64430 Njx aa and/or strd pudendal nerve
Also known as: pudendal nerve block, pudendal neuralgia treatment
Injection of anesthetic and/or steroid into pudendal nerve. This procedure involves medication injection to the pudendal nerve for perineal and pelvic pain.
In Plain Language
pain relief injection for pelvic nerve
Clinical Context
Used for pudendal neuralgia, perineal pain, and pelvic pain management, increasingly used for chronic pelvic pain syndromes.
RVU Breakdown
| Work RVU | 0.98 |
| Total RVU | 0.98 |
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 0.98, this code ranks in the 4th percentile among Surgery codes — 8.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64430?
CPT 64430 (Njx aa and/or strd pudendal nerve) is a Surgery code. Injection of anesthetic and/or steroid into pudendal nerve. This procedure involves medication injection to the pudendal nerve for perineal and pelvic pain.
What is the wRVU value for CPT 64430?
The work RVU for CPT 64430 is 0.98. This code is primarily used by Anesthesiology, Pain Management, Urology.
When is CPT 64430 used?
Used for pudendal neuralgia, perineal pain, and pelvic pain management, increasingly used for chronic pelvic pain syndromes.
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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.