64447 Njx aa and/or strd femoral nerve img
Also known as: femoral nerve block, femoral block with ultrasound, inguinal paravascular block
Nerve injection for anesthetic and/or steroid administration to the femoral nerve with imaging guidance. Ultrasound or fluoroscopy confirms needle placement.
In Plain Language
thigh nerve numbing injection with ultrasound; front thigh pain injection
Clinical Context
Used for anterior and medial thigh pain, quadriceps anesthesia, and lower extremity surgery. Imaging reduces vascular complications and improves block quality.
RVU Breakdown
| Work RVU | 1.31 |
| Total RVU | 1.31 |
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 1.31, this code ranks in the 7th percentile among Surgery codes — 6.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64447?
CPT 64447 (Njx aa and/or strd femoral nerve img) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the femoral nerve with imaging guidance. Ultrasound or fluoroscopy confirms needle placement.
What is the wRVU value for CPT 64447?
The work RVU for CPT 64447 is 1.31. This code is primarily used by Anesthesiology, Pain Management, Orthopedic Surgery.
When is CPT 64447 used?
Used for anterior and medial thigh pain, quadriceps anesthesia, and lower extremity surgery. Imaging reduces vascular complications and improves block quality.
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.