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See a sample rate comparisonCPT 64463 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.
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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64463 |
| Medicaid Fee Schedule | View Medicaid rates for 64463 |
National average reimbursement for CPT 64463 by major payers:
$246.64
$252.07
$295.43
$166.12
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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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See a sample payer proposalCPT 64463 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64463 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 64463 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 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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