$148.94–$167.98
Use 64488 for a bilateral TAP block performed by injection. Use 64489 when the bilateral block uses continuous catheter infusion.
On this page
CMS RVU26D · Effective 2026-10-01
64489 TAP block Medicare reimbursement rates in Maryland
Reports a bilateral transversus abdominis plane block with continuous catheter infusion for abdominal wall analgesia, commonly around abdominal surgery. Compare 64489 office and facility rates across CMS payment localities in Maryland.
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 64489 in Maryland?
Maryland has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$407.40–$467.50
3 of 3 localities have a supported rate.
Facility setting
$71.07–$76.01
3 of 3 localities have a supported rate.
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.
Where 64489 pays more and less in Maryland
3 payment localities
$407.40 to $467.50
Regional anesthesia
About 64489: Bilateral TAP block with continuous infusion
Reports a bilateral transversus abdominis plane block with continuous catheter infusion for abdominal wall analgesia, commonly around abdominal surgery.
A transversus abdominis plane (TAP) block places local anesthetic in the fascial plane of the abdominal wall to provide analgesia. This code describes the block on both sides with continuous infusion through catheters; catheter insertion is included when performed. Anesthesia professionals commonly place these blocks around abdominal operations to support postoperative pain control, often in a hospital or surgical facility.
Choose this code when the service is bilateral and uses continuous catheter infusion, rather than a single injection. Document the block sites, bilateral service, catheter placement when performed, and the infusion plan. CMS assigns the code 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 the others are subject to the standard 50% reduction. The code is priced as bilateral, so modifier 50 does not increase payment. CMS does not pay an assistant at surgery and does not permit co-surgeon or team-surgery payment for this code.
CMS billing rules for 64489
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU1.71 · 14%
- Practice expense (office) RVU10.21 · 85%
- Malpractice RVU0.15 · 1%
790
Medicare services in 2024 · #3159 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.
64489 compared with similar codes
Office rates for Maryland, from the same CMS release.
Compare 64489 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.
3 of 3 payment localities
Baltimore/Surr. Cntys →
Office / nonfacility
$430.14
Facility
$73.55
Dc + Md/Va Suburbs →
Office / nonfacility
$467.50
Facility
$76.01
Rest Of Maryland →
Office / nonfacility
$407.40
Facility
$71.07
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64489 billing questions
How does 64489 differ from 64488?
64489 is for bilateral TAP blocks delivered by continuous catheter infusion. 64488 describes bilateral TAP blocks by injection.
Can modifier 50 be added?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
What documentation supports continuous infusion?
Record that the block was performed on both sides and document catheter placement when performed and the plan for continuous infusion.
Does the code include catheter insertion?
Catheter insertion is included when performed as part of the bilateral TAP block with continuous infusion.
How does the multiple-procedure reduction work?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
7,13064486,,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
7,13564491,,Inj paravert f jnt c/t 2 lev,A,,1.13,1.81,,0.28,,0.11,3.05,1.52,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,13664492,,Inj paravert f jnt c/t 3 lev,A,,1.13,1.84,,0.31,,0.09,3.06,1.53,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00