64415 Njx aa and/or strd brch plxs img
Also known as: brachial plexus block, interscalene block, ultrasound-guided brachial plexus
Injection of anesthetic and/or steroid into brachial plexus with imaging guidance. This procedure delivers medication to the brachial plexus under ultrasound or fluoroscopic visualization.
In Plain Language
pain relief injection for arm nerves with guidance
Clinical Context
Commonly used for shoulder, arm, and hand pain management, particularly for postoperative analgesia, chronic pain, and acute pain management.
RVU Breakdown
| Work RVU | 1.46 |
| Total RVU | 1.46 |
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 1.46, this code ranks in the 9th percentile among Surgery codes — 5.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64415?
CPT 64415 (Njx aa and/or strd brch plxs img) is a Surgery code. Injection of anesthetic and/or steroid into brachial plexus with imaging guidance. This procedure delivers medication to the brachial plexus under ultrasound or fluoroscopic visualization.
What is the wRVU value for CPT 64415?
The work RVU for CPT 64415 is 1.46. This code is primarily used by Anesthesiology, Pain Management, Interventional Radiology.
When is CPT 64415 used?
Commonly used for shoulder, arm, and hand pain management, particularly for postoperative analgesia, chronic pain, and acute pain management.
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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.