CPT 64400–64999 codes: Surgery: nervous system

This range contains 192 CPT Category I codes in the 2026 CMS fee schedule data, 188 of which carry work RVUs. Select a code to see its full RVU breakdown, Medicare status and related codes.

CPT 64400 — Injection of anesthetic or steroid, trigeminal nerve (0.73 wRVUs)
CPT 64405 — Injection of anesthetic or steroid, greater occipital nerve (0.92 wRVUs)
CPT 64408 — Injection of anesthetic or steroid, vagus nerve (0.73 wRVUs)
CPT 64415 — Injection of anesthetic or steroid, brachial plexus, single, with imaging (1.46 wRVUs)
CPT 64416 — Injection of anesthetic or steroid, brachial plexus, continuous infusion, with imaging (1.76 wRVUs)
CPT 64417 — Injection of anesthetic or steroid, axillary nerve, with imaging (1.28 wRVUs)
CPT 64418 — Injecting numbing medicine and/or steroid around the suprascapular nerve at the shoulder (1.07 wRVUs)
CPT 64420 — Nerve block of one intercostal nerve between the ribs (1.05 wRVUs)
CPT 64421 — Numbing injection along each of the nerves between the ribs on one side (0.49 wRVUs)
CPT 64425 — Injection of anesthetic or steroid, ilioinguinal or iliohypogastric nerves (0.98 wRVUs)
CPT 64430 — Numbing injection around the pudendal nerve for pelvic or perineal pain (0.98 wRVUs)
CPT 64435 — Injecting numbing medicine and/or steroid around nerves near the cervix (0.73 wRVUs)
CPT 64445 — Injection of anesthetic or steroid, sciatic nerve, single, with imaging (1.36 wRVUs)
CPT 64446 — Injection of anesthetic or steroid, sciatic nerve, continuous infusion, with imaging (1.71 wRVUs)
CPT 64447 — Injection of anesthetic or steroid, femoral nerve, single, with imaging (1.31 wRVUs)
CPT 64448 — Injection of anesthetic or steroid, femoral nerve, continuous infusion, with imaging (1.64 wRVUs)
CPT 64449 — Injection of anesthetic or steroid, lumbar plexus, continuous infusion (1.24 wRVUs)
CPT 64450 — Numbing injection into a peripheral nerve or one of its branches (0.73 wRVUs)
CPT 64451 — Injection of anesthetic or steroid, nerves innervating sacroiliac joint (1.48 wRVUs)
CPT 64454 — Injection of anesthetic or steroid, genicular nerve branches (1.48 wRVUs)
CPT 64455 — Injection of anesthetic or steroid, plantar common digital nerves (0.73 wRVUs)
CPT 64461 — Thoracic paravertebral block, single injection (1.71 wRVUs)
CPT 64462 — Add-on: thoracic paravertebral block, additional injection (1.07 wRVUs)
CPT 64463 — Thoracic paravertebral block, continuous infusion (1.85 wRVUs)
CPT 64466 — Thoracic fascial plane block, unilateral, single injection (1.46 wRVUs)
CPT 64467 — Thoracic fascial plane block, unilateral, continuous infusion (1.70 wRVUs)
CPT 64468 — Thoracic fascial plane block, bilateral, single injection (1.63 wRVUs)
CPT 64469 — Thoracic fascial plane block, bilateral, continuous infusion (1.78 wRVUs)
CPT 64473 — Lower extremity fascial plane block, unilateral, single injection (1.31 wRVUs)
CPT 64474 — Lower extremity fascial plane block, unilateral, continuous infusion (1.63 wRVUs)
CPT 64479 — Transforaminal epidural injection of anesthetic or steroid, cervical or thoracic, first level (2.23 wRVUs)
