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See a sample rate comparisonCPT 64493 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 L S 1 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Single Level
| 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 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64493 |
| Medicaid Fee Schedule | View Medicaid rates for 64493 |
National average reimbursement for CPT 64493 by major payers:
$219.31
$259.96
$258.42
$293.25
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CPT 64493
5 of 25 sample ratesHigher to lower in this preview
Surgical Suites Of Coastal Virginia, LLC
Surgical Suites Of Coastal Virginia LLC
$1,346.00Published rateSurgery Center Of Fort Wayne
Surgery Center Of Fort Wayne LLC
$944.00Published rateAesthetic Plastic Surgery Institute Of Louisville, LLC, Louisville Surgery Center
Aesthetic Plastic Surgery Institute
$572.00Published rateJoseph Mansour
Deaconess Hospital Inc
$304.38Published rateAnthony Foreman
Deaconess Hospital Inc
$139.85Published rate
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See a sample payer proposalCPT 64493 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64493 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 64493 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 |
|---|---|---|
| 64483-CPT | Moderate | Njx Aa Strd Tfrm Epi L S 1, Injection S Anesthetic Agent S And Or Steroid Transforaminal Epidural With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral Single Level |
| 64493-CPT | Moderate | Inj Paravert F Jnt L S 1 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Single Level |
| 64494-CPT | Low | Inj Paravert F Jnt L S 2 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Second Level List Separately In Addition To Code For Primary Procedure |
| 64495-CPT | Low | Inj Paravert F Jnt L S 3 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Third And Any Additional Level S List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64493. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64493 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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