CPT® Code 64435

The paracervical nerve block is a medical procedure designed to alleviate pain during the first stage of labor. This technique involves the administration of anesthetic agents and/or steroids to the paracervical nerves, which are located near the cervix. The procedure is performed using a specialized 18.5-cm needle equipped with a security tip, ensuring safe and precise delivery of the medication. The needle is inserted transvaginally, which means it is advanced through the vaginal canal, reaching just deep to the lateral fornices of the vagina and into the broad ligament. This careful placement is crucial to avoid blood vessels, which is confirmed by aspirating the needle before injecting the anesthetic. The injection is administered at multiple sites along the broad ligament to maximize pain relief. After completing the injection on one side, the procedure is mirrored on the opposite side to ensure balanced analgesia. This method is particularly beneficial for women in labor, as it can significantly reduce discomfort and enhance the overall childbirth experience.