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See a sample rate comparisonCPT 64566 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.
Stimulation Of Leg Nerve, Procedure To Stimulate A Nerve In The Back Of The Lower Leg. Electrical Current Is Applied By Inserting A Small Needle Into The Skin.
| 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 AG - Primary physician PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64566 |
| Medicaid Fee Schedule | View Medicaid rates for 64566 |
National average reimbursement for CPT 64566 by major payers:
$142.90
$175.96
$177.15
$78.99
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CPT 64566
5 of 25 sample ratesHigher to lower in this preview
Ball Outpatient Surgery Center, LLC, Ball Outpatient Surgery Center
Ball Outpatient Surgery Center LLC
$2,438.00Published rateThe Surgery Center At Williamson LLC
$931.00Published rateMt. Scott Surgery Center, LLC
$391.00Published rateCrestview Hills Surgery Center, PLLC, Ican
Michael Fletcher Md PLLC
$145.00Published rateEndo-Surgical Center Of Florida
Endosurgical Center Of Florida
$49.00Published rate
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See a sample payer proposalCPT 64566 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64566 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 64566 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) |
| 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. |
| 64566-CPT | Low | Stimulation Of Leg Nerve, Procedure To Stimulate A Nerve In The Back Of The Lower Leg. Electrical Current Is Applied By Inserting A Small Needle Into The Skin. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64566. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64566 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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