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See a sample rate comparisonCPT 64575 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.
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.
| 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 LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64575 |
| Medicaid Fee Schedule | View Medicaid rates for 64575 |
National average reimbursement for CPT 64575 by major payers:
$445.53
$436.24
$458.10
$518.56
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CPT 64575
5 of 25 sample ratesHigher to lower in this preview
Gcsa Ambulatory Surgery Center, LLC, Gastroenterology Consultants Of San Antonio Ne
Gcsa Ambulatory Surgery Center LLC
$23,426.00Published rateTlc Asc, LLC, Kzmss Again, Lllp
Tlc Asc LLC
$8,917.00Published rateCrown Valley Outpatient Surgical Center LLC, Mission Endoscopy Center
$7,250.00Published rateSan Antonio Tx Endoscopy Asc Lp, San Antonio Gastroenterology Endoscopy Center - Med Center
San Antonio Tx Endoscopy Asc Lp
$5,068.00Published rateDhch LLC
Dhch, LLC
$1,187.00Published rate
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See a sample payer proposalCPT 64575 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64575 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 64575 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 |
|---|---|---|
| 64575-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. |
| 64580-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. |
| 64581-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. |
| 64585-CPT | Moderate | Revision Or Removal Of Periphe, Revision Or Removal Of Peripheral Neurostimulator Electrodesrevision Or Removal Of Peripheral Neurostimulator Electrodes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64575 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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