{
    "code": "64447",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64447/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/64447/2019/C",
    "description": "A one-time injection of local anesthetic around the femoral nerve in the groin, numbing the front of the thigh and much of the knee. It is usually done with ultrasound so the needle can be walked up to the nerve under direct view. This is the single-shot version - a companion code covers threading a small catheter to keep the block running for days after surgery.",
    "answer": {
        "question": "How much did Medicare pay for CPT 64447 in Q3 2019?",
        "text": "Medicare paid $124.70 for CPT 64447 in the office (non-facility) setting and $68.83 in a facility under the Q3 2019 Physician Fee Schedule, effective July 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 0.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "C",
        "label": "Q3 2019",
        "effective": "July 1 – September 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 124.7,
        "facility": 68.83,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.5,
        "practice_expense_non_facility": 1.84,
        "practice_expense_facility": 0.29,
        "malpractice": 0.12
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q3 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/C",
        "file": "PPRRVU19_JUL.csv",
        "row": 11233,
        "sha256": "2ea00e3e75fc3a53497bb8eb3c7d29a58404efd9449993daa6f80791a770b47a"
    },
    "modified_at": "2026-08-04T03:09:02+00:00"
}
