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See a sample rate comparisonCPT 64416 Fee Schedule
Last Verified: October 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 Brch Pl Nfs Img, Injection S Anesthetic Agent S And Or Steroid Brachial Plexus Continuous Infusion By Catheter Including Catheter Placement Including Imaging Guidance When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64416 |
| Medicaid Fee Schedule | View Medicaid rates for 64416 |
National average reimbursement for CPT 64416 by major payers:
$133.54
$121.45
$149.37
$139.96
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CPT 64416
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$2,275.00Published ratePinellas Surgery Center, LLC, Center For Special Surgery
Pinellas Surgery Center LLC
$725.00Published ratePrinceton Endoscopy Center LLC
$519.00Published rateBethesda Endoscopy Center, LLC
Bethesda Endoscopy Center LLC
$365.00Published rateThe Asc At Waugh Chapel
$130.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64416 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64416 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 64416 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 |
|---|---|---|
| 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 |
| 64416-CPT | Low | Njx Aa Strd Brch Pl Nfs Img, Injection S Anesthetic Agent S And Or Steroid Brachial Plexus Continuous Infusion By Catheter Including Catheter Placement Including Imaging Guidance When Performed |
| 64417-CPT | Low | Injection Aa&/Strd Axillary Nerve W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Axillary Nerve Including Imaging Guidance When Performed |
| 64418-CPT | Low | N Block Inj Suprascapular, Injection Of Anesthetic Agent And/Or Steroid Into Suprascapular Nerve Of Shoulder |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64416. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64416 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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