CPT 64473 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Nervous System |
| Complexity Level | Moderate |
National average reimbursement for CPT 64473 by major payers:
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| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 64473 | ||||||
United | 64473 | $116.68 | 1821049743 - DAVID ELIAS | 260458213 - (LA) ORTHOPAEDIC SPORTS SPECIALISTS | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64473 | $1076.00 | 1770280299 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH - ORANGEBURG, PART OF MUSC MEDICAL CENTER - CHARLESTON | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 64473 | $2289.00 | 1699910174 - SODEXO | 953561198 - (SC) AMISUB OF SOUTH CAROLINA INC | SC | General Acute Care Hospital (282N00000X) |
United | 64473 | $2866.00 | 1265568638 - SCOTT & WHITE HOSPITAL, BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK | 203749695 - (TX) SCOTT & WHITE HOSPITAL ROUND ROCK | TX | General Acute Care Hospital (282N00000X) |
United | 64473 | $127.30 | 1316955495 - CHARLES HADDAD | 463936183 - (LA) LMG, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64473 | $368.00 | 1487220307 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH KERSHAW MEDICAL CENTER | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 64473 | $1896.00 | 1851361778 - BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC. | 571067254 - (SC) BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 64473 | $368.00 | 1245220300 - KERSHAW HOSPITAL LLC | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 64473 | $118.05 | 1790115772 - THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION, THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-ORTHOPAEDIC SURGERY | 721335958 - (LA) THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64473 | $1896.00 | 1255645644 - ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL, MOUNT PLEASANT HOSPITAL | 570360499 - (SC) ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 64473 | $107.36 | 1376506691 - DONALD FAUST | 814586583 - (LA) OANO, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64473 | $1475.00 | 1275580938 - CHCA WEST HOUSTON L P, HCA HOUSTON HEALTHCARE WEST | 621801363 - (TX) CHCA WEST HOUSTON L P | TX | General Acute Care Hospital (282N00000X) |
United | 64473 | $2000.00 | 1134172406 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP, MEDICAL CITY ARLINGTON | 621682201 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 64473 | $124.00 | 1265437743 - REGIONAL UROLOGY ASC LLC | 721455456 - (LA) REGIONAL UROLOGY ASC LLC | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 64473 | $111.79 | 1457388035 - ALEXIS WAGUESPACK | 204300980 - SPINECARE MEDICAL GROUP, INC. | LA | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 64473 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64473 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 64473 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 |
|---|---|---|
| 64473-CPT | Moderate | Lower Extremity Fascial Plane Block, Unilateral; By Injection(S), 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 64473. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64473 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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