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See a sample rate comparisonCPT 64569 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.
Surgery For Nerve Implant, Surgery For A Nerve Stimulator Implanted For A Cranial Nerve. The Surgery May Be Performed In Order To Revise The Device (Such As Reprogramming) Or To Replace The Device Or One Of Its Parts.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64569 |
| Medicaid Fee Schedule | View Medicaid rates for 64569 |
National average reimbursement for CPT 64569 by major payers:
$1,032.45
$1,031.52
$1,058.12
$1,245.51
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CPT 64569
5 of 25 sample ratesHigher to lower in this preview
Lakeview Surgery Center, LLC
Lakeview Surgery Center LLC
$9,830.00Published rateBsc 3 LLC, Banner Surgery Center - Sports Medicine
Bsc 3 LLC
$5,963.00Published rateNorth Country Orthopaedic Ambulatory Surgery Center LLC
$3,937.00Published rateCentennial Surgunit, LLC, Centennial Surgery Center
Centennial Surgunit LLC
$2,885.00Published rateJohns Creek Center For Pain And Spine
$1,500.00Published rate
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See a sample payer proposalCPT 64569 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64569 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 64569 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 |
|---|---|---|
| 64408-CPT | Low | Inject Nerve For Pain Control, Injection Of Anesthetic Or Other Medicine Into A Nerve To Relieve Pain. |
| 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. |
| 64569-CPT | High | Surgery For Nerve Implant, Surgery For A Nerve Stimulator Implanted For A Cranial Nerve. The Surgery May Be Performed In Order To Revise The Device (Such As Reprogramming) Or To Replace The Device Or One Of Its Parts. |
| 64570-CPT | Moderate | Remval Of Cranial Nrve (Eg Vagus Nrve) Neurostimula Electrod A, Removal Of Cranial Nerve (Eg Vagus Nerve) Neurostimulator Electrode A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64569. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64569 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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