2025 CPT code 64415

Injection(s) of anesthetic agent(s) and/or steroid into the brachial plexus; includes imaging guidance when performed.

Refer to the current CPT manual for the most up-to-date guidelines.

Modifiers 50 (bilateral procedure) may apply if the procedure is performed on both sides. Add-on codes 64421, 64462, 64480, 64484, 64491, 64492, 64494, and 64495, if applicable, should be reported twice if performed bilaterally without modifier 50.

Medical necessity for this procedure would be supported by the presence of clinically significant pain or inflammation in the arm related to nerve dysfunction in the brachial plexus.The diagnosis should be clearly documented, and the injection should be a medically appropriate treatment based on the patient's condition.

The physician is responsible for preparing the patient, administering the injection(s) accurately into the brachial plexus using appropriate technique, potentially using image guidance, and monitoring the patient for complications. Post-procedure care is also part of the clinical responsibility.

IMPORTANT For continuous infusion via catheter, use 64416.Do not use 64415 with 76942 (ultrasound guidance).

In simple words: The doctor injects medicine to numb the nerves in your arm (brachial plexus). This might include numbing medicine and/or steroid medicine to reduce pain or swelling.Imaging, like ultrasound, might be used to help guide the injection, but you won't be billed extra for that.

This CPT code 64415 represents the injection of one or more anesthetic agents and/or steroids into the brachial plexus.Imaging guidance (such as ultrasound, fluoroscopy, or CT) is now an inclusive component of this code and should not be billed separately. The code is reported once per brachial plexus, regardless of the number of injections performed within that plexus during a single procedure.For continuous infusion via catheter, see 64416.

Example 1: A patient presents with acute brachial plexus neuritis. The physician performs a brachial plexus injection with a local anesthetic and corticosteroid under ultrasound guidance to alleviate pain and inflammation., A patient experiences post-surgical pain after shoulder surgery. The physician administers a series of injections of local anesthetic and steroid into the brachial plexus using fluoroscopic guidance to manage chronic post-surgical pain., A patient with complex regional pain syndrome (CRPS) affecting their arm undergoes a brachial plexus block with anesthetic and steroid under ultrasound guidance to manage the severe pain and inflammation.

Complete medical history, physical examination findings, documentation of the specific nerve(s) injected, type and amount of medication administered, imaging reports (if used), and patient response to the procedure.Pre- and post-procedure vital signs, any complications, and post-procedure instructions.

** Always refer to the most current CPT manual and payer-specific guidelines for accurate coding and billing practices.

  • Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
  • RVU: This information is not provided in the source, please consult the current year's Medicare Physician Fee Schedule for RVU values and reimbursement rates.
  • Global Days : The global period for this procedure is not specified in the provided text.Consult the appropriate guidelines for clarification.
  • Payment Status: Active
  • Modifier TC rule: Not applicable to this code.
  • Fee Schedule : Historical fee schedule data is not available in the provided text; please refer to historical CPT fee schedules.
  • Specialties:Anesthesiology, Pain Management, Neurology, Orthopedics
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.