nerve injections for podiatry

Is anyone getting paid for 64450 (other peripheral nerve) for the ankle/foot nerve injections from Medicare (NGS)? ie: deep peroneal nerve or sural nerve- I looked at the LCD and it only lists the diagnosis codes that are not payable but dx codes not on the list are being denied as well.


  • Hi, yes! I get paid for 64450 from Medicare. Even if it's more than one neuroma, I only bill one unit because they will not pay more (I had to make this very clear to doc). Also Medicare will only pay for three injections total. If doc decides to treat longer then it will get denied but then you can appeal with records showing patient percentage of improvement. ICD HAS to be G57.61 or G57.62. Hope this helps
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