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CPT 64400 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Njx Aa Strd Trigeminal Nrv, Injection S Anesthetic Agent S And Or Steroid Trigeminal Nerve Each Branch Ie Ophthalmic Maxillary Mandibular
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

11 - Office

23 - Emergency Room

Common Modifiers

None

50 - Bilateral Procedure

59 - Distinct Procedural Service

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 64400
Medicaid Fee ScheduleView Medicaid rates for 64400

National average reimbursement for CPT 64400 by major payers:

bcbs

$144.24

uhc

$152.90

aetna

$172.39

cigna

$189.44

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 64400.

CPT 64400
5 of 25 sample ratesHigher to lower in this preview
  1. Beltway Surgery Centers, LLC, Multispecialty Surgery Center

    INAmbulatory Surgical Clinic/CenterNPI 1689053050Tax ID 35-2072586

    $4,613.00Published rate
  2. North Shore Same Day Surgery LLC, North Shore Surgical Center

    North Shore Same Day Surgery LLC

    ILAmbulatory Surgical Clinic/CenterNPI 1134262868Tax ID 36-4120432

    $531.00Published rate
  3. North Kitsap Ambulatory Surgery Center, LLC, Pacific Surgery Center

    North Kitsap Ambulatory Center, Inc. Dba Pacific Surgery Center

    WAAmbulatory Surgical Clinic/CenterNPI 1962402503Tax ID 91-1276412

    $350.00Published rate
  4. Bonita Community Health Center Inc, Bonita Springs Health Center

    Bonita Community Health Center

    FLAmbulatory Surgical Clinic/CenterNPI 1518955897Tax ID 59-3544102

    $250.00Published rate
  5. Doctors Surgery Center, PA

    Doctors Surgery Center PA

    ARAmbulatory Surgical Clinic/CenterNPI 1114951365Tax ID 71-0718664

    $51.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 64400 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64400 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 64400 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.

CodeComplexityDescription
64400-CPTLowNjx Aa Strd Trigeminal Nrv, Injection S Anesthetic Agent S And Or Steroid Trigeminal Nerve Each Branch Ie Ophthalmic Maxillary Mandibular
64405-CPTLowNjx Aa&/Strd Gr Ocpl Nrv, Injection Of Anesthetic Agent And/Or Steroid Into Greater Occipital Nerve Of Upper Neck And Back Of Head
64408-CPTLowInject Nerve For Pain Control, Injection Of Anesthetic Or Other Medicine Into A Nerve To Relieve Pain.
64450-CPTLowInject Anesthetic Agnt; Other Periphral Nrve Or Branch, Injection Anesthetic Agent; Other Peripheral Nerve Or Branch

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64400 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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Frequently Asked Questions