64405 Njx aa and/or strd gr ocpl nerve
Also known as: occipital nerve block, greater occipital nerve injection, occipital neuralgia treatment
Injection of anesthetic and/or steroid into greater occipital nerve. This procedure involves injection of medication to the greater occipital nerve for headache or pain management.
In Plain Language
nerve pain relief injection in back of head
Clinical Context
Commonly used for occipital neuralgia, migraines, or cervicogenic headaches, increasingly popular for preventive migraine treatment.
RVU Breakdown
| Work RVU | 0.92 |
| Total RVU | 0.92 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.92, this code ranks in the 4th percentile among Surgery codes — 8.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64405?
CPT 64405 (Njx aa and/or strd gr ocpl nerve) is a Surgery code. Injection of anesthetic and/or steroid into greater occipital nerve. This procedure involves injection of medication to the greater occipital nerve for headache or pain management.
What is the wRVU value for CPT 64405?
The work RVU for CPT 64405 is 0.92. This code is primarily used by Neurology, Pain Management, Neurosurgery.
When is CPT 64405 used?
Commonly used for occipital neuralgia, migraines, or cervicogenic headaches, increasingly popular for preventive migraine treatment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.