CPT 64480 — Add-on: transforaminal epidural injection, cervical or thoracic, each additional level (1.17 wRVUs)
CPT 64483 — Epidural injection, lumbar or sacral, single level (1.85 wRVUs)
CPT 64484 — Add-on: transforaminal epidural injection, lumbar or sacral, each additional level (0.98 wRVUs)
CPT 64486 — TAP block, unilateral, single injection (1.17 wRVUs)
CPT 64487 — TAP block, unilateral, continuous infusion (1.36 wRVUs)
CPT 64488 — Numbing injection into the abdominal wall nerves on both sides (bilateral TAP block) (1.37 wRVUs)
CPT 64489 — TAP block, bilateral, continuous infusion (1.71 wRVUs)
CPT 64490 — Cervical or thoracic facet joint injection, single level (1.77 wRVUs)
CPT 64491 — Steroid injection into the neck or upper-back facet joint nerves, second level (1.13 wRVUs)
CPT 64492 — Paravertebral facet joint injection, cervical or thoracic, 3+ levels (1.13 wRVUs)
CPT 64493 — Lumbar or sacral facet joint injection, single level (1.48 wRVUs)
CPT 64494 — Add-on: paravertebral facet joint injection, lumbar or sacral, second level (0.98 wRVUs)
CPT 64495 — Paravertebral facet joint injection, lumbar or sacral, 3+ levels (0.98 wRVUs)
CPT 64505 — Nerve block of the sphenopalatine ganglion behind the nose (1.33 wRVUs)
CPT 64510 — Stellate ganglion block (1.19 wRVUs)
CPT 64517 — Superior hypogastric plexus block (2.15 wRVUs)
CPT 64520 — Numbing injection along a nerve group in the lower back or chest wall (1.32 wRVUs)
CPT 64530 — Celiac plexus block (1.54 wRVUs)
CPT 64553 — Percutaneous implantation of cranial nerve neurostimulator electrode array (5.98 wRVUs)
CPT 64555 — Implantation of electrodes for peripheral nerve stimulation (5.62 wRVUs)
CPT 64561 — Implantation of electrodes for sacral nerve stimulation (5.30 wRVUs)
CPT 64566 — Placement of an electrode for posterior tibial nerve stimulation (0.59 wRVUs)
CPT 64567 — Open implantation of vagus nerve neurostimulator electrode array (1.50 wRVUs)
CPT 64568 — Open implantation of cranial nerve neurostimulator electrode array with pulse generator (8.78 wRVUs)
CPT 64569 — Revision or replacement of vagus nerve electrode (10.73 wRVUs)
CPT 64570 — Removal of vagus nerve electrode and pulse generator (8.87 wRVUs)
CPT 64575 — Open implantation of peripheral nerve neurostimulator electrode array (4.31 wRVUs)
CPT 64580 — Open implantation of neuromuscular neurostimulator electrode array (4.09 wRVUs)
CPT 64581 — Open implantation of sacral nerve neurostimulator electrode array (11.90 wRVUs)
CPT 64582 — Open implantation of hypoglossal nerve neurostimulator with pulse generator (13.65 wRVUs)
CPT 64583 — Revision or replacement of hypoglossal nerve neurostimulator with pulse generator (14.14 wRVUs)
CPT 64584 — Removal of hypoglossal nerve neurostimulator with pulse generator (11.70 wRVUs)
CPT 64585 — Revising or removing a peripheral nerve stimulator electrode (2.06 wRVUs)
CPT 64590 — Placement or replacement of a peripheral or gastric nerve stimulator generator (4.97 wRVUs)
CPT 64595 — Revising or removing an implanted peripheral nerve stimulator generator (3.70 wRVUs)
CPT 64596 — Ins/rplcmt prq eltrd ra pn 1
