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See a sample rate comparisonCPT 64461 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Pvb Thoracic Single Inj Site, Paravertebral Block Pvb Paraspinous Block Thoracic Single Injection Site Includes Imaging Guidance When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service None 50 - Bilateral Procedure |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64461 |
| Medicaid Fee Schedule | View Medicaid rates for 64461 |
National average reimbursement for CPT 64461 by major payers:
$181.87
$192.92
$202.03
$152.77
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CPT 64461
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$3,254.00Published rateJacksonville Endoscopy Centers LLC, Jacksonville Center For Endoscopy
$967.00Published rateThe Eastside Endoscopy Center LLC
$587.00Published rateNspc Surgery Center Of Maryland LLC
$374.00Published ratePoole Endoscopy Center, LLC
$207.00Published rate
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See a sample payer proposalCPT 64461 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64461 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 64461 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 64461-CPT | Low | Pvb Thoracic Single Inj Site, Paravertebral Block Pvb Paraspinous Block Thoracic Single Injection Site Includes Imaging Guidance When Performed |
| 64462-CPT | Low | Pvb Thoracic 2nd Inj Site, Paravertebral Block Pvb Paraspinous Block Thoracic Second And Any Additional Injection Site S Includes Imaging Guidance When Performed List Separately In Addition To Code For Primary Procedure |
| 64463-CPT | Moderate | Anesthesia Injection In Back, Injection Of Anesthesia In Center Of Back Given By Thin Tube (Catheter) Generally During Breast Surgery Or Treatment Of Fractured Ribs. |
| 64483-CPT | Moderate | Njx Aa Strd Tfrm Epi L S 1, Injection S Anesthetic Agent S And Or Steroid Transforaminal Epidural With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral Single Level |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64461. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64461 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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