64408 Njx aa and/or strd vagus nerve
Also known as: vagus nerve block, vagus nerve injection
Injection of anesthetic and/or steroid into vagus nerve. This procedure involves injection of medication to the vagus nerve.
In Plain Language
nerve medication injection in neck
Clinical Context
Less commonly used for vagal pain syndromes or in preparation for vagal nerve stimulation procedures.
RVU Breakdown
| Work RVU | 0.73 |
| Total RVU | 0.73 |
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 0.73, this code ranks in the 2nd percentile among Surgery codes — 11.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64408?
CPT 64408 (Njx aa and/or strd vagus nerve) is a Surgery code. Injection of anesthetic and/or steroid into vagus nerve. This procedure involves injection of medication to the vagus nerve.
What is the wRVU value for CPT 64408?
The work RVU for CPT 64408 is 0.73. This code is primarily used by Neurosurgery, Pain Management.
When is CPT 64408 used?
Less commonly used for vagal pain syndromes or in preparation for vagal nerve stimulation procedures.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.