CPT® Code 64517

The procedure described by CPT® Code 64517 involves the injection of an anesthetic agent into the superior hypogastric plexus, which is a network of nerves located in the lower abdomen. This block is specifically indicated for the management of intractable pain in the pelvic region, which can arise from various conditions, particularly malignant primary and metastatic neoplasms affecting the pelvic area. The superior hypogastric plexus block aims to interrupt pain transmission from the pelvic organs, providing significant relief to patients suffering from chronic pain conditions. The procedure requires careful preparation and precise technique, as it involves the insertion of a spinal needle through the L5-S1 interspace, ensuring that the needle is accurately positioned to avoid critical structures such as the ureters, spinal canal, and blood vessels. The use of radiologic guidance is essential in this procedure to confirm the correct placement of the needle and the effective delivery of the anesthetic agent into the targeted area, ultimately enhancing patient comfort and quality of life.