{
    "code": "64447",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/64447/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/64447/2024/D",
    "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 Q4 2024?",
        "text": "Medicare paid $115.84 for CPT 64447 in the office (non-facility) setting and $62.25 in a facility under the Q4 2024 Physician Fee Schedule, effective October 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 1.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "D",
        "label": "Q4 2024",
        "effective": "October 1 – December 31, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 115.84,
        "facility": 62.25,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.34,
        "practice_expense_non_facility": 2.03,
        "practice_expense_facility": 0.42,
        "malpractice": 0.11
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q4 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/D",
        "file": "PPRRVU24_OCT.csv",
        "row": 12724,
        "sha256": "8ff8133723cdaa4d6d2b1680ff97286ffa7ab38dcd54b9108fc6020e633ef20b"
    },
    "modified_at": "2026-08-04T03:14:25+00:00"
}