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See a sample rate comparisonCPT 64555 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| 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 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64555 |
| Medicaid Fee Schedule | View Medicaid rates for 64555 |
National average reimbursement for CPT 64555 by major payers:
$1,511.86
$1,520.45
$1,959.38
$575.36
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CPT 64555
5 of 25 sample ratesHigher to lower in this preview
Alpine Surgicenter, LLC
$21,086.00Published ratePalm Beach International Surgery Center LLC, Palm Beach International Surgery Center At The Paley Institute
Palm Beach International Surgery Center LLC
$6,492.00Published rateDenton Surgicare Partners, Ltd., Denton Surgicare
Denton Surgicare Partners Ltd
$4,234.00Published rateRaleigh Nc Endoscopy Asc LLC, Raleigh Endoscopy Center - Cary
Raleigh Nc Endoscopy Asc LLC
$2,686.00Published rateKokomo Ambulatory Surgery Center
$1,543.00Published rate
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See a sample payer proposalCPT 64555 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64555 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 64555 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 |
|---|---|---|
| 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. |
| 64555-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. |
| 64567-CPT | High | Perq Elec Nrv Field Stimj Cranial Nrv W/O Impltj, Percutaneous Electrical Nerve Field Stimulation Cranial Nerves Without Implantation |
| 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 64555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64555 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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