CPT 64597 — Ins/rplcm prq eltrd ra pn ea
CPT 64598 — Revj/rmvl nea pn w/int nstim
CPT 64600 — Chemical destruction of trigeminal nerve, second or third division (3.40 wRVUs)
CPT 64605 — Chemical destruction of trigeminal nerve, second or third division, under radiographic control (5.51 wRVUs)
CPT 64610 — Chemical destruction of trigeminal nerve, second and third divisions, under radiographic control (7.02 wRVUs)
CPT 64611 — Chemodenervation of salivary glands (1.00 wRVUs)
CPT 64612 — Chemodenervation of facial muscles for blepharospasm or hemifacial spasm (1.37 wRVUs)
CPT 64615 — Chemodenervation of head and neck muscles for chronic migraine (1.80 wRVUs)
CPT 64616 — Chemodenervation of neck muscles for cervical dystonia (1.49 wRVUs)
CPT 64617 — Chemodenervation of laryngeal muscle with EMG guidance (1.85 wRVUs)
CPT 64620 — Chemical destruction of intercostal nerve (2.82 wRVUs)
CPT 64624 — Destroying the genicular knee nerves with a chemical agent for pain relief (2.44 wRVUs)
CPT 64625 — Radiofrequency ablation of nerves innervating sacroiliac joint (3.31 wRVUs)
CPT 64628 — Thermal destruction of basivertebral nerve, first 2 lumbar or sacral vertebral bodies (6.97 wRVUs)
CPT 64629 — Add-on: thermal destruction of basivertebral nerve, each additional vertebral body (3.68 wRVUs)
CPT 64630 — Injecting a substance around a nerve to destroy it and stop pain signals (2.97 wRVUs)
CPT 64632 — Chemical destruction of common digital nerve (1.20 wRVUs)
CPT 64633 — Radiofrequency ablation, cervical or thoracic facet joint nerve, single level (3.24 wRVUs)
CPT 64634 — Add-on: destruction of paravertebral facet joint nerve, cervical or thoracic, additional level (1.29 wRVUs)
CPT 64635 — Radiofrequency ablation, lumbar or sacral facet joint nerve, single level (3.24 wRVUs)
CPT 64636 — Add-on: destruction of paravertebral facet joint nerve, lumbar or sacral, additional level (1.13 wRVUs)
CPT 64640 — Injection to destroy a nerve for pain treatment (1.93 wRVUs)
CPT 64642 — Chemodenervation of 1 extremity, 1-4 muscles (1.61 wRVUs)
CPT 64643 — Add-on: chemodenervation of extremity, 1-4 muscles, each additional extremity (1.19 wRVUs)
CPT 64644 — Chemodenervation of 1 extremity, 5+ muscles (1.77 wRVUs)
CPT 64645 — Add-on: chemodenervation of extremity, 5+ muscles, each additional extremity (1.36 wRVUs)
CPT 64646 — Chemodenervation of trunk muscles, 1-5 muscles (1.76 wRVUs)
CPT 64647 — Chemodenervation of trunk muscles, 6+ muscles (2.06 wRVUs)
CPT 64650 — Chemodenervation of eccrine glands, both axillae (0.68 wRVUs)
CPT 64653 — Chemodenervation of eccrine glands, other than axillae (0.86 wRVUs)
CPT 64654 — First open implantation of battery-operated modulation system (11.00 wRVUs)
CPT 64655 — Revision or replacement of battery modulation system lead (11.30 wRVUs)
CPT 64656 — Revision or replacement of battery modulation system pulse generator (8.01 wRVUs)
CPT 64657 — Removal of battery modulation system, total system (12.13 wRVUs)
CPT 64658 — Removal of battery modulation system, lead only (8.95 wRVUs)
CPT 64659 — Removal of battery modulation system, pulse generator only (8.23 wRVUs)
