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CMS RVU26D · Effective 2026-10-01

64417 in Redding

Office / nonfacility

$198.09

Base rate per service

Facility setting

$61.55

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 64417: Axillary nerve anesthetic block

Reports an anesthetic injection targeting the axillary nerve, commonly for shoulder pain control or perioperative analgesia when that specific nerve is blocked.

This service places anesthetic, sometimes with steroid, around the axillary nerve to interrupt shoulder-region sensation. Pain specialists and anesthesiologists may perform it for diagnostic or therapeutic shoulder pain care, or for analgesia around shoulder surgery. The nerve’s relationship to the humerus and deltoid makes ultrasound or other imaging useful for locating the target; imaging guidance is included in the procedure when performed.

Choose this code when the documented target is the axillary nerve, rather than the brachial plexus or another shoulder nerve. The record should identify the side, clinical indication, nerve target, injectate, and any guidance used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 64417

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 RVU1.28 · 23%
  • Practice expense (office) RVU4.16 · 75%
  • Malpractice RVU0.13 · 2%

15.9K

Medicare services in 2024 · #1238 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.

64417 compared with similar codes

Office rates for Redding, from the same CMS release.

64415

Brachial plexus block

Single injection

$163.76

64415 is for a brachial plexus block. Choose 64417 when the documented injection targets the axillary nerve itself.

64418

Nerve injection

Suprascapular nerve

$93.59

64418 targets the suprascapular nerve, not the axillary nerve. The documented nerve target distinguishes the codes.

64416

Nerve block

Brachial plexus catheter infusion

No office rate

64416 describes continuous infusion through a brachial plexus catheter; 64417 is an injection targeting the axillary nerve.

64450

Nerve block

Other peripheral nerve or branch

$85.35

64450 is a general code for a peripheral nerve or branch when no more specific code applies. Use 64417 for an axillary nerve injection.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 64417 is $198.50—$0.41 higher than the $198.09 rate in Redding. Both use the same code, release and participation basis.

64417 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $198.09

  2. $0.41 higher than Redding

  3. Chico

    $198.09

    The same base rate than Redding

  4. El Centro

    $198.12

    $0.03 higher than Redding

  5. Fresno

    $198.09

    The same base rate than Redding

  6. The same base rate than Redding

  7. $13.67 higher than Redding

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, 64417 ranges from $164.35 in Arkansas to $250.15 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 · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Merced

    California · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Modesto

    California · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Napa

    California · 64417

    Office

    $230.79

    Facility

    $66.58

    $32.70 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64417

    Office

    $210.89

    Facility

    $63.63

    $12.80 higher than Redding for the office setting.

  • Rest Of California

    California · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64417

    Office

    $199.51

    Facility

    $62.97

    $1.42 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64417

    Office

    $208.22

    Facility

    $63.32

    $10.13 higher than Redding for the office setting.

  • Salinas

    California · 64417

    Office

    $207.45

    Facility

    $63.05

    $9.36 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64417

    Office

    $212.57

    Facility

    $63.57

    $14.48 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64417

    Office

    $244.72

    Facility

    $69.06

    $46.63 higher than Redding for the office setting.

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

    California · 64417

    Office

    $244.58

    Facility

    $68.91

    $46.49 higher than Redding for the office setting.

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

    California · 64417

    Office

    $250.15

    Facility

    $70.49

    $52.06 higher than Redding for the office setting.

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

    California · 64417

    Office

    $249.54

    Facility

    $69.89

    $51.45 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64417

    Office

    $204.07

    Facility

    $62.17

    $5.98 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 64417

    Office

    $214.80

    Facility

    $63.43

    $16.71 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 64417

    Office

    $208.29

    Facility

    $63.02

    $10.20 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 64417

    Office

    $216.99

    Facility

    $64.00

    $18.90 higher than Redding for the office setting.

  • Stockton

    California · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 64417

    Office

    $230.57

    Facility

    $66.37

    $32.48 higher than Redding for the office setting.

