CPT code 64430 identifies injection of an anesthetic agent, steroid, or both into the pudendal nerve, a targeted peripheral nerve procedure used for diagnostic blockade and therapeutic relief of perineal pain. Nationally, this code is relevant for pain management, urology, gynecology, and interventional anesthesia practices treating pudendal neuralgia and chronic pelvic pain. Use of this code affects outpatient procedural volumes, payer coverage policies, and per-procedure billing practices across national payers.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for pudendal nerve injections, common service settings, and the typical documentation elements that support reporting of the code. The publication outlines benchmark considerations for utilization and reimbursement patterns, summarizes policy and coverage themes that influence payment and prior authorization, and highlights coding relationships relevant to procedural billing workflows.

The content is aimed at clinicians, coding specialists, and policy analysts seeking a clear, national-level briefing on CPT code 64430, its clinical purpose, and the payer landscape that affects access and billing for pudendal nerve injection services.