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 |
| Medicare Fee Schedule | View Medicare rates for 64582 |
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 | $972.41 | 1831201326 - MARCUS KAUFFMAN | 833321758 - ALII HEALTH CENTER | WA | Urology Physician (208800000X) |
United | 64582 | $1710.97 | 1588076624 - ZIHO LEE | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | WA | Urology Physician (208800000X) |
United | 64582 | $1416.31 | 1093782443 - DANIEL OAS | 721310991 - (LA) MIDSTATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, INC. | LA | Orthopaedic Surgery Physician (207X00000X) |
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 | $2536.38 | 1801912134 - KATHLEEN KIERAN | 912047402 | WA | Urology Physician (208800000X) |
United | 64582 | $1760.28 | 1376590026 - PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY, VMC KENT PRIMARY CARE | 271209674 | WA | Multi-Specialty Group (193200000X) |
United | 64582 | $1654.26 | 1881821668 - JASON RUDD | 463123178 - (LA) OUR LADY OF THE ANGELS HOSPITAL INC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64582 | $1267.93 | 1295734465 - DAVID CLAUSE | 720720053 - (LA) OPELOUSAS ORTHOPAEDIC CLINIC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 64582 | $1923.75 | 1811556442 - GASTROENTEROLOGY ASSOCIATES CLINICAL PRACTICE, PLLC, GASTROENTEROLOGY ASSOCIATES | 823244168 - (WA) GASTROENTEROLOGY ASSOCIATES CLINICAL PRACTICE PLLC | 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 | $2536.38 | 1033377064 - DAVID HORN | 912047402 | WA | Otolaryngology Physician (207Y00000X) |
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 | $1231.19 | 1922635887 - CASCADE NURSE PRACTITIONERS | 843346905 - (WA) CASCADE NURSE PRACTITIONERS | WA | Multi-Specialty Group (193200000X) |
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 | $1552.58 | 1518495381 - MATTHEW FURY | 721460193 - (LA) BATON ROUGE ORTHOPAEDIC CLINIC, LLC | LA | Orthopaedic Surgery Physician (207X00000X) |
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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