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CPT 64530: Celiac Plexus (Solar Plexus) Nerve Block for Abdominal Pain
CPT code 64530 denotes a celiac plexus (solar plexus) nerve block, an interventional pain management procedure used to reduce severe visceral abdominal pain, often associated with cancer or chronic pancreatitis. This procedure is clinically important nationwide because it can provide significant symptom relief, reduce opioid requirements, and improve quality of life for patients with refractory abdominal pain.
Key payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and typical sites of service, plus payer coverage context and common billing considerations. The publication highlights benchmarks for utilization, reimbursement patterns across major payers, and recent policy updates affecting authorization and coding practice.
The report provides practical context for clinicians, coders, and revenue professionals: clinical rationale for the procedure, how it is billed as an interventional pain service, and where it is typically performed (hospital outpatient departments, ambulatory surgical centers, and interventional pain clinics). It also summarizes payer coverage trends and administrative considerations that affect access and payment. Data gaps are noted where source information was not provided.
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Billing Code Overview
CPT code 64530 describes a celiac plexus (solar plexus) nerve block, a targeted procedure that interrupts sympathetic nerve signals to the abdominal organs to treat severe abdominal pain. The procedure is used most commonly for pain related to malignancy or chronic pancreatitis, providing diagnostic and therapeutic relief of visceral abdominal pain.
Service type: Interventional pain management procedure (nerve block)
Typical site of service: Hospital outpatient department, ambulatory surgical center, or interventional pain clinic
Data not available in the input.