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CMS RVU26D · Effective 2026-10-01

64466 in Wyoming**

Office / nonfacility

$140.74

Base rate per service

Facility setting

$60.24

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 64466: Unilateral thoracic fascial plane injection

Reports a single-injection anesthetic block in a thoracic fascial plane on one side, often for chest-wall pain control around breast or thoracic surgery.

This code describes an anesthetic injection into a fascial plane in the thoracic region on one side. An anesthesiologist or other qualified clinician may perform the block for chest-wall pain control around breast or thoracic surgery. The operative or anesthesia record should identify the side, target plane, injection technique, and clinical purpose so the service can be distinguished from a thoracic paravertebral block or a catheter infusion.

Report 64466 for the unilateral injection service, not for a continuous infusion through a catheter; the latter has a separate family code. The 0-day global period includes same-day preoperative and postoperative care. 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 identifies bilateral payment at 150% with modifier 50; the family also has a separate bilateral injection code, 64468, so select the descriptor that matches the service. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 64466

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 RVU1.46 · 34%
  • Practice expense (office) RVU2.65 · 62%
  • Malpractice RVU0.14 · 3%

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.

64466 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

64467

Thoracic plane block

Unilateral, NFS service

$268.49

Choose 64466 for a unilateral injection; 64467 describes a unilateral block delivered as a continuous infusion through a catheter.

64468

Thoracic block

Bilateral injection

$163.03

64468 identifies a bilateral thoracic fascial plane injection, while 64466 describes the unilateral service.

64461

Paravertebral block

Thoracic, single site

$148.25

64461 is a thoracic paravertebral block, not an injection into a thoracic fascial plane.

The same code, a different location

How does Wyoming** compare?

64466 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $140.74

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

    $158.58

    $17.84 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $160.87

    $20.13 higher than Wyoming**

  4. Miami

    $152.73

    $11.99 higher than Wyoming**

  5. Chicago

    $148.79

    $8.05 higher than Wyoming**

  6. Manhattan

    $162.15

    $21.41 higher than Wyoming**

  7. Alaska*

    $169.99

    $29.25 higher than Wyoming**

Other payment areas listed in Wyoming 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, 64466 ranges from $127.21 in Arkansas to $184.27 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

  • Alabama

    Alabama · 64466

    Office

    $128.86

    Facility

    $58.43

    $11.88 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 64466

    Office

    $127.21

    Facility

    $58.06

    $13.53 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 64466

    Office

    $138.54

    Facility

    $60.54

    $2.20 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 64466

    Office

    $149.55

    Facility

    $61.33

    $8.81 higher than Wyoming** for the office setting.

  • Chico

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • El Centro

    California · 64466

    Office

    $149.13

    Facility

    $60.91

    $8.39 higher than Wyoming** for the office setting.

  • Fresno

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Madera

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Merced

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Modesto

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Napa

    California · 64466

    Office

    $170.87

    Facility

    $64.78

    $30.13 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64466

    Office

    $157.67

    Facility

    $62.52

    $16.93 higher than Wyoming** for the office setting.

  • Redding

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64466

    Office

    $150.64

    Facility

    $62.42

    $9.90 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64466

    Office

    $155.97

    Facility

    $62.35

    $15.23 higher than Wyoming** for the office setting.

  • Salinas

    California · 64466

    Office

    $155.37

    Facility

    $62.07

    $14.63 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64466

    Office

    $158.62

    Facility

    $62.35

    $17.88 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64466

    Office

    $180.35

    Facility

    $66.85

    $39.61 higher than Wyoming** for the office setting.

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

    California · 64466

    Office

    $180.19

    Facility

    $66.69

    $39.45 higher than Wyoming** for the office setting.

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

    California · 64466

    Office

    $184.27

    Facility

    $68.20

    $43.53 higher than Wyoming** for the office setting.

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

    California · 64466

    Office

    $183.62

    Facility

    $67.55

    $42.88 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64466

    Office

    $152.92

    Facility

    $61.23

    $12.18 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 64466

    Office

    $159.84

    Facility

    $62.04

    $19.10 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 64466

    Office

    $155.84

    Facility

    $61.98

    $15.10 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 64466

    Office

    $161.43

    Facility

    $62.58

    $20.69 higher than Wyoming** for the office setting.

  • Stockton

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Vallejo

    California · 64466

    Office

    $170.64

    Facility

    $64.55

    $29.90 higher than Wyoming** for the office setting.

