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See a sample rate comparisonCPT 64530 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; Celiac Plexus W//W/O Radiologic, Injection Anesthetic Agent; Celiac Plexus With Or Without Radiologic
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64530 |
| Medicaid Fee Schedule | View Medicaid rates for 64530 |
National average reimbursement for CPT 64530 by major payers:
$254.96
$281.28
$309.71
$164.13
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CPT 64530
5 of 25 sample ratesHigher to lower in this preview
Garland Surgicare Partners, Ltd., Baylor Surgicare At Garland
Garland Surgicare Partners Ltd
$2,172.00Published rateSummit Ambulatory Surgical Center, LLC
$934.00Published rateSouthern Indiana Surgery Center, LLC, Southern Indiana Surgery Center
Southern Indiana Surgery Center
$589.00Published rateGrants Pass Surgery Center, LLC
$379.00Published rateTexarkana Pain Surgery Center LLC
$271.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64530 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64530 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 64530 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 |
|---|---|---|
| 64420-CPT | Low | Njx Aa&/Strd Ntrcost Nrv 1, Injection Of Anesthetic Agent And/Or Steroid Into Single Intercostal Nerve Of Rib |
| 64430-CPT | Low | Njx Aa&/Strd Pudendal Nerve, Injection Of Anesthetic Agent And/Or Steroid Into Pudendal Nerve Of External Genitals And Area Around Anus |
| 64450-CPT | Low | Inject Anesthetic Agnt; Other Periphral Nrve Or Branch, Injection Anesthetic Agent; Other Peripheral Nerve Or Branch |
| 64530-CPT | Moderate | Inject Anesthetic Agnt; Celiac Plexus W//W/O Radiologic, Injection Anesthetic Agent; Celiac Plexus With Or Without Radiologic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64530 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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