64416 Njx aa and/or strd brch pl nfs img
Also known as: brachial plexus block with branches, upper arm nerve block
Injection of anesthetic and/or steroid into brachial plexus and/or nerves of upper arm with imaging guidance. This procedure involves injecting medication to the brachial plexus or its branches with imaging.
In Plain Language
pain relief injection for arm and shoulder nerves
Clinical Context
Used for more targeted analgesia when specific peripheral branches need medication delivery in addition to main plexus.
RVU Breakdown
| Work RVU | 1.76 |
| Total RVU | 1.76 |
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 1.76, this code ranks in the 12th percentile among Surgery codes — 4.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64416?
CPT 64416 (Njx aa and/or strd brch pl nfs img) is a Surgery code. Injection of anesthetic and/or steroid into brachial plexus and/or nerves of upper arm with imaging guidance. This procedure involves injecting medication to the brachial plexus or its branches with imaging.
What is the wRVU value for CPT 64416?
The work RVU for CPT 64416 is 1.76. This code is primarily used by Anesthesiology, Pain Management.
When is CPT 64416 used?
Used for more targeted analgesia when specific peripheral branches need medication delivery in addition to main plexus.
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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.