  • Visalia

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Yuba City

    California · 64466

    Office

    $149.11

    Facility

    $60.89

    $8.37 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 64466

    Office

    $147.18

    Facility

    $61.53

    $6.44 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 64466

    Office

    $150.73

    Facility

    $64.03

    $9.99 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 64466

    Office

    $140.66

    Facility

    $61.13

    $0.08 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 64466

    Office

    $146.88

    Facility

    $65.34

    $6.14 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 64466

    Office

    $140.41

    Facility

    $63.46

    $0.33 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 64466

    Office

    $144.46

    Facility

    $62.67

    $3.72 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 64466

    Office

    $133.29

    Facility

    $61.49

    $7.45 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 64466

    Office

    $152.11

    Facility

    $60.59

    $11.37 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 64466

    Office

    $131.61

    Facility

    $57.96

    $9.13 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 64466

    Office

    $132.41

    Facility

    $58.35

    $8.33 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 64466

    Office

    $139.61

    Facility

    $65.56

    $1.13 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 64466

    Office

    $136.89

    Facility

    $63.39

    $3.85 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 64466

    Office

    $148.29

    Facility

    $65.63

    $7.55 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 64466

    Office

    $133.09

    Facility

    $58.47

    $7.65 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 64466

    Office

    $131.14

    Facility

    $58.37

    $9.60 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 64466

    Office

    $131.73

    Facility

    $60.17

    $9.01 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 64466

    Office

    $137.37

    Facility

    $61.62

    $3.37 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 64466

    Office

    $131.58

    Facility

    $60.34

    $9.16 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 64466

    Office

    $160.61

    Facility

    $64.50

    $19.87 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64466

    Office

    $146.48

    Facility

    $61.71

    $5.74 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64466

    Office

    $150.30

    Facility

    $63.93

    $9.56 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 64466

    Office

    $143.12

    Facility

    $61.66

    $2.38 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 64466

    Office

    $133.11

    Facility

    $59.05

    $7.63 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 64466

    Office

    $139.43

    Facility

    $59.66

    $1.31 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 64466

    Office

    $142.06

    Facility

    $64.38

    $1.32 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 64466

    Office

    $134.86

    Facility

    $61.36

    $5.88 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 64466

    Office

    $141.23

    Facility

    $58.40

    $0.49 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 64466

    Office

    $136.45

    Facility

    $60.86

    $4.29 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 64466

    Office

    $137.71

    Facility

    $61.08

    $3.03 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 64466

    Office

    $129.62

    Facility

    $60.23

    $11.12 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 64466

    Office

    $128.43

    Facility

    $59.12

    $12.31 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 64466

    Office

    $141.94

    Facility

    $61.45

    $1.20 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 64466

    Office

    $134.34

    Facility

    $59.23

    $6.40 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 64466

    Office

    $139.18

    Facility

    $58.68

    $1.56 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 64466

    Office

    $132.23

    Facility

    $57.93

    $8.51 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 64466

    Office

    $145.00

    Facility

    $61.20

    $4.26 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 64466

    Office

    $159.51

    Facility

    $66.13

    $18.77 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 64466

    Office

    $152.50

    Facility

    $64.60

    $11.76 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 64466

    Office

    $135.55

    Facility

    $61.73

    $5.19 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 64466

    Office

    $141.26

    Facility

    $60.68

    $0.52 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64466

    Office

    $165.81

    Facility

    $70.10

    $25.07 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64466

    Office

    $153.54

    Facility

    $65.40

    $12.80 higher than Wyoming** for the office setting.

  • Queens

    New York · 64466

    Office

    $163.25

    Facility

    $68.10

    $22.51 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 64466

    Office

    $136.14

    Facility

    $59.67

    $4.60 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 64466

    Office

    $134.29

    Facility

    $60.80

    $6.45 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 64466

    Office

    $131.44

    Facility

    $59.56

    $9.30 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 64466

    Office

    $151.36

    Facility

    $61.93

    $10.62 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 64466

    Office

    $140.21

    Facility

    $60.04

    $0.53 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64466

    Office

    $147.36

    Facility

    $63.57

    $6.62 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64466

    Office

    $134.44

    Facility

    $60.54

    $6.30 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 64466

    Office

    $142.86

    Facility

    $61.48

    $2.12 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 64466

    Office

    $145.30

    Facility

    $62.14

    $4.56 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 64466

    Office

    $134.53

    Facility

    $60.15

    $6.21 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 64466

    Office

    $138.85

    Facility

    $58.35

    $1.89 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 64466

    Office

    $131.73

    Facility

    $58.56

    $9.01 lower than Wyoming** for the office setting.

  • Austin

    Texas · 64466

    Office

    $146.65

    Facility

    $61.49

    $5.91 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 64466

    Office

    $133.66

    Facility

    $60.40

    $7.08 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 64466

    Office

    $140.52

    Facility

    $60.75

    $0.22 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 64466

    Office

    $141.37

    Facility

    $61.20

    $0.63 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 64466

    Office

    $140.55

    Facility

    $61.18

    $0.19 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 64466

    Office

    $140.92

    Facility

    $60.99

    $0.18 higher than Wyoming** for the office setting.

