    $23.53 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64467

    Office

    $272.08

    Facility

    $71.16

    $16.23 lower than Modesto for the office setting.

  • Vermont

    Vermont · 64467

    Office

    $265.16

    Facility

    $68.41

    $23.15 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 64467

    Office

    $280.35

    Facility

    $71.08

    $7.96 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 64467

    Office

    $318.90

    Facility

    $75.05

    $30.59 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 64467

    Office

    $257.46

    Facility

    $67.07

    $30.85 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 64467

    Office

    $244.97

    Facility

    $72.27

    $43.34 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 64467

    Office

    $268.49

    Facility

    $69.75

    $19.82 lower than Modesto for the office setting.

See how rates vary across the country

64467 · 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.

$237.99

$326.89

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$309.371
AL$241.591
AR$237.991
AZ$262.671
CA$288.31–$365.4729
CO$282.691
CT$288.131
DC$310.531
DE$267.131
FL$263.43–$286.573
GA$248.47–$274.452
GU$296.091
HI$296.091
IA$249.001
ID$250.441
IL$254.81–$280.014
IN$251.971
KS$247.281
KY$246.361
LA$245.76–$258.352
MA$280.71–$311.922
MD$272.50–$310.533
ME$251.24–$266.042
MI$252.49–$266.272
MN$272.141
MO$241.07–$259.923
MS$239.611
MT$269.871
NC$254.031
ND$266.701
NE$250.561
NH$277.731
NJ$291.78–$307.062
NM$253.711
NV$269.191
NY$257.90–$317.365
OH$251.851
OK$246.461
OR$267.46–$292.482
PA$252.55–$280.452
PR$272.081
RI$277.241
SC$253.291
SD$266.331
TN$248.501
TX$250.80–$281.438
UT$256.871
VA$264.78–$310.532
VI$272.081
VT$265.161
WA$280.35–$318.902
WI$257.461
WV$244.971
WY$268.491

Explore 64467 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 64467 in Modesto, the physician’s office rate is $288.31 and the facility-setting rate is $70.50: a difference of $217.81.

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 64467 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$317.14

$288.31 × 110% = $317.14

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 64467 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

7,121

Code
64467
Physician work
1.70
Practice expense
6.22
Malpractice
0.16

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64467 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.70× 1.0171.7289
Practice expense6.22× 1.0966.8171
Malpractice0.16× 0.5360.0858
Total RVUs8.6318
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$288.31

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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Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.71.017
Practice expense6.221.096
Malpractice0.160.536

(1.7 × 1.017 + 6.22 × 1.096 + 0.16 × 0.536) × $33.4009 = $288.31

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.71.017
Practice expense0.271.096
Malpractice0.160.536

(1.7 × 1.017 + 0.27 × 1.096 + 0.16 × 0.536) × $33.4009 = $70.50

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

64467 · Office / nonfacility

$288.31

Effective 2026-10-01

The base rate is $52.98 higher than on 2025-10-01, moving from $235.33 to $288.31 (22.5%).

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

    $235.33changed to$288.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.74 changed to 1.70
    • Practice expense RVU 4.96 changed to 6.22
    • 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: $235.33

    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$288.31$70.50RVU26D
2026-07-01$288.31$70.50RVU26C
2026-04-01$288.31$70.50RVU26B
2026-01-01$288.31$70.50RVU26A
2025-10-01$235.33$73.05RVU25D
2025-07-01$235.33$73.05RVU25C
2025-04-01$235.33$73.05RVU25B
2025-01-01$235.33$73.05RVU25A

64467 billing questions

How does 64467 differ from 64466?

Both describe a unilateral thoracic fascial plane block, but 64466 is the injection code. Use 64467 only when the documented service meets its distinct NFS designation.

Which thoracic blocks can be represented by this code?

Thoracic fascial plane approaches include erector spinae and serratus anterior plane blocks. Documentation should identify the approach, thoracic site, and side.

Can the block be reported with the related surgical procedure?

A same-session block and another procedure may be subject to CMS's multiple-procedure reduction: the highest-valued procedure is paid in full and the others at 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.

What does CMS specify for bilateral reporting?

CMS lists bilateral payment with modifier 50 at 150%. The code family also has bilateral counterparts, so distinguish the documented bilateral service from a unilateral block.

What should the record support?

Document the thoracic fascial plane approach, side, medication delivery, and clinical purpose, along with the details that establish the service's NFS designation.

Can an assistant or co-surgeon be reported?

CMS restricts assistant-at-surgery payment 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 64467PPRRVU2026_Oct_nonQPP.csv, line 7,121 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet