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See a sample rate comparisonCPT 64570 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.
Remval Of Cranial Nrve (Eg Vagus Nrve) Neurostimula Electrod A, Removal Of Cranial Nerve (Eg Vagus Nerve) Neurostimulator Electrode A
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64570 |
| Medicaid Fee Schedule | View Medicaid rates for 64570 |
National average reimbursement for CPT 64570 by major payers:
$904.28
$950.61
$986.31
$1,164.52
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CPT 64570
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center LLC, Eagle Highlands Surgery Center
$10,360.00Published rateKennedy Cherry Hill Surgical Center LLC, Jefferson Surgery Center - Cherry Hill
Kennedy Cherry Hill Surgical Center LLC
$5,389.00Published rateBay Surgery Centers LLC
$4,189.00Published rateEndoscopy Associates, LLC
Endoscopy Associates LLC
$2,020.00Published rateIndependent Surgery Center LLC
$702.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64570 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64570 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 64570 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 64570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64570 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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