$125.90
Use 64449 for a lumbar plexus target; use 64447 when the injection is directed specifically at the femoral nerve.
On this page
CMS RVU26D · Effective 2026-10-01
64449 Lumbar plexus block Medicare reimbursement rates in Indiana
Reports injection of anesthetic and/or steroid at the lumbar plexus for regional anesthesia, perioperative analgesia, or selected pain treatment. Compare 64449 office and facility rates across CMS payment localities in Indiana.
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 64449 in Indiana?
Indiana 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
No supported rate
Facility setting
$57.00
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Peripheral nerve block
About 64449: Lumbar plexus anesthetic injection
Reports injection of anesthetic and/or steroid at the lumbar plexus for regional anesthesia, perioperative analgesia, or selected pain treatment.
This service places anesthetic and/or steroid near the lumbar plexus to interrupt nerve signals from the lower extremity. Anesthesiologists and pain physicians commonly perform it in an operating room, procedure suite, or other setting where regional blocks are provided. A lumbar plexus block may support anesthesia or postoperative pain control for hip or femur procedures, or be used in selected pain-treatment plans.
Report the code when the documented target is the lumbar plexus, rather than an individual femoral or sciatic nerve. The record should identify the indication, laterality, target, and medication injected. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When performed in the same session with other procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral service, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 64449
- 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 RVU1.24 · 69%
- Practice expense (office) RVU0.43 · 24%
- Malpractice RVU0.14 · 8%
521
Medicare services in 2024 · #3526 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.
64449 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
64448 describes a femoral nerve block delivered by continuous catheter infusion. It is not the code for a lumbar plexus injection.
$161.80
64445 is directed at the sciatic nerve, not the lumbar plexus.
No office rate
64446 describes continuous catheter infusion at the sciatic nerve; 64449 identifies the lumbar plexus target.
Compare 64449 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
Indiana →
Office / nonfacility
Unavailable
Facility
$57.00
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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 64449 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
7,112
- Code
- 64449
- Physician work
- 1.24
- Practice expense
- 0.43
- Malpractice
- 0.14
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 0.43 | × 0.927 | 0.3986 |
| Malpractice | 0.14 | × 0.486 | 0.0680 |
| Total RVUs | 1.7067 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$57.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 0.43 | 0.927 |
| Malpractice | 0.14 | 0.486 |
(1.24 × 1 + 0.43 × 0.927 + 0.14 × 0.486) × $33.4009 = $57.00
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.
64449 billing questions
How is this code distinguished from a femoral nerve block?
Use this code when the documented injection targets the lumbar plexus. A block directed at the femoral nerve is reported with the femoral nerve code instead.
Does the code include same-day preoperative and postoperative care?
Yes. It has a 0-day global period, and same-day preoperative and postoperative care is included.
How is bilateral lumbar plexus injection reported?
Report bilateral service with modifier 50. CMS pays the bilateral procedure at 150%.
What happens when this is performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported for this procedure?
Assistant-at-surgery services are not paid. Co-surgeons and team surgery are not permitted.
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.
7,10964446,,Njx aa&/strd sc nrv nfs img,A,,1.71,0.26,NA,0.26,,0.15,2.12,2.12,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11064447,,Njx aa&/strd femoral nrv img,A,,1.31,2.59,,0.39,,0.12,4.02,1.82,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11164448,,Njx aa&/strd fem nrv nfs img,A,,1.64,0.25,NA,0.25,,0.14,2.03,2.03,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11264449,,Njx aa&/strd lmbr plex nfs,A,,1.24,0.43,NA,0.43,,0.14,1.81,1.81,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11364450,,Njx aa&/strd other pn/branch,A,,0.73,1.62,,0.35,,0.07,2.42,1.15,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11464451,,Njx aa&/strd nrv nrvtg si jt,A,,1.48,5.61,,0.55,,0.14,7.23,2.17,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,11564454,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915