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See a sample rate comparisonCPT 64520 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 Anesthetic Agnt; Lumbar Or Thoracic (Paravertebr Sympath, Injection Anesthetic Agent; Lumbar Or Thoracic (Paravertebral Sympath
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64520 |
| Medicaid Fee Schedule | View Medicaid rates for 64520 |
National average reimbursement for CPT 64520 by major payers:
$255.07
$278.97
$309.60
$337.59
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CPT 64520
5 of 25 sample ratesHigher to lower in this preview
Park Hill Surgery Center, LLC
Park Hill Surgery Center LLC
$1,963.00Published rateTampa Bay Joint And Spine, LLC, Tampa Bay Joint And Spine Surgery Center
Tampa Bay Joint And Spine LLC
$953.00Published rateArchibald Surgery Center, LLC
Archibald Surgery Center
$520.00Published rateJ C Pitts Enterprises Inc, Ontario Surgery Center
J C Pitts Enterprises Inc
$406.00Published rateVillages Endoscopy & Surgical Center LLC
$250.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64520 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64520 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 64520 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 |
| 64484-CPT | Low | Njx Aa Strd Tfrm Epi L S Ea, Injection S Anesthetic Agent S And Or Steroid Transforaminal Epidural With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral Each Additional Level List Separately In Addition To Code For Primary Procedure |
| 64520-CPT | Moderate | Inject Anesthetic Agnt; Lumbar Or Thoracic (Paravertebr Sympath, Injection Anesthetic Agent; Lumbar Or Thoracic (Paravertebral Sympath |
| 64553-CPT | High | Implant Nerve Stimulator, Surgery To Implant An Electrode That Will Stimulate One Or More Nerves. The Goal Of The Procedure May Be To Reduce Pain To Exercise Paralyzed Muscles Or To Enhance The Signal Sent By The Particular Nerves. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64520 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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