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See a sample rate comparisonCPT 64405 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 Gr Ocpl Nrv, Injection Of Anesthetic Agent And/Or Steroid Into Greater Occipital Nerve Of Upper Neck And Back Of Head
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64405 |
| Medicaid Fee Schedule | View Medicaid rates for 64405 |
National average reimbursement for CPT 64405 by major payers:
$116.76
$118.41
$129.50
$101.19
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CPT 64405
5 of 25 sample ratesHigher to lower in this preview
Atlantic Gastro Surgicenter, LLC, T/A Access
Atlantic Gastro Surgicenter LLC
$1,708.00Published ratePrescott Outpatient Surgical Center LLC
Prescott Outpatient Surgical Center, Lp
$555.00Published ratePhoenix Orthopaedic Ambulatory Center, LLC, Gateway Surgery Center
Phoenix Orthopaedic Ambulatory Center, LLC
$230.00Published rateLos Angeles-Inglewood Endoscopy Lp, Airport Endoscopy Center
Los Angelesinglewood Endoscopy Lp
$144.00Published rateNcbh Outpatient Endoscopy Center, L.L.C., Wake Forest Baptist Health Outpatient Endoscopy - Quaker Lane
Ncbh Outpatient Endoscopy Center LLC
$54.00Published rate
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See a sample payer proposalCPT 64405 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64405 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 64405 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 |
|---|---|---|
| 64400-CPT | Low | Njx Aa Strd Trigeminal Nrv, Injection S Anesthetic Agent S And Or Steroid Trigeminal Nerve Each Branch Ie Ophthalmic Maxillary Mandibular |
| 64405-CPT | Low | Njx Aa&/Strd Gr Ocpl Nrv, Injection Of Anesthetic Agent And/Or Steroid Into Greater Occipital Nerve Of Upper Neck And Back Of Head |
| 64408-CPT | Low | Inject Nerve For Pain Control, Injection Of Anesthetic Or Other Medicine Into A Nerve To Relieve Pain. |
| 64415-CPT | Low | Injection Aa&/Strd Brachial Plexus W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Brachial Plexus Including Imaging Guidance When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64405. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64405 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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