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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64449 |
| Medicaid Fee Schedule | View Medicaid rates for 64449 |
National average reimbursement for CPT 64449 by major payers:

$128.50

$115.52

$127.36

$126.97
Choose a payer to see a sample of rates for CPT 64449.
Valley Physicians Surgery Center Of Northridge LLC
Regenerative Orthopaedics Surgery Center LLC
North Pinellas Surgery Center, LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 64449 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64449 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 64449 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 |
|---|---|---|
| 64448-CPT | Low | Njx Aa Strd Fem Nrv Nfs Img, Injection S Anesthetic Agent S And Or Steroid Femoral Nerve Continuous Infusion By Catheter Including Catheter Placement Including Imaging Guidance When Performed |
| 64449-CPT | Low | Anesthetic Infusion For Nerve, Infusion Of Anesthetic Or Other Medicine Into A Nerve To Relieve Pain. An Infusion Delivers A Fluid Or Medication Over A Period Of Several Hours. |
| 64450-CPT | Low | Inject Anesthetic Agnt; Other Periphral Nrve Or Branch, Injection Anesthetic Agent; Other Peripheral Nerve Or Branch |
| 64451-CPT | Moderate | Njx 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 64449. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64449 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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