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CPT 64435 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.

Inject Anesthetic Agnt; Paracervical (Uterine) Nrve, Injection Anesthetic Agent; Paracervical (Uterine) Nerve
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

59 - Distinct Procedural Service

51 - Multiple procedures

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 64435
Medicaid Fee ScheduleView Medicaid rates for 64435

National average reimbursement for CPT 64435 by major payers:

bcbs

$141.95

uhc

$145.74

aetna

$146.77

cigna

$108.55

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 64435.

CPT 64435
5 of 25 sample ratesHigher to lower in this preview
  1. Doctors Same Day Surgery Center, Ltd

    Doctors Same Day Surgery Center Ltd

    FLAmbulatory Surgical Clinic/CenterNPI 1396700159Tax ID 62-1614361

    $4,215.00Published rate
  2. Parkcreek Asc LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1932735677Tax ID 84-3082809

    $1,158.00Published rate
  3. North Valley Surgeery Center

    AZAmbulatory Surgical Clinic/CenterNPI 1669426839Tax ID 20-1808351

    $831.00Published rate
  4. The Center For Specialized Surgery, Lp

    PAAmbulatory Surgical Clinic/CenterNPI 1174634778Tax ID 20-3364256

    $500.00Published rate
  5. Center Of Surgical Excellence Of Venice Florida LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1952354326Tax ID 20-2807874

    $239.00Published rate

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

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CPT 64435 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64435 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 64435 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
64430-CPTLowNjx Aa&/Strd Pudendal Nerve, Injection Of Anesthetic Agent And/Or Steroid Into Pudendal Nerve Of External Genitals And Area Around Anus
64435-CPTLowInject Anesthetic Agnt; Paracervical (Uterine) Nrve, Injection Anesthetic Agent; Paracervical (Uterine) Nerve
64450-CPTLowInject Anesthetic Agnt; Other Periphral Nrve Or Branch, Injection Anesthetic Agent; Other Peripheral Nerve Or Branch
64451-CPTModerateNjx Aa Strd Nrv Nrvtg Si Jt, Injection S Anesthetic Agent S And Or Steroid Nerves Innervating The Sacroiliac Joint With Image Guidance Ie Fluoroscopy Or Computed Tomography

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64435 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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