  • Visalia

    California · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 64417

    Office

    $198.09

    Facility

    $61.55

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64417

    Office

    $213.58

    Facility

    $66.81

    $15.49 higher than Redding for the office setting.

  • Miami

    Florida · 64417

    Office

    $198.38

    Facility

    $68.69

    $0.29 higher than Redding for the office setting.

  • Chicago

    Illinois · 64417

    Office

    $192.66

    Facility

    $67.45

    $5.43 lower than Redding for the office setting.

  • Manhattan

    New York · 64417

    Office

    $213.83

    Facility

    $69.07

    $15.74 higher than Redding for the office setting.

  • Alaska*

    Alaska · 64417

    Office

    $214.50

    Facility

    $81.82

    $16.41 higher than Redding for the office setting.

  • Alabama

    Alabama · 64417

    Office

    $166.79

    Facility

    $57.78

    $31.30 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 64417

    Office

    $164.35

    Facility

    $57.33

    $33.74 lower than Redding for the office setting.

  • Arizona

    Arizona · 64417

    Office

    $181.11

    Facility

    $60.39

    $16.98 lower than Redding for the office setting.

  • Colorado

    Colorado · 64417

    Office

    $194.50

    Facility

    $61.94

    $3.59 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 64417

    Office

    $198.51

    Facility

    $64.33

    $0.42 higher than Redding for the office setting.

  • Delaware

    Delaware · 64417

    Office

    $184.15

    Facility

    $61.06

    $13.94 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 64417

    Office

    $191.36

    Facility

    $65.15

    $6.73 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 64417

    Office

    $182.11

    Facility

    $63.01

    $15.98 lower than Redding for the office setting.

  • Atlanta

    Georgia · 64417

    Office

    $189.27

    Facility

    $62.69

    $8.82 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 64417

    Office

    $171.87

    Facility

    $60.74

    $26.22 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 64417

    Office

    $203.25

    Facility

    $61.60

    $5.16 higher than Redding for the office setting.

  • Iowa

    Iowa · 64417

    Office

    $171.61

    Facility

    $57.62

    $26.48 lower than Redding for the office setting.

  • Idaho

    Idaho · 64417

    Office

    $172.64

    Facility

    $58.02

    $25.45 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 64417

    Office

    $179.33

    Facility

    $64.71

    $18.76 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 64417

    Office

    $176.40

    Facility

    $62.65

    $21.69 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 64417

    Office

    $193.45

    Facility

    $65.50

    $4.64 lower than Redding for the office setting.

  • Indiana

    Indiana · 64417

    Office

    $173.67

    Facility

    $58.18

    $24.42 lower than Redding for the office setting.

  • Kansas

    Kansas · 64417

    Office

    $170.55

    Facility

    $57.93

    $27.54 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 64417

    Office

    $170.25

    Facility

    $59.49

    $27.84 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 64417

    Office

    $178.44

    Facility

    $61.20

    $19.65 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 64417

    Office

    $169.88

    Facility

    $59.62

    $28.21 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 64417

    Office

    $214.27

    Facility

    $65.52

    $16.18 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64417

    Office

    $193.21

    Facility

    $62.02

    $4.88 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64417

    Office

    $197.90

    Facility

    $64.22

    $0.19 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 64417

    Office

    $187.78

    Facility

    $61.70

    $10.31 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 64417

    Office

    $173.29

    Facility

    $58.67

    $24.80 lower than Redding for the office setting.

  • Southern Maine

    Maine · 64417

    Office

    $183.19

    Facility

    $59.73

    $14.90 lower than Redding for the office setting.

  • Detroit

    Michigan · 64417

    Office

    $184.16

    Facility

    $63.93

    $13.93 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 64417

    Office

    $174.51

    Facility

    $60.77

    $23.58 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 64417

    Office

    $187.02

    Facility

    $58.82

    $11.07 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 64417

    Office

    $177.47

    Facility

    $60.48

    $20.62 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 64417

    Office

    $179.38

    Facility

    $60.78

    $18.71 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 64417

    Office

    $166.76

    Facility

    $59.36

    $31.33 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 64417

    Office

    $165.60

    Facility

    $58.33

    $32.49 lower than Redding for the office setting.

