64420 Njx aa and/or strd ntrcost nerve 1
Also known as: intercostal nerve block, intercostal nerve injection, chest wall pain relief
Injection of anesthetic and/or steroid into intercostal nerve, first injection. This is the initial injection of medication to an intercostal nerve for rib or chest wall pain.
Clinical Context
Used for post-thoracotomy pain, rib fractures, postherpetic neuralgia, and other intercostal neuralgia.
RVU Breakdown
| Work RVU | 1.05 |
| Practice Expense RVU | 2.03 |
| Malpractice RVU | 0.09 |
| Total RVU | 3.17 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.