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See a sample rate comparisonCPT 64505 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.
Inject Anes Sphenopalatine Ganglion
| 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 50 - Bilateral Procedure 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64505 |
| Medicaid Fee Schedule | View Medicaid rates for 64505 |
National average reimbursement for CPT 64505 by major payers:
$180.48
$158.37
$182.33
$163.40
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CPT 64505
5 of 25 sample ratesHigher to lower in this preview
Carolina Regional Surgery Center. Ltd
Carolina Regional Surgery Center Ltd
$2,491.00Published rateBarkley Surgicenter, LLC
Barkley Surgicenter LLC
$555.00Published rateZeo Surgical Center LLC, Lenza Surgical Center
Zeo Surgical Center LLC
$200.00Published ratePhysicians Day Surgery Center
$118.00Published rateRiverside Ambulatory Surgery Center LLC
$37.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64505 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64505 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 64505 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 |
|---|---|---|
| 64463-CPT | Moderate | Anesthesia Injection In Back, Injection Of Anesthesia In Center Of Back Given By Thin Tube (Catheter) Generally During Breast Surgery Or Treatment Of Fractured Ribs. |
| 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 |
| 64505-CPT | Low | Inject Anes Sphenopalatine Ganglion |
| 64520-CPT | Moderate | Inject Anesthetic Agnt; Lumbar Or Thoracic (Paravertebr Sympath, Injection Anesthetic Agent; Lumbar Or Thoracic (Paravertebral Sympath |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64505 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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