May 25, 2017

Question:
One of our physicians is using a device to deliver medication through the nose when a sphenopalatine ganglion block is performed under fluoroscopic guidance for patients with migraine headaches. Is 64505 appropriate? If not, what code should be used?

Answer:
There is no specific CPT code that accurately describes this service. The code set includes code 64505, which describes the injection of the sphenopalatine ganglion; however, it is inappropriate to report this code since an injection is not performed. Therefore, Per CPT, the unlisted code 64999, unlisted procedure, nervous system, should be reported.

*This response is based on the best information available as of 05/25/17.