2025 CPT code 64447
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Injection(s) of anesthetic agent(s) and/or steroid into the femoral nerve; includes imaging guidance when performed.
Modifiers 50 (bilateral procedure) may be applicable, depending on the specific circumstances.
Medical necessity for a femoral nerve block is established based on the patient's clinical presentation, including pain severity, location, and response to conservative therapies. The procedure must be deemed appropriate and necessary for the patient’s condition.
The physician prepares the patient, inserts a needle near the femoral nerve, confirms placement (potentially using imaging), administers the injection(s), and removes the needle.
- Surgery
- 64400-64489 (Introduction/Injection of Anesthetic Agent and/or Steroid into the Somatic Nervous System)
In simple words: The doctor injects medicine to numb the femoral nerve in your leg. This helps to relieve pain.Imaging (like an X-ray) may be used to guide the injection, but this is included in the cost.
This CPT code encompasses the injection(s) of one or more anesthetic agent(s) and/or steroid(s) into the femoral nerve region.The procedure may involve multiple injections at a single session.Imaging guidance (fluoroscopy or CT) is considered an inclusive component of this code and should not be billed separately.This code is applicable to single or multiple injections within a single procedural session.The code is also used for adductor canal and saphenous nerve blocks.
Example 1: A patient presents with post-surgical femoral nerve pain. The physician performs a femoral nerve block using 64447 to provide analgesia., A patient sustains a femoral nerve injury in a motor vehicle accident.A femoral nerve block is performed for therapeutic purposes using 64447 to reduce inflammation and pain., During a surgical procedure requiring regional anesthesia, the surgeon uses a femoral nerve block for intraoperative analgesia.64447 is used for the injection.
Detailed documentation should include the reason for the block (diagnostic or therapeutic), the specific nerve targeted (femoral), the type and amount of anesthetic and/or steroid used, the number of injections, use of imaging guidance, and the patient’s response to the procedure.Pre-operative and post-operative assessments should also be documented.
** This code reflects a single session, regardless of the number of injections performed.For continuous infusion, refer to 64448.
- Revenue Code: P6C (Minor Procedures - Other)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Anesthesiology, Pain Management, Orthopedic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Inpatient Hospital