CPT 64680 — Chemical destruction of celiac plexus (2.60 wRVUs)
CPT 64681 — Chemical destruction of superior hypogastric plexus (3.69 wRVUs)
CPT 64702 — Neuroplasty of digital nerve, finger or toe (6.10 wRVUs)
CPT 64704 — Neuroplasty of nerve of hand or foot (4.57 wRVUs)
CPT 64708 — Neuroplasty of major peripheral nerve, arm or leg (6.20 wRVUs)
CPT 64712 — Neuroplasty of sciatic nerve (7.87 wRVUs)
CPT 64713 — Neuroplasty of brachial plexus (11.12 wRVUs)
CPT 64714 — Neuroplasty of lumbar plexus (10.29 wRVUs)
CPT 64716 — Neuroplasty of cranial nerve (6.82 wRVUs)
CPT 64718 — Surgical release or repositioning of the ulnar nerve at the elbow (7.08 wRVUs)
CPT 64719 — Neuroplasty of ulnar nerve at wrist (4.85 wRVUs)
CPT 64721 — Surgical release of the median nerve at the wrist to treat carpal tunnel syndrome (4.85 wRVUs)
CPT 64722 — Surgical release of pressure around a specific nerve (4.70 wRVUs)
CPT 64726 — Decompression of plantar digital nerve (4.16 wRVUs)
CPT 64727 — Add-on: internal neurolysis (3.02 wRVUs)
CPT 64728 — Decompression of median nerve at carpal tunnel (2.70 wRVUs)
CPT 64732 — Transection or avulsion of supraorbital nerve (4.77 wRVUs)
CPT 64734 — Transection or avulsion of infraorbital nerve (5.41 wRVUs)
CPT 64736 — Transection or avulsion of mental nerve (5.10 wRVUs)
CPT 64738 — Transection or avulsion of inferior alveolar nerve by osteotomy (6.20 wRVUs)
CPT 64740 — Transection or avulsion of lingual nerve (6.06 wRVUs)
CPT 64742 — Transection or avulsion of facial nerve, differential or complete (6.68 wRVUs)
CPT 64744 — Transection or avulsion of greater occipital nerve (5.58 wRVUs)
CPT 64746 — Transection or avulsion of phrenic nerve (6.40 wRVUs)
CPT 64755 — Vagotomy, total abdominal (14.67 wRVUs)
CPT 64760 — Vagotomy, selective proximal (7.40 wRVUs)
CPT 64763 — Transection or avulsion of obturator nerve, extrapelvic (7.37 wRVUs)
CPT 64766 — Transection or avulsion of obturator nerve, intrapelvic (9.23 wRVUs)
CPT 64771 — Transection or avulsion of cranial nerve, extradural (7.95 wRVUs)
CPT 64772 — Transection or avulsion of spinal nerve, extradural (7.64 wRVUs)
CPT 64774 — Excision of cutaneous neuroma (5.66 wRVUs)
CPT 64776 — Excision of digital nerve neuroma (5.46 wRVUs)
CPT 64778 — Add-on: excision of additional digital nerve neuroma (3.03 wRVUs)
CPT 64782 — Excision of extremity nerve neuroma, except digital (6.69 wRVUs)
CPT 64783 — Add-on: excision of additional extremity nerve neuroma (3.62 wRVUs)
CPT 64784 — Excision of major peripheral nerve neuroma, except sciatic (10.35 wRVUs)
CPT 64786 — Excision of sciatic nerve neuroma (15.84 wRVUs)
CPT 64787 — Add-on: implantation of nerve end into muscle or bone (4.18 wRVUs)
CPT 64788 — Excision of cutaneous neurofibroma (5.11 wRVUs)
CPT 64790 — Excision of major peripheral nerve neurofibroma (11.80 wRVUs)
CPT 64792 — Excision of extensive nerve neurofibroma requiring skin graft (15.46 wRVUs)
CPT 64795 — Biopsy of nerve (2.93 wRVUs)
CPT 64802 — Cervical sympathectomy (10.11 wRVUs)
CPT 64804 — Cervicothoracic sympathectomy (15.51 wRVUs)
CPT 64809 — Thoracolumbar sympathectomy (14.34 wRVUs)
