$124.48
Both describe a unilateral TAP block, but 64487 is for continuous infusion and 64486 is for injection.
On this page
CMS RVU26D · Effective 2026-10-01
64487 TAP block Medicare reimbursement rates in Delaware
Reports a unilateral transversus abdominis plane block delivered by continuous infusion, typically for analgesia after abdominal surgery. Compare 64487 office and facility rates across CMS payment localities in Delaware.
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 64487 in Delaware?
Delaware 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
$243.00
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$55.89
1 of 1 localities have a supported rate.
Payment area: Delaware
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 64487: Unilateral continuous TAP block
Reports a unilateral transversus abdominis plane block delivered by continuous infusion, typically for analgesia after abdominal surgery.
This service provides regional pain control by delivering local anesthetic continuously into the transversus abdominis plane on one side of the abdominal wall, commonly through a catheter. An anesthesiologist or other qualified anesthesia professional may perform the block around abdominal surgery to support postoperative analgesia. Imaging guidance, when used, is included in the service. The infusion method distinguishes this code from a TAP block delivered by injection alone.
Report 64487 for the unilateral continuous-infusion service; use the family’s bilateral code, 64489, for a bilateral continuous infusion. Documentation should identify the side, block technique, continuous delivery, and clinical purpose. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 pays a bilateral procedure submitted with modifier 50 at 150%; follow the code family’s bilateral reporting convention. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 64487
- 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 RVU1.36 · 19%
- Practice expense (office) RVU5.88 · 80%
- Malpractice RVU0.11 · 1%
190
Medicare services in 2024 · #4365 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.
64487 compared with similar codes
Office rates for Delaware, from the same CMS release.
Compare 64487 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
Delaware →
Office / nonfacility
$243.00
Facility
$55.89
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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 64487 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,131
- Code
- 64487
- Physician work
- 1.36
- Practice expense
- 5.88
- Malpractice
- 0.11
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.36 | × 1.005 | 1.3668 |
| Practice expense | 5.88 | × 0.988 | 5.8094 |
| Malpractice | 0.11 | × 0.899 | 0.0989 |
| Total RVUs | 7.2751 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$243.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.36 | 1.005 |
| Practice expense | 5.88 | 0.988 |
| Malpractice | 0.11 | 0.899 |
(1.36 × 1.005 + 5.88 × 0.988 + 0.11 × 0.899) × $33.4009 = $243.00
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.36 | 1.005 |
| Practice expense | 0.21 | 0.988 |
| Malpractice | 0.11 | 0.899 |
(1.36 × 1.005 + 0.21 × 0.988 + 0.11 × 0.899) × $33.4009 = $55.89
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.
64487 billing questions
When should 64487 be reported instead of 64486?
Use 64487 for a unilateral TAP block delivered by continuous infusion. Code 64486 describes the unilateral injection method.
Which code describes a bilateral continuous TAP infusion?
The family includes 64489 for bilateral continuous infusion. CMS applies its 150% bilateral payment method when a bilateral procedure is submitted with modifier 50; follow the applicable code-family reporting convention.
Is imaging guidance separately reported with 64487?
Imaging guidance, when performed for this continuous-infusion TAP block, is included in the service.
What documentation supports 64487?
Document the TAP block, the side treated, the continuous-infusion technique, and the clinical purpose, such as analgesia associated with abdominal surgery.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 0-day global period.
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.
7,12864483,,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
7,13064486,,Tap block unil by injection,A,,1.17,2.50,,0.19,,0.09,3.76,1.45,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,13164487,,Tap block uni by infusion,A,,1.36,5.88,,0.21,,0.11,7.35,1.68,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,13264488,,Tap block bi injection,A,,1.37,2.93,,0.21,,0.12,4.42,1.70,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,13364489,,Tap block bi by infusion,A,,1.71,10.21,,0.26,,0.15,12.07,2.12,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,13464490,,Inj paravert f jnt c/t 1 lev,A,,1.77,4.20,,0.88,,0.17,6.14,2.82,0,000,0.00,0.00,0.00,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503