Louisiana Subscriber
Answer: You should typically report anesthetic agent injections to these particular nerves with 64450 (Injection, anesthetic agent; other peripheral nerve or branch). But carriers might consider the injection(s) to be part of the surgical global package definition of anesthesia for a surgical procedure.
CCI note: National Correct Coding Initiative (CCI) edits, version 13.1, bundle 64450 as a column 2 (component) code of the column 1 (comprehensive) 64650 (chemodenervation of eccrine glands; both axillae) and 64653 (... other area[s] [e.g., scalp, face, neck], per day). This edit does allow providers to bypass the edit if his services and documentation support that he administered the injection during a different session or to a different site. In most instances, however, physicians do not administer the pre-procedure nerve block at a different site, so you could not report 64450 separately.
Side note: Remember that CPT's parenthetical note directs you to report 64999 (Unlisted procedure, nervous system) for chemodenervation sympathetic injections to the extremities (hands or feet).