CPT 64487
Global 000 ActiveTap block uni by infusion
CPT 64487 Billing & Documentation Guide
CPT code 64487 (Tap block uni by infusion) 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 1.36, a non-facility practice expense RVU of 5.88, and a malpractice RVU of 0.11, a total non-facility RVU of 7.35 and facility RVU of 1.68. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $254.47, though rates vary from $216.02 to $335.6 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 64487, 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 64487 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 64487 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 64487
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.36 | 1.36 |
| Practice Expense RVU | 5.88 | 0.21 |
| Malpractice RVU | 0.11 | 0.11 |
| Total RVU | 7.35 | 1.68 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 64487
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 | $281.44 | $57.34 | $263.42 - $335.6 | 29 |
| Florida | $249.63 | $59.61 | $238.7 - $259.17 | 3 |
| Georgia | $237.25 | $56.58 | $224.99 - $249.51 | 2 |
| Illinois | $242.37 | $59.38 | $230.48 - $253.95 | 4 |
| Michigan | $235.01 | $57.19 | $228.88 - $241.14 | 2 |
| North Carolina | $231.01 | $54.32 | $231.01 - $231.01 | 1 |
| New York | $271.67 | $60.4 | $234.59 - $288.67 | 5 |
| Ohio | $228.44 | $55.53 | $228.44 - $228.44 | 1 |
| Pennsylvania | $242.14 | $56.64 | $229.19 - $255.08 | 2 |
| Texas | $242.44 | $55.99 | $227.56 - $256.56 | 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 64487
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 64487 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 0282T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0283T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0284T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0285T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0333T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 64487
What does CPT code 64487 mean? +
CPT code 64487 represents: Tap block uni by infusion. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 64487? +
The 2026 Medicare national average non-facility payment for CPT 64487 is $254.47. Rates range from $216.02 to $335.6 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 64487? +
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 64487? +
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 July 16, 2026.
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