CPT 64818 — Lumbar sympathectomy (11.06 wRVUs)
CPT 64820 — Digital sympathectomy (10.47 wRVUs)
CPT 64821 — Radial artery sympathectomy (9.10 wRVUs)
CPT 64822 — Ulnar artery sympathectomy (9.10 wRVUs)
CPT 64823 — Superficial palmar arch sympathectomy (10.67 wRVUs)
CPT 64831 — Repair of digital nerve, single (8.93 wRVUs)
CPT 64832 — Add-on: repair of additional digital nerve (5.51 wRVUs)
CPT 64834 — Repair of median motor thenar nerve of hand or foot (10.54 wRVUs)
CPT 64835 — Repair of median sensory nerve of hand or foot (11.44 wRVUs)
CPT 64836 — Repair of ulnar motor nerve of hand or foot (11.44 wRVUs)
CPT 64837 — Add-on: repair of additional nerve of hand or foot (6.09 wRVUs)
CPT 64840 — Repair of posterior tibial nerve (13.67 wRVUs)
CPT 64856 — Nerve repair with transposition, arm or leg (14.69 wRVUs)
CPT 64857 — Repair of major peripheral nerve, arm or leg (15.42 wRVUs)
CPT 64858 — Repair of sciatic nerve (17.37 wRVUs)
CPT 64859 — Add-on: repair of additional nerve, arm or leg (4.14 wRVUs)
CPT 64861 — Repair of brachial plexus (20.37 wRVUs)
CPT 64862 — Repair of lumbar plexus (20.56 wRVUs)
CPT 64864 — Repair of facial nerve, extracranial (13.07 wRVUs)
CPT 64865 — Repair of facial nerve, infratemporal, with or without graft (15.69 wRVUs)
CPT 64866 — Anastomosis of facial to spinal accessory nerve (16.41 wRVUs)
CPT 64868 — Anastomosis of facial to hypoglossal nerve (14.53 wRVUs)
CPT 64872 — Add-on: secondary suture of previously repaired nerve (1.94 wRVUs)
CPT 64874 — Add-on: nerve repair with extensive mobilization (2.91 wRVUs)
CPT 64876 — Add-on: nerve repair with bone shortening (3.29 wRVUs)
CPT 64885 — Nerve graft, single strand, head or neck, up to 4 cm (17.16 wRVUs)
CPT 64886 — Nerve graft, single strand, head or neck, over 4 cm (20.30 wRVUs)
CPT 64890 — Nerve graft, single strand, hand or foot, up to 4 cm (15.83 wRVUs)
CPT 64891 — Nerve graft, single strand, hand or foot, over 4 cm (16.92 wRVUs)
CPT 64892 — Nerve graft, single strand, arm or leg, up to 4 cm (15.35 wRVUs)
CPT 64893 — Nerve graft, single strand, arm or leg, over 4 cm (16.45 wRVUs)
CPT 64895 — Nerve graft, multiple strands, hand or foot, up to 4 cm (19.88 wRVUs)
CPT 64896 — Nerve graft, multiple strands, hand or foot, over 4 cm (21.41 wRVUs)
CPT 64897 — Nerve graft, multiple strands, arm or leg, up to 4 cm (18.90 wRVUs)
CPT 64898 — Nerve graft, multiple strands, arm or leg, over 4 cm (20.45 wRVUs)
CPT 64901 — Add-on: nerve graft, additional single strand (9.95 wRVUs)
CPT 64902 — Add-on: nerve graft, additional multiple strands (11.51 wRVUs)
CPT 64905 — Nerve pedicle transfer, first stage (14.73 wRVUs)
CPT 64907 — Nerve pedicle transfer, second stage (19.53 wRVUs)
CPT 64910 — Nerve repair with synthetic conduit or vein allograft (10.26 wRVUs)
CPT 64911 — Nerve repair with autogenous vein graft (13.65 wRVUs)
CPT 64912 — Nerve repair with processed nerve allograft, first nerve (11.70 wRVUs)
CPT 64913 — Add-on: nerve repair with additional processed nerve allograft (2.93 wRVUs)
CPT 64999 — Unlisted px nervous system

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