64449 Njx aa and/or strd lumbar plex nfs
Also known as: lumbar plexus block, psoas compartment block, lumbar plexus block with ultrasound
Nerve injection for anesthetic and/or steroid administration to the lumbar plexus with imaging guidance. Ultrasound or fluoroscopy used to target the nerve plexus.
In Plain Language
lower back nerve bundle numbing injection with imaging; lumbar nerve plexus pain injection
Clinical Context
Used for lower abdominal, hip, and lower extremity pain or anesthesia. Provides broad coverage for major lower extremity surgery with single block.
RVU Breakdown
| Work RVU | 1.24 |
| Total RVU | 1.24 |
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 1.24, this code ranks in the 6th percentile among Surgery codes — 6.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64449?
CPT 64449 (Njx aa and/or strd lumbar plex nfs) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the lumbar plexus with imaging guidance. Ultrasound or fluoroscopy used to target the nerve plexus.
What is the wRVU value for CPT 64449?
The work RVU for CPT 64449 is 1.24. This code is primarily used by Anesthesiology, Pain Management, Abdominal Surgery.
When is CPT 64449 used?
Used for lower abdominal, hip, and lower extremity pain or anesthesia. Provides broad coverage for major lower extremity surgery with single block.
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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.