$377.46
Use 64530 for anesthetic injection at the celiac plexus. Use 64680 when the procedure destroys the plexus with a neurolytic agent.
On this page
CMS RVU26D · Effective 2026-10-01
64530 Celiac plexus block Medicare reimbursement rates in Hawaii
A celiac plexus anesthetic injection targets upper abdominal visceral pain, including pain associated with pancreatic cancer or chronic pancreatitis. Compare 64530 office and facility rates across CMS payment localities in Hawaii.
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 64530 in Hawaii?
Hawaii 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
$258.27
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$87.38
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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
About 64530: Celiac plexus anesthetic injection
A celiac plexus anesthetic injection targets upper abdominal visceral pain, including pain associated with pancreatic cancer or chronic pancreatitis.
A celiac plexus block delivers anesthetic medication to the nerve network that carries visceral pain from the upper abdomen. It is commonly performed for severe pain related to pancreatic cancer or chronic pancreatitis. Anesthesiologists, pain physicians, and interventional radiologists may perform the injection, often using imaging to guide needle placement. The code accounts for radiologic monitoring whether or not it is used.
Report 64530 when the celiac plexus is the injection target; document the indication, target, approach, medication, and imaging used. Radiologic guidance for this block is included and should not be separately reported. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 64530
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU1.54 · 22%
- Practice expense (office) RVU5.37 · 76%
- Malpractice RVU0.15 · 2%
1.9K
Medicare services in 2024 · #2494 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.
64530 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$216.95
64517 targets the hypogastric plexus, not the celiac plexus; select based on the documented injection site.
$267.06
64520 describes injection at a thoracic or lumbar paravertebral target. It is not the code for an injection directed to the celiac plexus.
Compare 64530 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
Hawaii, Guam →
Office / nonfacility
$258.27
Facility
$87.38
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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 64530 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,144
- Code
- 64530
- Physician work
- 1.54
- Practice expense
- 5.37
- Malpractice
- 0.15
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.54 | × 1.000 | 1.5400 |
| Practice expense | 5.37 | × 1.137 | 6.1057 |
| Malpractice | 0.15 | × 0.579 | 0.0868 |
| Total RVUs | 7.7325 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$258.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.54 | 1 |
| Practice expense | 5.37 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.54 × 1 + 5.37 × 1.137 + 0.15 × 0.579) × $33.4009 = $258.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.54 | 1 |
| Practice expense | 0.87 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.54 × 1 + 0.87 × 1.137 + 0.15 × 0.579) × $33.4009 = $87.38
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.
64530 billing questions
How is 64530 different from celiac plexus neurolysis?
64530 describes an anesthetic injection at the celiac plexus. For destruction of the plexus using a neurolytic agent, consider 64680 instead.
Can imaging guidance be billed separately?
No. Radiologic monitoring is included in 64530, whether or not it is used.
Should modifier 50 be used for a celiac plexus block?
No. The CMS bilateral adjustment does not apply to 64530, and modifier 50 is inappropriate.
What documentation supports reporting 64530?
Document the upper abdominal pain indication, the celiac plexus as the injection target, the approach, medication, and any imaging used.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The 0-day global period does not include care on later dates.
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.
7,14164510,,N block stellate ganglion,A,,1.19,3.31,,0.79,,0.11,4.61,2.09,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14264517,,N block inj hypogas plxs,A,,2.15,3.72,,1.06,,0.20,6.07,3.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14364520,,N block lumbar/thoracic,A,,1.32,5.81,,0.86,,0.12,7.25,2.30,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14464530,,N block inj celiac pelus,A,,1.54,5.37,,0.87,,0.15,7.06,2.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14564553,,Implant neuroelectrodes,A,,5.98,136.45,,5.00,,2.52,144.95,13.50,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14664555,,Implant neuroelectrodes,A,,5.62,60.37,,2.60,,0.58,66.57,8.80,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,14764561,,Implant neuroelectrodes,A,,5.30,16.19,,2.07,,0.75,22.24,8.12,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014