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See a sample rate comparisonCPT 64463 Fee Schedule
Medicare rates as of October 2026
CPT 64463 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service XUUnusual Non-Overlapping Service |
| Hospital Outpatient Group (APC) | APC 5442 - Level 2 Nerve Injections |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 3 |
| Medicare Fee Schedule | $264.20 national non-facility rate (2026)View Medicare rates for 64463 |
| Medicaid Fee Schedule | $202.985 median of the 8 states in the free previewView Medicaid rates for 64463 |
National average reimbursement for CPT 64463 by major payers:
$246.64
BCBS / Anthem
$252.07
UnitedHealthcare
$295.43
Aetna
$166.12
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64463.
CPT 64463
5 of 25 sample ratesHigher to lower in this preview
Texas Health Arlington Memorial Hospital
$2,265.00Published rateSouth Broward Endoscopy L L C
$1,021.00Published rateSurgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$893.00Published rateAmbulatory Surgery Associates, LLC, Brookside Surgery Center
Ambulatory Surgery Associates
$548.00Published rateErnest Gross
Deaconess Hospital Inc
$146.64Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64463 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64463. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 64461-CPT | Pvb Thoracic Single Inj Site, Paravertebral Block Pvb Paraspinous Block Thoracic Single Injection Site Includes Imaging Guidance When Performed |
| 64462-CPT | 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 | 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 | 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 64463. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64463 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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Frequently Asked Questions
What APC is CPT 64463 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 64463 to APC 5442 (Level 2 Nerve Injections). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 64463 in an ambulatory surgery center?
CMS lists CPT 64463 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 64463?
Hospital price transparency files list CPT 64463 under these revenue codes: 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.