Reimbursement Policy Monitoring

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CPT procedure code

64451

Medicare payment

$241.49

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

64451

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 64451

CLV Intelligence is tracking 6 policy changes that cite CPT 64451 between 2026-06-05 and 2026-07-23, drawn from 6 LCD/NCD coverage updates. The changes span Pain Management. 3 are flagged critical or high priority.

LCD/NCD coverage updates: 6

Counts reflect the source documents CLV has matched to CPT 64451 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 64451

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

LCD L39462: Sacroiliac Joint Injections and Procedures — Noridian

Pain Management · LCD-L39462

Government source· CMS / MACverify ↗

High

Full analysis available with a CLV subscription.

LCD L39464: Sacroiliac Joint Injections and Procedures — Noridian

Pain Management · LCD-L39464

Government source· CMS / MACverify ↗

High

Full analysis available with a CLV subscription.

LCD L39383: Sacroiliac Joint Injections and Procedures — CGS

Pain Management · LCD-L39383

Government source· CMS / MACverify ↗

High

Full analysis available with a CLV subscription.

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.

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.

LCD L39455: Sacroiliac Joint Injections and Procedures — Wellpoint Federal

Pain Management · LCD-L39455

Government source· CMS / MACverify ↗

Routine

Full analysis available with a CLV subscription.

Audit documentation

Building an audit file that includes CPT 64451?

The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

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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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