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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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64455 |
| Medicaid Fee Schedule | View Medicaid rates for 64455 |
National average reimbursement for CPT 64455 by major payers:

$69.31

$67.19

$69.12

$68.72
Choose a payer to see a sample of rates for CPT 64455.
Rochester Ambulatory Surgery Center
Hollywood Surgical Center LLC
Laser Surgery Center Of Acadiana
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Rate Benchmarking
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See a sample payer proposalCPT 64455 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64455 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 64455 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 |
|---|---|---|
| 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 |
| 64454-CPT | Moderate | Njx Aa Strd Gnclr Nrv Brnch, Injection S Anesthetic Agent S And Or Steroid Genicular Nerve Branches Including Imaging Guidance When Performed |
| 64455-CPT | Low | Injection Into A Foot Nerve, Injection Of A Steroid Or Numbing Agent Into The Main Nerve Running Across The Top Of The Foot To The Toes (Plantar Common Digital Nerve). |
| 64486-CPT | Low | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Injection(S) (Includes 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 64455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64455 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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