CPT 63650 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Nervous System |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 11 - Office |
| Common Modifiers | • None • 59 - Distinct Procedural Service • SG - Scene to Hospital ESRD facility |
| Complexity Level | High |
National average reimbursement for CPT 63650 by major payers:
$1,817.41
$2,240.45
$2,317.12
$2,887.63
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 63650 | ||||||
United | 63650 | $961.13 | 1437287091 - STARR COUNTY MEMORIAL HOSPITAL, AMBULATORY SURGICAL | 741794256 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 63650 | $14780.00 | 1215060546 - TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE | 751752253 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 63650 | $1356.27 | 1417127416 - NORTH TEXAS PRECISION PAIN CARE, P.A. | 262020304 | TX | Interventional Pain Medicine Physician (208VP0014X) |
United | 63650 | $344.44 | 1750811287 - SASPINE, LLC | 821153384 - (TX) SASPINE LLC | TX | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 63650 | $1662.03 | 1205848512 - CHARLES BANTA II | 752542460 - (TX) NORTHPARK ORTHOPAEDICS PA | TX | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 63650 | $1356.27 | 1508144999 - KONEN & ASSOCIATES, PA, UNIFIED PAIN MANAGEMENT | 752877778 - (TX) KONEN ASSOCIATES PA | TX | Interventional Pain Medicine Physician (208VP0014X) |
United | 63650 | $1320.19 | 1811976715 - RYAN MCHUGH | 752922928 - (TX) WINNIE COMMUNITY HOSPITAL, LLC | TX | Interventional Pain Medicine Physician (208VP0014X) |
United | 63650 | $404.67 | 1295926475 - SASSAN EHDAIE | 461541598 - (TX) UNIVERSAL PAIN MANAGEMENT PLLC | TX | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 63650 | $9324.00 | 1124092036 - CHRISTUS GOOD SHEPHERD MEDICAL CENTER | 750974351 - (TX) CHRISTUS GOOD SHEPHERD MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 63650 | $1697.40 | 1407032782 - DAVID R. JONES, MDPA, SPINE & SPORTS MEDICAL CENTER | 760544380 - (TX) DAVID R JONES MDPA | TX | Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X) |
United | 63650 | $1988.50 | 1194045773 - HUSAIN BHARMAL | 474994681 - (TX) TN SPINE, PLLC DBA TEXAS NEUROSURGICAL SPINE, PLLC | TX | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 63650 | $7207.00 | 1528049855 - CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY, CAREOS | 844484446 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 63650 | $319.48 | 1720324809 - UNIVERSAL PAIN MANAGEMENT, PLLC | 461541598 - (TX) UNIVERSAL PAIN MANAGEMENT PLLC | TX | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 63650 | $1551.85 | 1518963081 - IFTEQAR SYED | 752405203 - SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED | TX | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 63650 | $12212.00 | 1861994808 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE NORTHEAST CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 63650 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63650 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 63650 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 63610-CPT | High | Stereo.Stim-Sp.Crd,Perq,No Oth.Surg |
| 63650-CPT | High | Percut.Impl-Neurostm.Electrod;Epidu |
| 63655-CPT | High | Lam-Impl-Neurostim.Electrod;Epidurl |
| 63661-CPT | Moderate | Once Per Dos Removal Of Spinal Neurostimulator Electrode Percutaneous Array(S), Including Fluoroscopy, When Performed- Rn Review=1/1/2010 - 11/28/2018 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63650 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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