$147.18
Use 64468 when the thoracic fascial plane injections are bilateral; use 64466 when they are unilateral.
On this page
CMS RVU26D · Effective 2026-10-01
64468 Thoracic block Medicare reimbursement rates in Colorado
Reports bilateral injection of anesthetic into thoracic fascial planes for chest-wall analgesia, commonly around breast or other thoracic surgery. Compare 64468 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 64468 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$170.60
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$68.25
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Regional anesthesia
About 64468: Bilateral thoracic fascial plane injection block
Reports bilateral injection of anesthetic into thoracic fascial planes for chest-wall analgesia, commonly around breast or other thoracic surgery.
This code covers injection of anesthetic into thoracic fascial planes on both sides for regional analgesia. Anesthesiologists and acute-pain specialists commonly perform the block around breast or other thoracic surgery to manage chest-wall pain. It describes injections, not delivery through a catheter for continuous infusion; imaging guidance, when performed, is included in the block service.
Report one unit for the bilateral block, with documentation identifying the sites and both sides treated, the anesthetic injected, and the clinical purpose. The 0-day global period includes same-day preoperative and postoperative care. When this block is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 64468
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU1.63 · 33%
- Practice expense (office) RVU3.14 · 64%
- Malpractice RVU0.15 · 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.
64468 compared with similar codes
Office rates for Colorado, from the same CMS release.
Compare 64468 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$170.60
Facility
$68.25
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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 64468 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,122
- Code
- 64468
- Physician work
- 1.63
- Practice expense
- 3.14
- Malpractice
- 0.15
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.63 | × 1.012 | 1.6496 |
| Practice expense | 3.14 | × 1.064 | 3.3410 |
| Malpractice | 0.15 | × 0.781 | 0.1172 |
| Total RVUs | 5.1077 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$170.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.63 | 1.012 |
| Practice expense | 3.14 | 1.064 |
| Malpractice | 0.15 | 0.781 |
(1.63 × 1.012 + 3.14 × 1.064 + 0.15 × 0.781) × $33.4009 = $170.60
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.63 | 1.012 |
| Practice expense | 0.26 | 1.064 |
| Malpractice | 0.15 | 0.781 |
(1.63 × 1.012 + 0.26 × 1.064 + 0.15 × 0.781) × $33.4009 = $68.25
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.
64468 billing questions
How does 64468 differ from 64466?
64468 describes injection treatment on both sides. 64466 describes the corresponding unilateral injection service.
How does 64468 differ from 64469?
Both describe bilateral thoracic fascial plane blocks, but 64468 is for injections and 64469 is for continuous infusion.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment. Document that the block was performed on both sides.
Can imaging guidance be billed separately?
Imaging guidance, when performed, is included in the thoracic fascial plane block service.
What documentation supports reporting 64468?
Document the thoracic fascial plane sites, bilateral treatment, anesthetic injected, and reason for the block, such as perioperative chest-wall analgesia.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction. The 0-day global period includes same-day preoperative and postoperative care.
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.
7,11964463,,Pvb thoracic cont infusion,A,,1.85,5.90,,0.28,,0.16,7.91,2.29,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12064466,,Thrc fascial pln blk uni njx,A,,1.46,2.65,,0.24,,0.14,4.25,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12164467,,Thrc fascial pln blk uni nfs,A,,1.70,6.22,,0.27,,0.16,8.08,2.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12264468,,Thrc fascial pln blk bi njx,A,,1.63,3.14,,0.26,,0.15,4.92,2.04,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12364469,,Thrc fascial pln blk bi nfs,A,,1.78,10.54,,0.29,,0.17,12.49,2.24,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12464473,,Lwr xtr fscl pln blk uni njx,A,,1.31,2.60,,0.21,,0.12,4.03,1.64,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12564474,,Lwr xtr fscl pln blk uni nfs,A,,1.63,6.19,,0.26,,0.15,7.97,2.04,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899