CPT 64466
Global 000 ActiveThrc fascial pln blk uni njx
CPT 64466 Billing & Documentation Guide
CPT code 64466 (Thrc fascial pln blk uni njx) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.46, a non-facility practice expense RVU of 2.65, and a malpractice RVU of 0.14, a total non-facility RVU of 4.25 and facility RVU of 1.84. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $146.14, though rates vary from $127.21 to $184.27 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64466, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 64466 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 64466 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 64466
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.46 | 1.46 |
| Practice Expense RVU | 2.65 | 0.24 |
| Malpractice RVU | 0.14 | 0.14 |
| Total RVU | 4.25 | 1.84 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64466
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $157.78 | $62.54 | $149.11 - $184.27 | 29 |
| Florida | $146.67 | $65.91 | $140.41 - $152.73 | 3 |
| Georgia | $138.88 | $62.08 | $133.29 - $144.46 | 2 |
| Illinois | $143.39 | $65.62 | $136.89 - $148.79 | 4 |
| Michigan | $138.46 | $62.87 | $134.86 - $142.06 | 2 |
| North Carolina | $134.34 | $59.23 | $134.34 - $134.34 | 1 |
| New York | $156.18 | $66.38 | $136.14 - $165.81 | 5 |
| Ohio | $134.29 | $60.8 | $134.29 - $134.29 | 1 |
| Pennsylvania | $140.9 | $62.06 | $134.44 - $147.36 | 2 |
| Texas | $140.52 | $61.27 | $133.66 - $146.65 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 64466
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64466 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01991 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01992 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0333T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0464T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0543T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0569T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0571T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0572T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0573T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 64466
What does CPT code 64466 mean? +
CPT code 64466 represents: Thrc fascial pln blk uni njx. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 64466? +
The 2026 Medicare national average non-facility payment for CPT 64466 is $146.14. Rates range from $127.21 to $184.27 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64466? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 64466? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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