64435 Njx aa and/or strd paracrv nerve
Also known as: paravertebral nerve block, PVB
Nerve injection for anesthetic and/or steroid administration to the paravertebral nerve. This procedure is performed without imaging guidance.
In Plain Language
back nerve pain injection; paravertebral numbing shot
Clinical Context
Used for pain management of thoracic and back pain, intercostal neuralgia, and post-operative pain control. Common in anesthesia for thoracic surgery.
RVU Breakdown
| Work RVU | 0.73 |
| Total RVU | 0.73 |
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 0.73, this code ranks in the 2nd percentile among Surgery codes — 11.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64435?
CPT 64435 (Njx aa and/or strd paracrv nerve) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the paravertebral nerve. This procedure is performed without imaging guidance.
What is the wRVU value for CPT 64435?
The work RVU for CPT 64435 is 0.73. This code is primarily used by Anesthesiology, Pain Management, Surgery.
When is CPT 64435 used?
Used for pain management of thoracic and back pain, intercostal neuralgia, and post-operative pain control. Common in anesthesia for thoracic surgery.
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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.