FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

64463 in Vallejo

Office / nonfacility

$327.87

Base rate per service

Facility setting

$80.46

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 64463: Thoracic paravertebral catheter infusion block

Reports a thoracic paravertebral block using a catheter for continuous anesthetic infusion, commonly to provide perioperative pain control after chest or breast surgery.

Code 64463 reports a thoracic paravertebral block performed with a catheter for continuous anesthetic infusion. The catheter delivers medication near the thoracic spinal nerves beside the vertebral column. Anesthesiologists and pain medicine physicians commonly perform the block for perioperative analgesia, including after thoracotomy or breast surgery, in an operating room or other procedural setting. Imaging guidance, when used for the block, is included.

Select this code for the continuous catheter technique rather than a single-injection thoracic block. Document the thoracic site, laterality, catheter technique, and plan for continuous infusion. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 64463

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 RVU1.85 · 23%
  • Practice expense (office) RVU5.90 · 75%
  • Malpractice RVU0.16 · 2%

815

Medicare services in 2024 · #3129 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.

64463 compared with similar codes

Office rates for Vallejo, from the same CMS release.

64461

Paravertebral block

Thoracic, single site

$178.07

Use 64461 for a single-injection thoracic paravertebral block. Use 64463 when a catheter is used for continuous infusion.

64462

Paravertebral block

Additional thoracic injection site

$91.60

64462 represents an additional thoracic paravertebral injection site in the single-injection code family; it does not describe continuous catheter infusion.

64467

Thoracic plane block

Unilateral, NFS service

$336.63

Both describe continuous catheter infusion, but 64467 is a thoracic fascial plane block, not a paravertebral block.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 64463 is $282.20—$45.67 lower than the $327.87 rate in Vallejo. Both use the same code, release and participation basis.

64463 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $327.87

  2. Bakersfield

    $282.20

    $45.67 lower than Vallejo

  3. Chico

    $281.69

    $46.18 lower than Vallejo

  4. El Centro

    $281.72

    $46.15 lower than Vallejo

  5. Fresno

    $281.69

    $46.18 lower than Vallejo

  6. Hanford-Corcoran

    $281.69

    $46.18 lower than Vallejo

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

    $301.00

    $26.87 lower than Vallejo

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, 64463 ranges from $233.82 in Arkansas to $355.62 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 · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Merced

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Modesto

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Napa

    California · 64463

    Office

    $328.13

    Facility

    $80.73

    $0.26 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64463

    Office

    $299.78

    Facility

    $77.91

    $28.09 lower than Vallejo for the office setting.

  • Redding

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Rest Of California

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64463

    Office

    $283.45

    Facility

    $77.71

    $44.42 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64463

    Office

    $296.07

    Facility

    $77.76

    $31.80 lower than Vallejo for the office setting.

  • Salinas

    California · 64463

    Office

    $294.97

    Facility

    $77.41

    $32.90 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64463

    Office

    $302.23

    Facility

    $77.73

    $25.64 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64463

    Office

    $347.98

    Facility

    $83.30

    $20.11 higher than Vallejo for the office setting.

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

    California · 64463

    Office

    $347.80

    Facility

    $83.12

    $19.93 higher than Vallejo for the office setting.

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

    California · 64463

    Office

    $355.62

    Facility

    $84.94

    $27.75 higher than Vallejo for the office setting.

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

    California · 64463

    Office

    $354.88

    Facility

    $84.20

    $27.01 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64463

    Office

    $290.16

    Facility

    $76.36

    $37.71 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 64463

    Office

    $305.39

    Facility

    $77.32

    $22.48 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 64463

    Office

    $296.16

    Facility

    $77.29

    $31.71 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 64463

    Office

    $308.51

    Facility

    $77.99

    $19.36 lower than Vallejo for the office setting.

  • Stockton

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Visalia

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Yuba City

    California · 64463

    Office

    $281.69

    Facility

    $75.96

    $46.18 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64463

    Office

    $303.22

    Facility

    $82.09

    $24.65 lower than Vallejo for the office setting.

  • Miami

    Florida · 64463

    Office

    $280.45

    Facility

    $85.04

    $47.42 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 64463

    Office

    $272.54

    Facility

    $83.89

    $55.33 lower than Vallejo for the office setting.

