Billing and Coding: Nerve Blocks for Peripheral Neuropathy

CPT 64450 covers direct nerve block injections (anesthetic and/or steroid) into peripheral nerves when performed by a qualified practitioner for conditions such as peripheral neuropathy. Subcutaneous injections into surrounding tissue are not billable under 64450, and billing must comply with the related LCD medical necessity requirements; complete, legible medical records identifying the provider and supporting the diagnosis and billed code are required.

"CPT 64450 is appropriate when a qualified health care professional performs a direct injection (nerve block) of an anesthetic agent and/or steroid into a peripheral nerve for treatment of periphera..."

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