$155.46–$170.58
Choose 64468 for a bilateral thoracic fascial plane block performed as a single injection. Use 64469 when bilateral catheters provide continuous infusion.
On this page
CMS RVU26D · Effective 2026-10-01
64469 Thoracic plane block Medicare reimbursement rates in Pennsylvania
Reports bilateral thoracic fascial plane analgesia delivered by continuous catheter infusion, including catheter placement, for perioperative or other pain management. Compare 64469 office and facility rates across CMS payment localities in Pennsylvania.
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 64469 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$388.00–$433.78
2 of 2 localities have a supported rate.
Facility setting
$73.71–$77.38
2 of 2 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.
Anesthesia and pain management
About 64469: Bilateral thoracic fascial plane catheter block
Reports bilateral thoracic fascial plane analgesia delivered by continuous catheter infusion, including catheter placement, for perioperative or other pain management.
This service establishes continuous local anesthetic delivery through catheters placed in thoracic fascial planes on both sides. Anesthesiologists and other qualified pain-management clinicians may use it for analgesia involving the chest wall, including around thoracic or breast procedures. Imaging guidance may be used when appropriate. The continuous catheter technique distinguishes this service from a block delivered as a single injection.
Report the bilateral continuous-infusion service when documentation supports catheter placement and ongoing infusion on both sides. The code is priced as bilateral, so modifier 50 does not increase payment. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 64469
- 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 RVU1.78 · 14%
- Practice expense (office) RVU10.54 · 84%
- Malpractice RVU0.17 · 1%
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.
64469 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$252.55–$280.45
64467 describes continuous catheter infusion on one side; 64469 describes the bilateral service.
$247.75–$274.42
64463 is a thoracic paravertebral continuous-infusion block. 64469 is for a thoracic fascial plane approach.
Compare 64469 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$433.78
Facility
$77.38
Rest Of Pennsylvania →
Office / nonfacility
$388.00
Facility
$73.71
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64469 billing questions
How does this differ from 64468?
64469 represents bilateral thoracic fascial plane catheters for continuous infusion. 64468 is the corresponding bilateral single-injection service.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment. Document that the service was performed on both sides.
What supports reporting the continuous-infusion service?
The record should identify bilateral catheter placement and the plan for continuous infusion. A single injection without continuous catheter delivery points to the single-injection code instead.
Is same-day postoperative care separately included?
The code has a 0-day global period, which includes same-day preoperative and postoperative care.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant, co-surgeon, or surgical team be paid for this service?
CMS restricts assistant-at-surgery payment for this code. 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.
7,12064466,,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
7,12264468,,Thrc fascial pln blk bi njx,A,,1.63,3.14,,0.26,,0.15,4.92,2.04,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12364469,,Thrc fascial pln blk bi nfs,A,,1.78,10.54,,0.29,,0.17,12.49,2.24,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12464473,,Lwr xtr fscl pln blk uni njx,A,,1.31,2.60,,0.21,,0.12,4.03,1.64,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12564474,,Lwr xtr fscl pln blk uni nfs,A,,1.63,6.19,,0.26,,0.15,7.97,2.04,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,12664479,,Njx aa&/strd tfrm epi c/t 1,A,,2.23,6.11,,1.06,,0.20,8.54,3.49,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00