$152.22
64479 reports the first cervical or thoracic level. Use 64480 for each qualifying additional level in that region.
On this page
CMS RVU26D · Effective 2026-10-01
64479 Epidural injection Medicare reimbursement rates in Connecticut
Reports an image-guided transforaminal epidural injection at one cervical or thoracic level to deliver anesthetic and/or steroid near a spinal nerve root. Compare 64479 office and facility rates across CMS payment localities in Connecticut.
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 64479 in Connecticut?
Connecticut 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
$303.85
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$122.19
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Pain management injection
About 64479: Cervical or thoracic transforaminal epidural injection
Reports an image-guided transforaminal epidural injection at one cervical or thoracic level to deliver anesthetic and/or steroid near a spinal nerve root.
This service places anesthetic and/or steroid into the epidural space through a transforaminal approach at one cervical or thoracic spinal level. The clinician guides a needle toward the targeted nerve root using fluoroscopy or CT. Pain medicine physicians, anesthesiologists, physiatrists, and other qualified clinicians commonly perform it for cervical or thoracic radicular symptoms, such as pain associated with nerve-root irritation from foraminal narrowing or a disc problem, in an office or facility setting.
Report 64479 for the first treated level in the cervical or thoracic region; documentation should identify the level and side, clinical indication, approach, imaging guidance, and injected agents. Code 64480 is used for each qualifying additional level. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. For a bilateral procedure reported with modifier 50, CMS pays at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64479
- 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 RVU2.23 · 26%
- Practice expense (office) RVU6.11 · 72%
- Malpractice RVU0.20 · 2%
42.1K
Medicare services in 2024 · #850 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.
64479 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$282.50
Both describe first-level transforaminal epidural injection, but 64483 is for the lumbar or sacral region; 64479 is for cervical or thoracic.
$295.04
This is a cervical or thoracic interlaminar epidural approach. Choose 64479 when the injection is transforaminal and directed toward a nerve root.
$218.26
64490 targets a cervical or thoracic facet joint. Code 64479 targets the epidural space through a transforaminal route.
Compare 64479 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
Connecticut →
Office / nonfacility
$303.85
Facility
$122.19
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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 64479 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,126
- Code
- 64479
- Physician work
- 2.23
- Practice expense
- 6.11
- Malpractice
- 0.20
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.23 | × 1.020 | 2.2746 |
| Practice expense | 6.11 | × 1.077 | 6.5805 |
| Malpractice | 0.20 | × 1.210 | 0.2420 |
| Total RVUs | 9.0971 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$303.85
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.23 | 1.02 |
| Practice expense | 6.11 | 1.077 |
| Malpractice | 0.2 | 1.21 |
(2.23 × 1.02 + 6.11 × 1.077 + 0.2 × 1.21) × $33.4009 = $303.85
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.23 | 1.02 |
| Practice expense | 1.06 | 1.077 |
| Malpractice | 0.2 | 1.21 |
(2.23 × 1.02 + 1.06 × 1.077 + 0.2 × 1.21) × $33.4009 = $122.19
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.
64479 billing questions
When should 64479 be chosen instead of 64483?
Use 64479 for a cervical or thoracic transforaminal epidural injection at the first level. Code 64483 describes the corresponding first-level service in the lumbar or sacral region.
How is an additional cervical or thoracic level reported?
Use add-on code 64480 for each qualifying additional level. It is reported with the primary-level service, not by itself.
Is imaging guidance included?
Yes. The service includes fluoroscopic or CT guidance for needle placement; the documentation should support the approach and targeted level.
What documentation supports this code?
Record the clinical indication, cervical or thoracic level, side, transforaminal approach, imaging guidance, and agents injected. The note should make clear whether an additional level was treated.
How does Medicare treat a bilateral service?
CMS identifies this as a bilateral procedure; when reported with modifier 50, it is paid at 150%.
What same-session payment rules apply?
The service has a 0-day global period, so same-day preoperative and postoperative care is included. Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
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7,12764480,,Njx aa&/strd tfrm epi c/t ea,A,,1.17,3.00,,0.31,,0.11,4.28,1.59,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12864483,,Njx aa&/strd tfrm epi l/s 1,A,,1.85,5.91,,0.96,,0.17,7.93,2.98,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12964484,,Njx aa&/strd tfrm epi l/s ea,A,,0.98,2.46,,0.25,,0.08,3.52,1.31,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808