$261.66
Choose 64473 for a single injection into a lower-extremity fascial plane; 64474 describes continuous catheter infusion.
On this page
CMS RVU26D · Effective 2026-10-01
64473 Fascial plane block Medicare reimbursement rates in Vermont
Reports a one-time unilateral anesthetic injection into a lower-extremity fascial plane for regional analgesia, including imaging guidance when performed. Compare 64473 office and facility rates across CMS payment localities in Vermont.
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 64473 in Vermont?
Vermont 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
$131.76
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$52.73
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Regional anesthesia
About 64473: Unilateral lower-extremity fascial plane injection
Reports a one-time unilateral anesthetic injection into a lower-extremity fascial plane for regional analgesia, including imaging guidance when performed.
This service covers a one-time injection of anesthetic medication, with or without steroid, into a fascial plane in the lower extremity to provide regional pain relief. Anesthesiologists, pain physicians, and other clinicians performing regional blocks may use it for perioperative analgesia or acute pain, such as pain associated with a hip fracture. Imaging guidance, when performed, is included in the block service.
Report 64473 for a unilateral, single-injection block; use the documented body site, side, medication, and technique to support the service. A catheter-based continuous infusion is a different service, not another unit of this injection code. CMS assigns 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 other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 64473
- 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 RVU1.31 · 33%
- Practice expense (office) RVU2.60 · 65%
- Malpractice RVU0.12 · 3%
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.
64473 compared with similar codes
Office rates for Vermont, from the same CMS release.
$138.76
Both describe unilateral fascial plane blocks by injection, but 64466 is for the thoracic region and 64473 for the lower extremity.
$160.81
Code 64468 describes a bilateral thoracic fascial plane injection. Code 64473 is the lower-extremity unilateral injection service.
$123.27
Code 64486 is a unilateral TAP block by injection for the abdominal region; 64473 is for a lower-extremity fascial plane.
Compare 64473 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
Vermont →
Office / nonfacility
$131.76
Facility
$52.73
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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 64473 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
7,124
- Code
- 64473
- Physician work
- 1.31
- Practice expense
- 2.60
- Malpractice
- 0.12
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.000 | 1.3100 |
| Practice expense | 2.60 | × 0.990 | 2.5740 |
| Malpractice | 0.12 | × 0.506 | 0.0607 |
| Total RVUs | 3.9447 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$131.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 2.6 | 0.99 |
| Malpractice | 0.12 | 0.506 |
(1.31 × 1 + 2.6 × 0.99 + 0.12 × 0.506) × $33.4009 = $131.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 0.21 | 0.99 |
| Malpractice | 0.12 | 0.506 |
(1.31 × 1 + 0.21 × 0.99 + 0.12 × 0.506) × $33.4009 = $52.73
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.
64473 billing questions
When should 64473 be chosen over 64474?
Use 64473 for a one-time unilateral injection. Code 64474 describes a unilateral lower-extremity fascial plane block delivered by continuous infusion through a catheter.
Can imaging guidance be billed separately?
Imaging guidance, when performed for this block, is included in the service represented by 64473.
How is bilateral treatment reported?
CMS recognizes modifier 50 for bilateral performance and pays the procedure at 150%. Document the treated sides.
What documentation supports this code?
Document the lower-extremity site and side, the fascial plane and injection technique, the medication administered, and the clinical reason for the block.
Are same-day care and other procedures included?
The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, CMS applies its standard multiple procedure reduction.
Can an assistant or co-surgeon be paid for this service?
CMS restricts assistant-at-surgery payment for 64473 and does not permit co-surgeon or team-surgery payment.
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.
7,12164467,,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
7,12764480,,Njx aa&/strd tfrm epi c/t ea,A,,1.17,3.00,,0.31,,0.11,4.28,1.59,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817