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See a sample rate comparisonCPT 64590 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.
Ins Rpl Prph Sac Gstr Npg R, Insertion Or Replacement Of Peripheral Sacral Or Gastric Neurostimulator Pulse Generator Or Receiver Requiring Pocket Creation And Connection Between Electrode Array And Pulse Generator Or Receiver
| 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 51 - Multiple procedures 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64590 |
| Medicaid Fee Schedule | View Medicaid rates for 64590 |
National average reimbursement for CPT 64590 by major payers:
$414.17
$392.31
$421.63
$342.69
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CPT 64590
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$40,892.00Published ratePeter Maurice
Proliance Surgeons, Inc., P.S.
$648.84Published rateRachel Jonas
Kentucky Medical Services Foundation Inc
$499.22Published rateCancer Care Northwest Centers P S, Cancer Care Northwest
Cancer Care Northwest Centers, P.S.
$409.32Published rateMartin Greget
$232.00Published rate
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See a sample payer proposalCPT 64590 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64590 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 64590 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. |
| 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 |
| 64590-CPT | Moderate | Ins Rpl Prph Sac Gstr Npg R, Insertion Or Replacement Of Peripheral Sacral Or Gastric Neurostimulator Pulse Generator Or Receiver Requiring Pocket Creation And Connection Between Electrode Array And Pulse Generator Or Receiver |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64590 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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