  • Manhattan

    New York · 64463

    Office

    $303.21

    Facility

    $85.09

    $24.66 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 64463

    Office

    $305.51

    Facility

    $105.59

    $22.36 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 64463

    Office

    $237.25

    Facility

    $73.00

    $90.62 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 64463

    Office

    $233.82

    Facility

    $72.58

    $94.05 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 64463

    Office

    $257.32

    Facility

    $75.43

    $70.55 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 64463

    Office

    $276.38

    Facility

    $76.66

    $51.49 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 64463

    Office

    $281.73

    Facility

    $79.57

    $46.14 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 64463

    Office

    $261.61

    Facility

    $76.15

    $66.26 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 64463

    Office

    $271.08

    Facility

    $80.93

    $56.79 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 64463

    Office

    $258.22

    Facility

    $78.76

    $69.65 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 64463

    Office

    $268.61

    Facility

    $77.90

    $59.26 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 64463

    Office

    $243.94

    Facility

    $76.50

    $83.93 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 64463

    Office

    $288.95

    Facility

    $75.52

    $38.92 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 64463

    Office

    $244.23

    Facility

    $72.47

    $83.64 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 64463

    Office

    $245.62

    Facility

    $72.92

    $82.25 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 64463

    Office

    $253.85

    Facility

    $81.16

    $74.02 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 64463

    Office

    $250.07

    Facility

    $78.68

    $77.80 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 64463

    Office

    $274.08

    Facility

    $81.30

    $53.79 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 64463

    Office

    $247.07

    Facility

    $73.06

    $80.80 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 64463

    Office

    $242.63

    Facility

    $72.94

    $85.24 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 64463

    Office

    $241.87

    Facility

    $75.00

    $86.00 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 64463

    Office

    $253.30

    Facility

    $76.66

    $74.57 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 64463

    Office

    $241.31

    Facility

    $75.19

    $86.56 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 64463

    Office

    $304.38

    Facility

    $80.25

    $23.49 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64463

    Office

    $274.55

    Facility

    $76.89

    $53.32 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64463

    Office

    $280.84

    Facility

    $79.43

    $47.03 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 64463

    Office

    $266.75

    Facility

    $76.78

    $61.12 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 64463

    Office

    $246.42

    Facility

    $73.72

    $81.45 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 64463

    Office

    $260.46

    Facility

    $74.43

    $67.41 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 64463

    Office

    $260.97

    Facility

    $79.83

    $66.90 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 64463

    Office

    $247.75

    Facility

    $76.36

    $80.12 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 64463

    Office

    $266.15

    Facility

    $73.00

    $61.72 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 64463

    Office

    $252.06

    Facility

    $75.79

    $75.81 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 64463

    Office

    $254.75

    Facility

    $76.05

    $73.12 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 64463

    Office

    $236.87

    Facility

    $75.06

    $91.00 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 64463

    Office

    $235.41

    Facility

    $73.79

    $92.46 lower than Vallejo for the office setting.

  • Montana**

    Montana · 64463

    Office

    $264.19

    Facility

    $76.48

    $63.68 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 64463

    Office

    $249.07

    Facility

    $73.93

    $78.80 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 64463

    Office

    $261.03

    Facility

    $73.31

    $66.84 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 64463

    Office

    $245.70

    Facility

    $72.44

    $82.17 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 64463

    Office

    $271.61

    Facility

    $76.20

    $56.26 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 64463

    Office

    $299.99

    Facility

    $82.24

    $27.88 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 64463

    Office

    $285.32

    Facility

    $80.34

    $42.55 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 64463

    Office

    $248.92

    Facility

    $76.79

    $78.95 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 64463

    Office

    $263.51

    Facility

    $75.60

    $64.36 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64463

    Office

    $309.98

    Facility

    $86.79

    $17.89 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64463

    Office

    $286.83

    Facility

    $81.28

    $41.04 lower than Vallejo for the office setting.

  • Queens

    New York · 64463

    Office

    $306.38

    Facility

    $84.51

    $21.49 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 64463

    Office

    $252.76

    Facility

    $74.43

    $75.11 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 64463

    Office

    $247.10

    Facility

    $75.72

    $80.77 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 64463

    Office

    $241.92

    Facility

    $74.30

    $85.95 lower than Vallejo for the office setting.

  • Portland

    Oregon · 64463

    Office

    $285.70

    Facility

    $77.15

    $42.17 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 64463

    Office

    $261.83

    Facility

    $74.86

    $66.04 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64463

    Office

    $274.42

    Facility

    $79.02

    $53.45 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64463

    Office

    $247.75

    Facility

    $75.43

    $80.12 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 64463

    Office

    $266.29

    Facility

    $76.51

    $61.58 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 64463

    Office

    $271.30

    Facility

    $77.39

    $56.57 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 64463

    Office

    $248.42

    Facility

    $74.98

    $79.45 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 64463

    Office

    $260.65

    Facility

    $72.94

    $67.22 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 64463

    Office

    $243.79

    Facility

    $73.16

    $84.08 lower than Vallejo for the office setting.

  • Austin

    Texas · 64463

    Office

    $275.15

    Facility

    $76.54

    $52.72 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 64463

    Office

    $246.09

    Facility

    $75.27

    $81.78 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 64463

    Office

    $261.75

    Facility

    $75.72

    $66.12 lower than Vallejo for the office setting.

