CPT^® 64400, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64400 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.

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Summary

The provider injects an anesthetic agent and/or steroid close to each branch of fifth cranial nerve, also called the trigeminal nerve, a mixed cranial nerve that is composed of three large branches — ophthalmic, maxillary, and mandibular. Report this code for each branch of the trigeminal nerve injected during a single procedure.

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Have a question about CPT Code 64400 ? Start a discussion here

Pain Block Question

Hi there, from the CPT manual: [QUOTE] Codes 64400-64450, 64454 describe the injection of an anesthetic agent(s) and/or steroid into a nerve plexus, nerve, or branch. These codes are reported once pe... [ Read More ]

Trigeminal branch nerve blocks

The supraorbital and supratrochlear are both divisions of the V1 branch (the ophthalmic branch) of the trigeminal nerve. If they are both blocked can you report one or two units of 64400? I know ther... [ Read More ]

CPT 64445 and 77003

[QUOTE="LisaAlonso23, post: 500583, member: 220094"] That's usually performed with ultrasound (76942-26). Per the 2021 CPT manual, page 473, imaging guidance and localization may be reported with code... [ Read More ]

CPT 64445 and 77003

That's usually performed with ultrasound (76942-26). Per the 2021 CPT manual, page 473, imaging guidance and localization may be reported with codes 64400-64450.... [ Read More ]

64400 & 31231 bundled

Hello, I got a 64400 once done on myself and the injection went into the side of my face. It wasn't in the nose or sinuses and it wasn't near the nose or sinuses and there was no scope involved. See... [ Read More ]

64400 & 31231 bundled

Hello - Encoder states 64400 & 31231 are bundled. They are two separate procedures & 31231 is not diagnostic for 64400. I don't have CPT assistant. If someone would please tell me the reasoning behind... [ Read More ]

64400 x2 or 64400 x 3

You can only bill 64400 once. Branches of that nerve count as part of the main nerve. HTH, Jim Pawloski, CIRCC... [ Read More ]

64400 x2 or 64400 x 3

Good morning, Does anyone know if this injection is billed 64400x 2 or 64400 x3? The supraorbital and supratrochlear are part of the ophthalmic branch. So would this be counted as 1 injection? The su... [ Read More ]

Nexplanon removal w/Fluoroscopic guidance

77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ... [ Read More ]

Masseter Muscle

Masseter muscle is innervated by a division of the trigeminal nerve. I believe you would use 64400 for this. I would just double check with your provider that this is the reason. Melissa Harris... [ Read More ]

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