Common surgery & pain management

64483 - RVUs & Medicare payment (2026)

Transforaminal epidural injection, lumbar/sacral, first level.

Component	Non-facility	Facility
Work RVU	1.85	1.85
Practice expense RVU	5.91	0.96
Malpractice RVU	0.17	0.17
Total RVUs	7.93	2.98
National payment (CF $33.4009)	$264.87	$99.53
Qualifying APM payment (CF $33.5675)	$266.19	$100.03

How 64483 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 64483 ranges from $234.28 in Arkansas (AR) to $356.28 in San Jose-Sunnyvale-Santa Clara (CA); calculate 64483 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $356.28 San Jose-Sunnyvale-Santa Clara (CA) $355.49 San Francisco-Oakland-Berkeley (CA) $348.60 San Francisco-Oakland-Berkeley (CA) $348.41 Napa (CA) $328.74 Vallejo (CA) $328.46 Seattle (WA) $311.73 NYC Suburbs/Long Island (NY) $311.00 National average $264.87 … 97 more localities between … Alabama (AL) $237.73 Rest Of Missouri (MO) $237.48 Mississippi (MS) $235.95 Arkansas (AR) $234.28

Non-facility payment for 64483 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 000

Same-day global period: related visits on the day of the procedure are included in the payment.

Related codes - common surgery & pain management

29881 · knee arthroscopy with meniscectomy
27447 · total knee arthroplasty (knee replacement)
27130 · total hip arthroplasty (hip replacement)
47562 · laparoscopic cholecystectomy (gallbladder removal)
49505 · open repair of inguinal hernia, initial
19120 · excision of breast lesion
63030 · lumbar discectomy, single level
62323 · lumbar/caudal epidural injection with imaging guidance
64493 · facet joint injection, lumbar/sacral, first level
59400 · vaginal delivery with antepartum and postpartum care

Frequently asked questions

How much does Medicare pay for 64483 in 2026?

The national non-facility payment is $264.87 and the facility payment is $99.53, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 64483?

The 2026 work RVU for 64483 is 1.85. Total RVUs are 7.93 in the non-facility setting and 2.98 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.