  • Montana**

    Montana · 64417

    Office

    $186.03

    Facility

    $61.45

    $12.06 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 64417

    Office

    $175.17

    Facility

    $58.93

    $22.92 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 64417

    Office

    $183.46

    Facility

    $58.88

    $14.63 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 64417

    Office

    $172.64

    Facility

    $57.65

    $25.45 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 64417

    Office

    $191.20

    Facility

    $61.50

    $6.89 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 64417

    Office

    $211.26

    Facility

    $66.74

    $13.17 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 64417

    Office

    $200.96

    Facility

    $64.91

    $2.87 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 64417

    Office

    $175.38

    Facility

    $61.14

    $22.71 lower than Redding for the office setting.

  • Nevada**

    Nevada · 64417

    Office

    $185.46

    Facility

    $60.75

    $12.63 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64417

    Office

    $218.76

    Facility

    $70.63

    $20.67 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64417

    Office

    $202.08

    Facility

    $65.66

    $3.99 higher than Redding for the office setting.

  • Queens

    New York · 64417

    Office

    $215.99

    Facility

    $68.73

    $17.90 higher than Redding for the office setting.

  • Rest Of New York

    New York · 64417

    Office

    $177.81

    Facility

    $59.45

    $20.28 lower than Redding for the office setting.

  • Ohio

    Ohio · 64417

    Office

    $173.99

    Facility

    $60.24

    $24.10 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 64417

    Office

    $170.21

    Facility

    $58.95

    $27.88 lower than Redding for the office setting.

  • Portland

    Oregon · 64417

    Office

    $201.04

    Facility

    $62.62

    $2.95 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 64417

    Office

    $184.20

    Facility

    $60.11

    $13.89 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64417

    Office

    $193.35

    Facility

    $63.65

    $4.74 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64417

    Office

    $174.41

    Facility

    $60.04

    $23.68 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 64417

    Office

    $187.51

    Facility

    $61.55

    $10.58 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 64417

    Office

    $190.97

    Facility

    $62.27

    $7.12 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 64417

    Office

    $174.83

    Facility

    $59.71

    $23.26 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 64417

    Office

    $183.16

    Facility

    $58.57

    $14.93 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 64417

    Office

    $171.39

    Facility

    $58.14

    $26.70 lower than Redding for the office setting.

  • Austin

    Texas · 64417

    Office

    $193.69

    Facility

    $61.88

    $4.40 lower than Redding for the office setting.

  • Beaumont

    Texas · 64417

    Office

    $173.23

    Facility

    $59.86

    $24.86 lower than Redding for the office setting.

  • Brazoria

    Texas · 64417

    Office

    $184.18

    Facility

    $60.72

    $13.91 lower than Redding for the office setting.

  • Dallas

    Texas · 64417

    Office

    $185.26

    Facility

    $61.17

    $12.83 lower than Redding for the office setting.

  • Fort Worth

    Texas · 64417

    Office

    $183.92

    Facility

    $61.08

    $14.17 lower than Redding for the office setting.

  • Galveston

    Texas · 64417

    Office

    $184.67

    Facility

    $60.95

    $13.42 lower than Redding for the office setting.

  • Houston

    Texas · 64417

    Office

    $187.05

    Facility

    $63.33

    $11.04 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 64417

    Office

    $178.54

    Facility

    $60.30

    $19.55 lower than Redding for the office setting.

  • Utah

    Utah · 64417

    Office

    $177.26

    Facility

    $60.15

    $20.83 lower than Redding for the office setting.

  • Virginia

    Virginia · 64417

    Office

    $182.40

    Facility

    $59.94

    $15.69 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64417

    Office

    $187.51

    Facility

    $61.55

    $10.58 lower than Redding for the office setting.

