$139.85
64461 reports the first thoracic paravertebral injection site; 64462 is the add-on for each additional site and cannot stand alone.
On this page
CMS RVU26D · Effective 2026-10-01
64462 Paravertebral block Medicare reimbursement rates in Idaho
Report this add-on for each additional thoracic paravertebral injection site beyond the first during a session using single-injection blocks. Compare 64462 office and facility rates across CMS payment localities in Idaho.
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 64462 in Idaho?
Idaho 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
$73.57
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$42.53
1 of 1 localities have a supported rate.
Payment area: Idaho
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 64462: Additional thoracic paravertebral injection site
Report this add-on for each additional thoracic paravertebral injection site beyond the first during a session using single-injection blocks.
This add-on represents an additional thoracic paravertebral injection site using anesthetic and/or steroid, beyond the first site. Anesthesiologists and pain specialists commonly perform these blocks for perioperative pain control in thoracic surgery or for chest-wall analgesia. The service may be performed in an operating room, procedure suite, or other setting where regional anesthesia is provided.
Report 64462 only with the primary single-site thoracic paravertebral injection code, 64461; it is not a standalone service. Documentation should identify the thoracic paravertebral block, the additional injection site or sites, and the clinical purpose. CMS pays this add-on within the primary procedure’s global period. When the service is reported as bilateral with modifier 50, CMS pays it at 150%.
CMS billing rules for 64462
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU1.07 · 46%
- Practice expense (office) RVU1.19 · 51%
- Malpractice RVU0.08 · 3%
1.9K
Medicare services in 2024 · #2499 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.
64462 compared with similar codes
Office rates for Idaho, from the same CMS release.
$245.62
Use 64463 for a thoracic paravertebral continuous infusion through a catheter, rather than additional single-injection sites.
$132.41
64466 describes a unilateral thoracic fascial plane block by injection. Choose it when that fascial plane technique is performed, not a paravertebral injection.
$153.30
64468 describes a bilateral thoracic fascial plane block by injection; 64462 applies to additional thoracic paravertebral injection sites.
Compare 64462 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
Idaho →
Office / nonfacility
$73.57
Facility
$42.53
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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 64462 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
7,118
- Code
- 64462
- Physician work
- 1.07
- Practice expense
- 1.19
- Malpractice
- 0.08
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.07 | × 1.000 | 1.0700 |
| Practice expense | 1.19 | × 0.920 | 1.0948 |
| Malpractice | 0.08 | × 0.473 | 0.0378 |
| Total RVUs | 2.2026 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$73.57
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.07 | 1 |
| Practice expense | 1.19 | 0.92 |
| Malpractice | 0.08 | 0.473 |
(1.07 × 1 + 1.19 × 0.92 + 0.08 × 0.473) × $33.4009 = $73.57
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.07 | 1 |
| Practice expense | 0.18 | 0.92 |
| Malpractice | 0.08 | 0.473 |
(1.07 × 1 + 0.18 × 0.92 + 0.08 × 0.473) × $33.4009 = $42.53
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.
64462 billing questions
Can 64462 be billed by itself?
No. It is an add-on code and must be reported with 64461 for the first thoracic paravertebral injection site.
How is 64462 distinguished from 64461?
64461 represents the first injection site. Report 64462 for each additional thoracic paravertebral injection site in the session.
When should 64463 be used instead?
64463 describes a thoracic paravertebral block delivered by continuous infusion through a catheter. 64462 is for additional sites in a single-injection service.
What should the record support?
Document the thoracic paravertebral technique, the additional site or sites treated, and the reason for the block, such as perioperative or chest-wall pain control.
How does CMS handle bilateral reporting?
CMS pays the bilateral procedure at 150% when modifier 50 is reported.
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.
7,11564454,,Njx aa&/strd gnclr nrv brnch,A,,1.48,5.42,,0.58,,0.13,7.03,2.19,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11664455,,Njx aa&/strd pltr com dg nrv,A,,0.73,0.70,,0.10,,0.07,1.50,0.90,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11764461,,Pvb thoracic single inj site,A,,1.71,2.61,,0.28,,0.16,4.48,2.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11864462,,Pvb thoracic 2nd+ inj site,A,,1.07,1.19,,0.18,,0.08,2.34,1.33,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11964463,,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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772