64469 Thrc fascial pln blk bi nfs
Also known as: bilateral thoracic fascial plane continuous infusion, thoracic fascial plane bilateral catheter
Thoracic fascial plane block performed with continuous infusion of anesthetic and/or steroid through catheters on both sides of the chest (bilateral).
In Plain Language
both sides chest continuous pain relief; bilateral prolonged chest numbing
Clinical Context
Used for bilateral thoracic conditions requiring extended anesthetic coverage. Bilateral catheters for 24-72 hours of post-operative anesthesia.
RVU Breakdown
| Work RVU | 1.78 |
| Total RVU | 1.78 |
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 1.78, this code ranks in the 12th percentile among Surgery codes — 4.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64469?
CPT 64469 (Thrc fascial pln blk bi nfs) is a Surgery code. Thoracic fascial plane block performed with continuous infusion of anesthetic and/or steroid through catheters on both sides of the chest (bilateral).
What is the wRVU value for CPT 64469?
The work RVU for CPT 64469 is 1.78. This code is primarily used by Anesthesiology, Pain Management, Thoracic Surgery.
When is CPT 64469 used?
Used for bilateral thoracic conditions requiring extended anesthetic coverage. Bilateral catheters for 24-72 hours of post-operative anesthesia.
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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.