  • Vermont

    Vermont · 64417

    Office

    $182.51

    Facility

    $59.17

    $15.58 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 64417

    Office

    $192.93

    Facility

    $61.74

    $5.16 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 64417

    Office

    $218.93

    Facility

    $66.06

    $20.84 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 64417

    Office

    $177.20

    Facility

    $57.85

    $20.89 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 64417

    Office

    $169.71

    Facility

    $61.45

    $28.38 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 64417

    Office

    $184.91

    Facility

    $60.33

    $13.18 lower than Redding for the office setting.

See how rates vary across the country

64417 · 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.

$164.35

$224.12

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$214.501
AL$166.791
AR$164.351
AZ$181.111
CA$198.09–$250.1529
CO$194.501
CT$198.511
DC$213.581
DE$184.151
FL$182.11–$198.383
GA$171.87–$189.272
GU$203.251
HI$203.251
IA$171.611
ID$172.641
IL$176.40–$193.454
IN$173.671
KS$170.551
KY$170.251
LA$169.88–$178.442
MA$193.21–$214.272
MD$187.78–$213.583
ME$173.29–$183.192
MI$174.51–$184.162
MN$187.021
MO$166.76–$179.383
MS$165.601
MT$186.031
NC$175.171
ND$183.461
NE$172.641
NH$191.201
NJ$200.96–$211.262
NM$175.381
NV$185.461
NY$177.81–$218.765
OH$173.991
OK$170.211
OR$184.20–$201.042
PA$174.41–$193.352
PR$187.511
RI$190.971
SC$174.831
SD$183.161
TN$171.391
TX$173.23–$193.698
UT$177.261
VA$182.40–$213.582
VI$187.511
VT$182.511
WA$192.93–$218.932
WI$177.201
WV$169.711
WY$184.911

Explore 64417 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 64417 in Redding, the physician’s office rate is $198.09 and the facility-setting rate is $61.55: a difference of $136.54.

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 64417 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$217.90

$198.09 × 110% = $217.90

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 64417 in Redding.

PPRRVU2026_Oct_nonQPP.csv

7,101

Code
64417
Physician work
1.28
Practice expense
4.16
Malpractice
0.13

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64417 in Redding
ComponentRVULocality factorAdjusted
Physician work1.28× 1.0171.3018
Practice expense4.16× 1.0964.5594
Malpractice0.13× 0.5360.0697
Total RVUs5.9308
Conversion factor× 33.4009

Office / nonfacility rate, Redding$198.09

Open 64417 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.281.017
Practice expense4.161.096
Malpractice0.130.536

(1.28 × 1.017 + 4.16 × 1.096 + 0.13 × 0.536) × $33.4009 = $198.09

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.281.017
Practice expense0.431.096
Malpractice0.130.536

(1.28 × 1.017 + 0.43 × 1.096 + 0.13 × 0.536) × $33.4009 = $61.55

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

64417 · Office / nonfacility

$198.09

Effective 2026-10-01

The base rate is $34.33 higher than on 2025-10-01, moving from $163.76 to $198.09 (21.0%).

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

    $163.76changed to$198.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.31 changed to 1.28
    • Practice expense RVU 3.35 changed to 4.16
    • 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: $163.76

    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$198.09$61.55RVU26D
2026-07-01$198.09$61.55RVU26C
2026-04-01$198.09$61.55RVU26B
2026-01-01$198.09$61.55RVU26A
2025-10-01$163.76$62.65RVU25D
2025-07-01$163.76$62.65RVU25C
2025-04-01$163.76$62.65RVU25B
2025-01-01$163.76$62.65RVU25A

64417 billing questions

When should 64417 be selected instead of a brachial plexus block?

Use 64417 when the documented injection specifically targets the axillary nerve. A block directed at the brachial plexus is reported with the code for that broader target.

Is imaging guidance separately reported?

Imaging guidance is included in 64417 when performed. Do not report a separate guidance service for imaging used to place this block.

Can 64417 be reported for both shoulders?

For bilateral treatment, CMS specifies modifier 50 and payment at 150%. The documentation should establish treatment of both sides.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.

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

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 64417PPRRVU2026_Oct_nonQPP.csv, line 7,101 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)