  • Dallas

    Texas · 64463

    Office

    $263.21

    Facility

    $76.25

    $64.66 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 64463

    Office

    $261.31

    Facility

    $76.22

    $66.56 lower than Vallejo for the office setting.

  • Galveston

    Texas · 64463

    Office

    $262.40

    Facility

    $76.00

    $65.47 lower than Vallejo for the office setting.

  • Houston

    Texas · 64463

    Office

    $265.33

    Facility

    $78.93

    $62.54 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 64463

    Office

    $253.63

    Facility

    $75.49

    $74.24 lower than Vallejo for the office setting.

  • Utah

    Utah · 64463

    Office

    $251.83

    Facility

    $75.38

    $76.04 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 64463

    Office

    $259.28

    Facility

    $74.76

    $68.59 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64463

    Office

    $266.29

    Facility

    $76.51

    $61.58 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 64463

    Office

    $259.59

    Facility

    $73.75

    $68.28 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 64463

    Office

    $274.17

    Facility

    $76.51

    $53.70 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 64463

    Office

    $311.05

    Facility

    $80.72

    $16.82 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 64463

    Office

    $252.23

    Facility

    $72.40

    $75.64 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 64463

    Office

    $240.69

    Facility

    $77.57

    $87.18 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 64463

    Office

    $262.81

    Facility

    $75.10

    $65.06 lower than Vallejo for the office setting.

See how rates vary across the country

64463 · 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.

$233.82

$318.66

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$305.511
AL$237.251
AR$233.821
AZ$257.321
CA$281.69–$355.6229
CO$276.381
CT$281.731
DC$303.221
DE$261.611
FL$258.22–$280.453
GA$243.94–$268.612
GU$288.951
HI$288.951
IA$244.231
ID$245.621
IL$250.07–$274.084
IN$247.071
KS$242.631
KY$241.871
LA$241.31–$253.302
MA$274.55–$304.382
MD$266.75–$303.223
ME$246.42–$260.462
MI$247.75–$260.972
MN$266.151
MO$236.87–$254.753
MS$235.411
MT$264.191
NC$249.071
ND$261.031
NE$245.701
NH$271.611
NJ$285.32–$299.992
NM$248.921
NV$263.511
NY$252.76–$309.985
OH$247.101
OK$241.921
OR$261.83–$285.702
PA$247.75–$274.422
PR$266.291
RI$271.301
SC$248.421
SD$260.651
TN$243.791
TX$246.09–$275.158
UT$251.831
VA$259.28–$303.222
VI$266.291
VT$259.591
WA$274.17–$311.052
WI$252.231
WV$240.691
WY$262.811

Explore 64463 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 64463 in Vallejo, the physician’s office rate is $327.87 and the facility-setting rate is $80.46: a difference of $247.41.

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 64463 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$360.66

$327.87 × 110% = $360.66

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 64463 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

7,119

Code
64463
Physician work
1.85
Practice expense
5.90
Malpractice
0.16

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 64463 in Vallejo
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0631.9666
Practice expense5.90× 1.3187.7762
Malpractice0.16× 0.4590.0734
Total RVUs9.8162
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$327.87

Open 64463 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.851.063
Practice expense5.91.318
Malpractice0.160.459

(1.85 × 1.063 + 5.9 × 1.318 + 0.16 × 0.459) × $33.4009 = $327.87

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.851.063
Practice expense0.281.318
Malpractice0.160.459

(1.85 × 1.063 + 0.28 × 1.318 + 0.16 × 0.459) × $33.4009 = $80.46

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

64463 · Office / nonfacility

$327.87

Effective 2026-10-01

The base rate is $65.49 higher than on 2025-10-01, moving from $262.38 to $327.87 (25.0%).

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

    $262.38changed to$327.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.90 changed to 1.85
    • Practice expense RVU 4.60 changed to 5.90
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $262.38

    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$327.87$80.46RVU26D
2026-07-01$327.87$80.46RVU26C
2026-04-01$327.87$80.46RVU26B
2026-01-01$327.87$80.46RVU26A
2025-10-01$262.38$82.71RVU25D
2025-07-01$262.38$82.71RVU25C
2025-04-01$262.38$82.71RVU25B
2025-01-01$262.38$82.71RVU25A

64463 billing questions

How does 64463 differ from 64461?

64463 is for a thoracic paravertebral block using a catheter for continuous infusion. 64461 describes a single-injection thoracic paravertebral block.

Can imaging guidance be billed separately?

Imaging guidance, when used for the block, is included in 64463.

How is a bilateral block reported?

CMS identifies 64463 as a bilateral procedure; modifier 50 is paid at 150%. Document the treated sides.

What documentation supports choosing 64463?

Document the thoracic paravertebral location, laterality, catheter technique, and that the catheter is intended for continuous infusion. A single-injection technique points to a different code.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 64463. 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 64463PPRRVU2026_Oct_nonQPP.csv, line 7,119 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet