64454 Njx aa and/or strd gnclr nerve brnch
Also known as: genicular nerve block, knee pain injection, superior/middle/inferior genicular block
Nerve injection for anesthetic and/or steroid administration to the genicular nerve and its branches with imaging guidance.
In Plain Language
knee nerve pain injection with ultrasound; knee joint numbing shot
Clinical Context
Used for chronic knee pain, osteoarthritis, and post-operative knee pain. Blocks sensory innervation to the knee joint capsule.
RVU Breakdown
| Work RVU | 1.48 |
| Total RVU | 1.48 |
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 1.48, this code ranks in the 9th percentile among Surgery codes — 5.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64454?
CPT 64454 (Njx aa and/or strd gnclr nerve brnch) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the genicular nerve and its branches with imaging guidance.
What is the wRVU value for CPT 64454?
The work RVU for CPT 64454 is 1.48. This code is primarily used by Pain Management, Orthopedic Surgery, Physiatry.
When is CPT 64454 used?
Used for chronic knee pain, osteoarthritis, and post-operative knee pain. Blocks sensory innervation to the knee joint capsule.
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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.