How to Use CPT Codes 64461, 64462 and 64463

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February 18, 2016

Question:
There are three new CPT codes our physicians want to use: 64461, 64462 and 64463.  What are these codes used for and what are the rules for reporting them?

Answer:
CPT codes 64461-64462 are new codes in 2016 to report a paravertebral (PVB) block and are used to treat chronic pain such as thoracic pain.  The procedure involves the physician injecting analgesia in the paravertebral space and includes ultrasound and fluoroscopic guidance.  Report CPT 64461 for the first injection and add-on code 64462 for each additional injection.  CPT 64463 is only used when continuous infusion is performed via a catheter.

*This response is based on the best information available as of 02/18/16.