Nerve Blockade for Treatment of Chronic Pain and Neuropathy
JE · Effective Oct 1, 2015
17 active Medicare policies list 64451, and 14 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
J15 · Effective Mar 19, 2023
J6 · Effective Mar 19, 2023
JK · Effective Mar 19, 2023
JE · Effective Mar 19, 2023
JF · Effective Mar 19, 2023
JJ · Effective Mar 19, 2023
JM · Effective Mar 19, 2023
14 policies from 13 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64451 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Interventions for Pain Management | Not recorded | Covered |
| Policy |
|---|
J5 · Effective Mar 19, 2023
J8 · Effective Mar 19, 2023
National · Effective Mar 5, 2026
National · Effective Mar 26, 2026
National · Effective Oct 18, 2024
J6 · Effective Apr 1, 2026
National · Effective Mar 5, 2026
J5 · Effective Dec 26, 2024
| Effective |
|---|
| Status of 64451 |
|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
|---|
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Injections | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Interventional Pain Management | Jun 14, 2026 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 64451 |
|---|---|---|
| EOCCO Pain Management Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Radiofrequency Ablation and Injection of Sacroiliac Joint Nerves | Oct 1, 2025 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Interventions | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Interventions | Sep 10, 2026 | Covered |
| Policy | Effective | Status of 64451 |
|---|---|---|
| Sacroiliac Joint Interventions | Sep 10, 2026 | Covered |