64461 Pvb thoracic single injection site
Also known as: thoracic paravertebral block, PVB thoracic single, thoracic nerve block
Paravertebral nerve block for thoracic region with medication injection at a single injection site for anesthetic and/or steroid administration.
In Plain Language
upper back nerve pain injection; thoracic pain relief shot
Clinical Context
Used for thoracic pain, chest wall pain, and anesthesia for thoracic and upper abdominal surgery. Single injection simplifies administration.
RVU Breakdown
| Work RVU | 1.71 |
| Total RVU | 1.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.71, this code ranks in the 11th percentile among Surgery codes — 4.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64461?
CPT 64461 (Pvb thoracic single injection site) is a Surgery code. Paravertebral nerve block for thoracic region with medication injection at a single injection site for anesthetic and/or steroid administration.
What is the wRVU value for CPT 64461?
The work RVU for CPT 64461 is 1.71. This code is primarily used by Anesthesiology, Pain Management, Thoracic Surgery.
When is CPT 64461 used?
Used for thoracic pain, chest wall pain, and anesthesia for thoracic and upper abdominal surgery. Single injection simplifies administration.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.