Sympathetic & peripheral blocks0-day global

Lumbar sympathetic block

Sympathetic block at the lumbar chain for lower-extremity complex regional pain syndrome and vascular pain. Fluoroscopic guidance, when used, is separately billable.

2026 national Medicare payment (typical billing): $242.16 in-office · $76.82 facility · 1.32 work RVUs

Price this procedure

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Locality

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Show values as

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
64520N block lumbar/thoracic	1	$242.16	$76.82
add-on77003Fluoroguide for spine inject	0	$104.54/ unit	$104.54/ unit
Whole procedure		$242.16	$76.82

Conversion factor: Locality: national average GPCIs

Codes in this procedure

64520 N block lumbar/thoracic — Active, 0-day global, 1.32 wRVU
77003 Fluoroguide for spine inject — Active, add-on code, 0.59 wRVU

Related procedures

Stellate ganglion block

Typical code combination for this procedure; actual billing depends on documentation and payer policy. Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimates — not billing or coding advice.