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See a sample rate comparisonCPT 64561 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.
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 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64561 |
| Medicaid Fee Schedule | View Medicaid rates for 64561 |
National average reimbursement for CPT 64561 by major payers:
$994.04
$1,172.67
$1,187.79
$612.09
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CPT 64561
5 of 25 sample ratesHigher to lower in this preview
Vhs San Antonio Partners, LLC, Northeast Baptist Hospital
$62,478.00Published rateMemorial Hermann Health System
$9,805.00Published rateGranbury Hospital Corporation, Lake Granbury Medical Center
Granbury Hospital Corporation
$5,015.00Published rateDavid Hutton
$1,907.65Published rateMinuteclinic Diagnostic Of Washington, PLLC
$250.10Published rate
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See a sample payer proposalCPT 64561 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64561 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 64561 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 |
|---|---|---|
| 64486-CPT | Low | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Injection(S) (Includes Imaging Guidance When Performed) |
| 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. |
| 64561-CPT | Moderate | 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 64561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64561 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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