64463 Pvb thoracic cont infusion
Also known as: thoracic paravertebral catheter, continuous PVB, thoracic paravertebral continuous infusion
Paravertebral nerve block for thoracic region with continuous infusion of anesthetic and/or steroid medication through a catheter.
In Plain Language
thoracic continuous pain relief injection; ongoing back nerve numbing
Clinical Context
Used for post-operative pain control in thoracic surgery patients requiring prolonged anesthesia. Catheter remains in place for hours to days.
RVU Breakdown
| Work RVU | 1.85 |
| Total RVU | 1.85 |
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 1.85, this code ranks in the 12th percentile among Surgery codes — 4.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64463?
CPT 64463 (Pvb thoracic cont infusion) is a Surgery code. Paravertebral nerve block for thoracic region with continuous infusion of anesthetic and/or steroid medication through a catheter.
What is the wRVU value for CPT 64463?
The work RVU for CPT 64463 is 1.85. This code is primarily used by Anesthesiology, Pain Management, Thoracic Surgery.
When is CPT 64463 used?
Used for post-operative pain control in thoracic surgery patients requiring prolonged anesthesia. Catheter remains in place for hours to days.
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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.