64489 Tap block bi by infusion
Also known as: bilateral adductor canal continuous infusion, bilateral tap block catheter
Tap block (adductor canal block) performed bilaterally with continuous infusion of anesthetic through catheters on both sides.
In Plain Language
both thighs continuous pain relief; bilateral prolonged tap block
Clinical Context
Used for bilateral knee surgery or pain. Provides extended bilateral anesthesia through catheters.
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 64489?
CPT 64489 (Tap block bi by infusion) is a Surgery code. Tap block (adductor canal block) performed bilaterally with continuous infusion of anesthetic through catheters on both sides.
What is the wRVU value for CPT 64489?
The work RVU for CPT 64489 is 1.71. This code is primarily used by Anesthesiology, Pain Management, Orthopedic Surgery.
When is CPT 64489 used?
Used for bilateral knee surgery or pain. Provides extended bilateral anesthesia through catheters.
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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.