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See a sample rate comparisonCPT 64492 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.
Inj Paravert F Jnt C T 3 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Cervical Or Thoracic Third And Any Additional Level S List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64492 |
| Medicaid Fee Schedule | View Medicaid rates for 64492 |
National average reimbursement for CPT 64492 by major payers:
$125.02
$138.40
$141.68
$164.93
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CPT 64492
5 of 25 sample ratesHigher to lower in this preview
Prospect Ccmc, LLC
$1,957.00Published rateSurgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$566.00Published rateCataract And Laser Center Of The North Shore, LLC
Cataract And Laser Center Of The North Shore LLC
$250.00Published rateNorthwest Renal Clinic, Inc., Northwest Dialysis Access Center
Northwest Renal Clinic, PC
$150.00Published rateBrazosport Eye Facility, Inc., Brazosport Eye Institute
Brazosport Eye Facility Inc
$63.00Published rate
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See a sample payer proposalCPT 64492 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64492 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 64492 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 |
|---|---|---|
| 64490-CPT | Moderate | Inj Paravert F Jnt C T 1 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Cervical Or Thoracic Single Level |
| 64491-CPT | Low | Inj Paravert F Jnt C T 2 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Cervical Or Thoracic Second Level List Separately In Addition To Code For Primary Procedure |
| 64492-CPT | Low | Inj Paravert F Jnt C T 3 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Cervical Or Thoracic Third And Any Additional Level S List Separately In Addition To Code For Primary Procedure |
| 64568-CPT | Moderate | Incision For Nerve Stimulator, Creation Of A Surgical Opening (Incision Or Cut) In Preparation For Implanting An Electrode That Will Stimulate One Or More Nerves. The Electrode May Reduce Pain Or Stimulate Muscles. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64492. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64492 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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