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See a sample rate comparisonCPT 64580 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery 76 - Repeat procedure by same physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64580 |
| Medicaid Fee Schedule | View Medicaid rates for 64580 |
National average reimbursement for CPT 64580 by major payers:
$456.79
$419.54
$425.38
$509.69
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CPT 64580
5 of 25 sample ratesHigher to lower in this preview
Orthoarizona Surgery Center Gilbert, LLC, Orthoarizona Surgery Center Gilbert
Orthoarizona Surgery Center Gilbert LLC
$31,809.00Published rateThe Metrohealth System, Metrohealth System Parma Ambulatory Surgery Center
$5,606.00Published rateLindsay House Surgery Center LLC
$3,119.00Published rateVision Surgery Center, LLC
Vision Surgery Center LLC
$1,294.00Published ratePiedmont Endoscopy Center, Inc.
$717.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64580 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64580 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 64580 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. |
| 64582-CPT | High | Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor, Open Implantation Of Hypoglossal Nerve Neurostimulator Array Pulse Generator And Distal Respiratory Sensor Electrode O |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64580 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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