Nerve Blockade for Treatment of Chronic Pain and Neuropathy
JE · Effective Oct 1, 2015
18 active Medicare policies list 64405, and 12 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J6 · Effective May 1, 2017
JK · Effective May 1, 2017
J15
J6
JK
J5
J8
12 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64405 |
|---|---|---|
| Diabetic Neuropathy: Selected Treatments | Feb 20, 2024 | Covered |
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Headaches: Nonsurgical Management | Feb 16, 2024 | Covered |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Nerve Blocks and Neurolysis for Pain Management | Not recorded | Covered |
National · Effective Mar 5, 2026
J6 · Effective Apr 1, 2026
National · Effective Oct 30, 2025
National · Effective Oct 25, 2026
National · Effective Oct 25, 2026
National · Effective Oct 25, 2026
National · Effective Oct 25, 2026
National · Effective Oct 25, 2026
| Policy | Effective | Status of 64405 |
|---|
| Occipital and Sphenopalatine Ganglion Nerve Block Therapy for the Treatment of Headache and Neuralgia | Oct 1, 2026 | Not covered |
|---|
| Policy | Effective | Status of 64405 |
|---|---|---|
| Headache, Occipital, and/or Trigeminal Neuralgia Treatment | Jun 15, 2026 | Not covered |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Health Alliance Plan MSK Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Headache and Occipital Neuralgia Treatments | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 64405 |
|---|---|---|
| Pain Management | Not recorded | Covered |