64445 Njx aa and/or strd sciatic nerve img
Also known as: sciatic nerve block, sciatic block with imaging, ultrasound-guided sciatic block
Nerve injection for anesthetic and/or steroid administration to the sciatic nerve with imaging guidance. Ultrasound or fluoroscopy is used to locate the nerve.
In Plain Language
sciatic nerve numbing injection with ultrasound; guided sciatica pain injection
Clinical Context
Used for lower extremity pain relief, sciatica management, and anesthesia for lower leg surgery. Imaging guidance improves accuracy and reduces complications.
RVU Breakdown
| Work RVU | 1.36 |
| Total RVU | 1.36 |
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 1.36, this code ranks in the 7th percentile among Surgery codes — 5.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64445?
CPT 64445 (Njx aa and/or strd sciatic nerve img) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the sciatic nerve with imaging guidance. Ultrasound or fluoroscopy is used to locate the nerve.
What is the wRVU value for CPT 64445?
The work RVU for CPT 64445 is 1.36. This code is primarily used by Anesthesiology, Pain Management, Orthopedic Surgery.
When is CPT 64445 used?
Used for lower extremity pain relief, sciatica management, and anesthesia for lower leg surgery. Imaging guidance improves accuracy and reduces complications.
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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.