CPT^® 64450, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64450 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.

Additional/Related Information

Tabs

Summary

The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 64450 ? Start a discussion here

Intercostobrachial vs intercostal block

[QUOTE="betsycpcp, post: 515704, member: 76461"] That does help - I wish I could find something saying 64420 is not appropriate for an intercostobrachial block since I keep seeing that code used, but ... [ Read More ]

Intercostobrachial vs intercostal block

That does help - I wish I could find something saying 64420 is not appropriate for an intercostobrachial block since I keep seeing that code used, but it does have a different technique and different ... [ Read More ]

Intercostobrachial vs intercostal block

64450 is the correct code. The link below explains each nerve. [URL unfurl="true"]https://www.nysora.com/techniques/upper-extremity/distal-nerves/cutaneous-blocks-upper-extremity/[/URL] 64420 is fo... [ Read More ]

Intercostobrachial vs intercostal block

Hello, I'm looking for opinions and also where to find official guidance if possible - a provider is billing 64420 (injection anesthetic agent and/or steroid; intercostal nerve single level). The rep... [ Read More ]

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 ]

Pain Block Question

Hi, I have an anesthesiologist who is wanting to charge multiple blocks for his pts and I am not sure if we should add them individually or just use 1 code. Pt had and ORIF of their finger with gene... [ Read More ]

post op pain saphenous block

Unless the documentation states the femoral nerve was targeted, 64450 is the code for the saphenous nerve block.... [ Read More ]

post op pain saphenous block

Hi there, according to CPT assistant (3/21) a single saphenous block injection "performed at the proximal tibial or ankle region" is reported with 64450.... [ Read More ]

post op pain saphenous block

I have been finding much debate on the proper CPT code for a post op pain saphenous block. I have been using 64447 to code these as my understanding is that the saphenous nerve is a branch of the fem... [ Read More ]

Question regarding Lumbar Plexus nerve block

Hi there, I found an old CPT Assistant article that says to report lumbar plexus blocks with 64450. However, the payer has the final say. Keep in mind that the use of a catheter alone doesn't dictate... [ Read More ]

View All