CPT 64582 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Nervous System |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • RT - Right side of body • AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
National average reimbursement for CPT 64582 by major payers:
$1,034.55
$1,247.61
$1,176.82
$1,493.48
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 64582 | ||||||
United | 64582 | $5544.39 | 1982939955 - LINDSAY HAMPSON | 943281666 | WA | Urology Physician (208800000X) |
United | 64582 | $1369.93 | 1700099538 - WILLIAM CRENSHAW | 720652984 - (LA) HARDTNER MEDICAL CENTER | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64582 | $1211.15 | 1447437470 - ORTHOPAEDIC SPECIALISTS OF NEW ORLEANS APMC | 721256886 - (LA) ORTHOPAEDIC SPECIALISTS OF NEW ORLEANS, APMC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64582 | $2118.69 | 1629409297 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE SURGEONS SKAGIT NORTHWEST ORTHOPEDICS/PHYSICAL THERAPY | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Multi-Specialty Clinic/Center (261QM1300X) |
United | 64582 | $1282.50 | 1376306852 - EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS | 911829653 - (WA) ENT ASSOCIATES SOUTHWEST, INC., PS | WA | Otolaryngology Physician (207Y00000X) |
United | 64582 | $1256.84 | 1689911174 - LISA KATON | 352520086 - (WA) CONTINUITY HEALTH SERVICES PLLC | WA | Multi-Specialty Group (193200000X) |
United | 64582 | $2717.62 | 1255664652 - PROVIDENCE HEALTH & SERVICES-WA, PMG NW WA OB GYN HOSPITALISTS | 320261234 | WA | Multi-Specialty Group (193200000X) |
United | 64582 | $1790.38 | 1659532323 - BICHNGOC NGUYEN | 932403243 | WA | Otolaryngology Physician (207Y00000X) |
United | 64582 | $1666.21 | 1538387931 - WESTERN WASHINGTON MEDICAL GROUP, INC PS, WESTERN WA MEDICAL GROUP DEPT OF UROLOGY | 911602128 - (WA) WESTERN WASHINGTON MEDICAL GROUP, INC., P.S. | WA | Urology Physician (208800000X) |
United | 64582 | $2195.63 | 1982852448 - AMY ANSTEAD | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Otolaryngology Physician (207Y00000X) |
United | 64582 | $11139.00 | 1780610220 - PROLIANCE SURGEONS INC PS, PROLIANCE HILLSIDE MEDICAL SURGERY CENTER | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 64582 | $1231.19 | 1154496537 - NORTHWEST ASTHMA & ALLERGY CENTER | 910946924 - (WA) NORTHWEST ASTHMA & ALLERGY CENTER | WA | Allergy & Immunology Physician (207K00000X) |
United | 64582 | $2503.44 | 1306201488 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE PHYSICIAN GROUP | 320261234 | WA | Multi-Specialty Group (193200000X) |
United | 64582 | $1463.98 | 1568469336 - MICHAEL DUVAL | 263025784 - (LA) LOUISIANA ORTHOPAEDIC SPECIALISTS, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64582 | $1205.55 | 1396123865 - SOUND SURGEONS PLLC, NORTHWEST WEIGHT LOSS SURGERY | 461190829 - (WA) SOUND SURGEONS, PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 64582 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64582 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 64582 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 |
|---|---|---|
| 64582-CPT | High | Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, & Distal Respiratory Sensor Electrode Or Electrode Array - Nurse Review |
| 64583-CPT | Moderate | Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array, Including Connection To Existing Pulse Generator |
| 64584-CPT | Moderate | Removal Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, & Distal Respiratory Sensor Electrode Or Electrode Array - Nurse Review |
| 64585-CPT | Moderate | Revision Or Removal Of Peripheral Neurostimulator Electrode Array |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64582. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64582 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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