Home
Career Stage
Medical Students Residents Attendings CPT Codes Resources Blog Support

64421 Njx aa and/or strd ntrcost nerve each

Surgery +Add-on

Also known as: additional intercostal nerve block, intercostal extension

Injection of anesthetic and/or steroid into intercostal nerve, each additional injection. Add-on code for injecting additional intercostal nerves.

Clinical Context

Applied when intercostal nerve blocks are performed at multiple rib levels.

RVU Breakdown

Work RVU0.49
Practice Expense RVU0.51
Malpractice RVU0.05
Total RVU1.05

Est. Medicare Payment

$35.07

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

AnesthesiologyPain Management

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.