64462 Pvb thoracic second+ injection site
Also known as: thoracic paravertebral block multi-level, PVB thoracic multiple levels, bilateral paravertebral block
Paravertebral nerve block for thoracic region with medication injection at two or more injection sites. Each additional level requires separate injection.
In Plain Language
upper back multiple nerve pain injections; multi-level thoracic pain relief
Clinical Context
Used for extensive thoracic pain or when multiple levels require anesthesia. Covers broader area than single injection but requires multiple needle passes.
RVU Breakdown
| Work RVU | 1.07 |
| Total RVU | 1.07 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.07, this code ranks in the 5th percentile among Surgery codes — 7.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64462?
CPT 64462 (Pvb thoracic second+ injection site) is a Surgery code. Paravertebral nerve block for thoracic region with medication injection at two or more injection sites. Each additional level requires separate injection.
What is the wRVU value for CPT 64462?
The work RVU for CPT 64462 is 1.07. This code is primarily used by Anesthesiology, Pain Management, Thoracic Surgery.
When is CPT 64462 used?
Used for extensive thoracic pain or when multiple levels require anesthesia. Covers broader area than single injection but requires multiple needle passes.
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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.