2025 CPT code 64425

Injection(s) of anesthetic agent(s) and/or steroid into the ilioinguinal and iliohypogastric nerves.

This code is reported once per nerve, regardless of the number of injections. Imaging guidance may be reported separately. For bilateral procedures, use modifier 50.

Modifiers may be applicable. Modifier 50 is used for bilateral procedures. Other modifiers, such as 22 (increased procedural services), may be used when appropriate.

Medical necessity for this procedure must be established by documenting the patient's pain, failed conservative treatments, and the rationale for choosing this specific nerve block. The documentation should also link the nerve block to the patient's underlying condition.

The physician prepares the patient and injects anesthetic and/or steroid medication near the ilioinguinal and iliohypogastric nerves using a needle and syringe. This procedure can be performed for pain relief or for diagnostic purposes, such as determining the cause of chronic groin pain.

In simple words: The doctor injects medicine near the nerves in your lower abdomen to help with pain in your groin or lower belly. This can be done to treat pain or to figure out what's causing it.Sometimes, the doctor uses imaging like ultrasound to help guide the needle.

This code describes the injection of an anesthetic agent and/or steroid into the ilioinguinal and iliohypogastric nerves.It is used for diagnostic or therapeutic purposes, such as pain relief or to diagnose the source of groin pain.The code includes single or multiple injections at the same site. Imaging guidance (ultrasound, fluoroscopy, or CT) and localization may be reported separately.

Example 1: A patient presents with chronic groin pain following an inguinal hernia repair. The physician performs an ilioinguinal/iliohypogastric nerve block to provide pain relief., A patient experiences persistent lower abdominal pain after a cesarean section. The physician performs a diagnostic ilioinguinal/iliohypogastric nerve block to determine if the nerves are the source of the pain., A patient has chronic hip and pelvic pain.A diagnostic ilioinguinal/iliohypogastric nerve block is performed to assess if the pain originates from these nerves.

Documentation should include the diagnosis, the location of the injection, the type and amount of anesthetic and/or steroid used, the use of imaging guidance if applicable, and the patient's response to the procedure.

  • Revenue Code: P6C - Minor procedures - other
  • Payment Status: Active
  • Specialties:Pain Management, Anesthesiology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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