CPT^® 64454, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64454 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 a steroid into branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so should not be reported separately.

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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 ]

CPT codes 64624 & 64454

Has anyone every had to provide images for these types of cpt codes? I got a denial for images. Any help is greatly appreciated.... [ Read More ]

Help with Peripheral Nerve Blocks

I apologize this is long- I am completing a new project on PNB. I normally do not work on PNB or OR or anesthesia so this has been a learning process and research trying to find information on some of... [ Read More ]

Peripheral Nerve Block Codes-HELP

I am completing a new project on PNB. I normally do not work on these so this has been a learning process. I am wondering what codes you use for the following PNB? I am in Washington State if that ... [ Read More ]

I - Pack field block Injection

What Code do you use for I-Pack(Interspace between popliteal artery and capsule of posterior knee). We have used 64450 Many problems with insurance denials. I have had 2 providers tell me that this... [ Read More ]

Genicular Nerve Block 64450

Provider service: [B][B]left knee nerve block of the Superior lateral, medial superior and inferior Genicular nerves and the sub patella nerve under fluoro in office today. I am a bit confused on t... [ Read More ]

Please help..... SI RFA and Genicular RFA Medicare Advantage plans

I am having a lot of issues from Aetna Medicare not covering the 64451, 64454, 64624 and 64625, stating that these codes are experimental and investigational. However they are a payable and covered co... [ Read More ]

coding an ipack block for post op pain

Here is one opinion: [URL='https://www.aceanesthesiapain.com/blog/uncategorized/update-on-2020-anesthesia-and-pain-management-coding/'][B]Clarifying the Coding for Genicular Nerve Blocks Versus IPACK... [ Read More ]

genicular nerve injection - 64454

We are getting a lot of claims kicked back from Medicare for 64454, stating the CPT code is inconsistent with the place of service billed (Office). Has anyone else had this issue?... [ Read More ]

4th Genicular Nerve for 64454

Below is from AMA CPT Changes 2020 "1 unit for any number of genicular nerve branches, with a required minimum of three nerve branches" "Code 64454 has been established to report injecting the super... [ Read More ]

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