  • Houston

    Texas · 64466

    Office

    $143.48

    Facility

    $63.55

    $2.74 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 64466

    Office

    $136.99

    Facility

    $60.60

    $3.75 lower than Wyoming** for the office setting.

  • Utah

    Utah · 64466

    Office

    $136.17

    Facility

    $60.50

    $4.57 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 64466

    Office

    $139.07

    Facility

    $59.95

    $1.67 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64466

    Office

    $142.86

    Facility

    $61.48

    $2.12 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 64466

    Office

    $138.76

    Facility

    $59.07

    $1.98 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 64466

    Office

    $146.16

    Facility

    $61.40

    $5.42 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 64466

    Office

    $163.63

    Facility

    $64.86

    $22.89 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 64466

    Office

    $135.00

    Facility

    $57.89

    $5.74 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 64466

    Office

    $132.37

    Facility

    $62.42

    $8.37 lower than Wyoming** for the office setting.

See how rates vary across the country

64466 · 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.

$127.21

$169.99

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$169.991
AL$128.861
AR$127.211
AZ$138.541
CA$149.11–$184.2729
CO$147.181
CT$150.731
DC$160.871
DE$140.661
FL$140.41–$152.733
GA$133.29–$144.462
GU$152.111
HI$152.111
IA$131.611
ID$132.411
IL$136.89–$148.794
IN$133.091
KS$131.141
KY$131.731
LA$131.58–$137.372
MA$146.48–$160.612
MD$143.12–$160.873
ME$133.11–$139.432
MI$134.86–$142.062
MN$141.231
MO$129.62–$137.713
MS$128.431
MT$141.941
NC$134.341
ND$139.181
NE$132.231
NH$145.001
NJ$152.50–$159.512
NM$135.551
NV$141.261
NY$136.14–$165.815
OH$134.291
OK$131.441
OR$140.21–$151.362
PA$134.44–$147.362
PR$142.861
RI$145.301
SC$134.531
SD$138.851
TN$131.731
TX$133.66–$146.658
UT$136.171
VA$139.07–$160.872
VI$142.861
VT$138.761
WA$146.16–$163.632
WI$135.001
WV$132.371
WY$140.741

Explore 64466 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 64466 in Wyoming**, the physician’s office rate is $140.74 and the facility-setting rate is $60.24: a difference of $80.50.

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 64466 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$154.81

$140.74 × 110% = $154.81

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.

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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 64466 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,120

Code
64466
Physician work
1.46
Practice expense
2.65
Malpractice
0.14

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 64466 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense2.65× 1.0002.6500
Malpractice0.14× 0.7400.1036
Total RVUs4.2136
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$140.74

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

Open 64466 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.461
Practice expense2.651
Malpractice0.140.74

(1.46 × 1 + 2.65 × 1 + 0.14 × 0.74) × $33.4009 = $140.74

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.461
Practice expense0.241
Malpractice0.140.74

(1.46 × 1 + 0.24 × 1 + 0.14 × 0.74) × $33.4009 = $60.24

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

64466 · Office / nonfacility

$140.74

Effective 2026-10-01

The base rate is $22.00 higher than on 2025-10-01, moving from $118.74 to $140.74 (18.5%).

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

    $118.74changed to$140.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 2.06 changed to 2.65
    • Malpractice RVU 0.15 changed to 0.14
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $118.74

    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$140.74$60.24RVU26D
2026-07-01$140.74$60.24RVU26C
2026-04-01$140.74$60.24RVU26B
2026-01-01$140.74$60.24RVU26A
2025-10-01$118.74$62.46RVU25D
2025-07-01$118.74$62.46RVU25C
2025-04-01$118.74$62.46RVU25B
2025-01-01$118.74$62.46RVU25A

64466 billing questions

How is 64466 different from 64467?

64466 is for a unilateral injection. Use 64467 for a unilateral thoracic fascial plane block performed as a continuous infusion by catheter.

How should a bilateral thoracic injection be reported?

CMS lists bilateral payment at 150% with modifier 50. The code family also has 64468 for a bilateral injection, so choose the code and modifier combination that matches the documented service and applicable CPT instructions.

Is same-day postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care.

What documentation supports 64466?

Document the thoracic fascial plane targeted, the unilateral site, the injection technique, and the reason for the block. The record should support an injection rather than a catheter-based continuous infusion.

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

CMS restricts assistant-at-surgery payment for 64466. 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 64466PPRRVU2026_Oct_nonQPP.csv, line 7,120 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet