Basics of CPT code CPT code 64400 – 64448
The physician injects one or more anesthetic agents and/or steroids near a branch of the trigeminal nerve (ophthalmic, maxillary, or mandibular) in CPT code 64400 or the greater occipital nerve in 64405. The trigeminal nerve supplies sensory and motor fibers to the face, and is usually blocked superficially. The greater occipital nerve supplies sensory fibers to the scalp; nerve blocks are often administered to provide relief from occipital neuralgia, migraines, and chronic headaches. The physician draws a local anesthetic and/or steroid into a syringe and injects it into the targeted area near the affected nerve.
The physician injects one or more anesthetic agents and/or steroids near the brachial plexus to relieve pain and inflammation in CPT code 64415. The physician draws a local anesthetic and/or steroid into a syringe and injects it into a targeted area near the brachial plexus, approached in one of several locations: interscalene, superior trunk, supraclavicular, infraclavicular, or axillary.
In CPT code 64416, continuous infusion of local anesthetic and/or steroid through a catheter is done to provide a nerve block lasting longer than the block effect achieved through a single injection. An indwelling catheter is placed and positioned to provide anesthesia to the brachial plexus. An infusion pump is connected to the catheter to supply a continuous flow of infused agent at a set rate. The infusion system may be used for regional surgical anesthesia when general anesthesia is not required and for postoperative pain management. Catheter placement is included in 64416 and is not reported separately. Imaging guidance and any contrast injection, when performed, is included in both codes.
64400 Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)
64415 brachial plexus, including imaging guidance, when performed
(Do not report 64415 in conjunction with 76942, 77002, 77003)
64416 brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed
(Do not report 64416 in conjunction with 01996, 76942, 77002, 77003)
64417 axillary nerve, including imaging guidance, when performed
(Do not report 64417 in conjunction with 76942, 77002, 77003)
In CPT code 64417, the physician injects one or more anesthetic agents and/or steroids near the axillary nerve to relieve pain and inflammation to the shoulder. The physician draws a local anesthetic and/or steroid into a syringe and injects the agent into the targeted area near the axillary nerve. Imaging guidance is included, when performed.
64445 sciatic nerve, including imaging guidance, when performed
(Do not report 64445 in conjunction with 76942, 77002, 77003)
The physician injects one or more anesthetic agents and/or steroids near the sciatic nerve to control pain and inflammation in the distal lower extremity in CPT code 64445 . It may also be utilized diagnostically to determine the anatomy of pain in this area. The physician draws an anesthetic agent and/or steroid into a syringe and injects it into a targeted area near the sciatic nerve.
In CPT code 64446, continuous infusion through a catheter is done to provide a nerve block lasting longer than a single injection. An indwelling catheter is placed and positioned. An infusion pump is connected to the catheter to supply a continuous flow of the infused agent at a set rate. The infusion system may be used for regional surgical anesthesia when general anesthesia is not required and for postoperative pain management. These codes include imaging guidance, when performed.
64446 sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed
(Do not report 64446 in conjunction with 01996, 76942, 77002, 77003)
64447 femoral nerve, including imaging guidance, when performed
The physician injects one or more anesthetic agents and/or steroids near the femoral nerve to control pain and inflammation of the lower extremity in CPT code 64447. The injection may also be indicated for diagnosis and treatment of meralgia paresthetica. The physician draws an anesthetic agent and/or steroid into a syringe and injects it into a targeted area near the femoral nerve.
In CPT code 64448, continuous infusion through a catheter is done to provide a nerve block lasting longer than a single injection. An indwelling catheter is placed and positioned. An infusion pump is connected to the catheter to supply a continuous flow of the infused agent at a set rate. The infusion system may be used for regional surgical anesthesia when general anesthesia is not required and for postoperative pain management. These codes include imaging guidance, when performed.
(Do not report 64447 in conjunction with 01996, 76942, 77002, 77003)
64448 femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed
(Do not report 64448 in conjunction with 01996, 76942, 77002, 77003)
