Sympathetic & peripheral blocks0-day global

Greater occipital nerve block

Block of the greater occipital nerve for occipital neuralgia and cervicogenic headache. Image guidance, when used, is separately billable.

2026 national Medicare payment (typical billing): $78.83 in-office · $46.09 facility · 0.92 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)
64405Njx aa&/strd gr ocpl nrv	1	$78.83	$46.09
add-on77002Needle localization by xray	0	$121.25/ unit	$121.25/ unit
Whole procedure		$78.83	$46.09

Conversion factor: Locality: national average GPCIs

Codes in this procedure

64405 Njx aa&/strd gr ocpl nrv — Active, 0-day global, 0.92 wRVU
77002 Needle localization by xray — Active, add-on code, 0.53 wRVU

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.