Nerve Blockade for Treatment of Chronic Pain and Neuropathy
JE · Effective Oct 1, 2015
8 active Medicare policies list 64640, and 20 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
J6
JK
J5
J8
National · Effective Mar 5, 2026
20 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64640 |
|---|---|---|
| Cryoanalgesia and Therapeutic Cold | Mar 16, 2023 | Covered |
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Knee Arthroscopy / Osteoarthritis of the Knee | Nov 21, 2023 | Covered |
| Plantar Fasciitis Treatments | Apr 26, 2023 | Covered |
| Post-Herpetic Neuralgia | Feb 20, 2024 | Covered |
| Selective Peripheral Denervation (Bertrand Procedure) | Jun 7, 2023 | Covered |
| Spasticity Management | Jun 21, 2023 | Covered |
|---|
| Trigeminal Neuralgia: Treatments | Feb 15, 2024 | Covered |
|---|
| Policy | Effective | Status of 64640 |
|---|---|---|
| Cryoablation for Plantar Fasciitis and Plantar Fibroma | Oct 1, 2026 | Not covered |
| Cryosurgery of Peripheral Nerves | Jul 1, 2026 | Not covered |
| Genicular Procedures for Treatment of Knee Pain | Jan 6, 2026 | Not covered |
| Surgical and Ablative Treatments for Chronic Headaches | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Headache and Occipital Neuralgia Treatments | Jun 1, 2026 | Covered with conditions |
| Neuroablative Techniques for Chronic Pain | Aug 6, 2026 | Covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Nerve Blocks and Neurolysis for Pain Management | Not recorded | Covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Interventional Pain Management | Jun 14, 2026 | Covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Peripheral Nerve Destruction for Pain Conditions | Sep 15, 2026 | Not covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal Neuralgia | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal Neuralgia | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 64640 |
|---|---|---|
| Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal Neuralgia | Jan 1, 2026 | Covered |