CLV IntelligenceReimbursement Policy Monitoring

CPT procedure code

64420

Medicare payment

$105.88

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

64420

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

—

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 64420

CLV Intelligence is tracking 2 policy changes that cite CPT 64420 most recently on 2026-06-05, drawn from 2 LCD/NCD coverage updates. The changes span Pain Management.

LCD/NCD coverage updates
2

Counts reflect the source documents CLV has matched to CPT 64420 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 64420

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L35456: Nerve Blockade for Treatment of Chronic Pain and Neuropathy — Noridian

Pain Management · LCD-L35456

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

LCD L35457: Nerve Blockade for Treatment of Chronic Pain and Neuropathy — Noridian

Pain Management · LCD-L35457

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

Audit documentation

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Related CPT codes (644xx)

64483Pain Management

Injection, transforaminal epidural, lumbar/sacral, single

64493Pain Management

Injection, paravertebral facet joint, lumbar/sacral, 1 level

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