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See a sample rate comparisonCPT 64595 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.
Rev Rmv Prph Sac Gstr Npg R, Revision Or Removal Of Peripheral Sacral Or Gastric Neurostimulator Pulse Generator Or Receiver With Detachable Connection To Electrode Array
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64595 |
| Medicaid Fee Schedule | View Medicaid rates for 64595 |
National average reimbursement for CPT 64595 by major payers:
$396.45
$375.93
$385.07
$272.03
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CPT 64595
5 of 25 sample ratesHigher to lower in this preview
Texas Health Arlington Memorial
Texas Health Arlington Memorial Hospital
$10,716.00Published rateFrisco Medical Center LLP, Baylor Scott & White Med Cntr - Frisco
Frisco Medical Center LLP
$4,758.00Published rateMetrolina Vascular Access Care LLC
$1,500.00Published rateCharles Billings
$302.39Published rateGordon Mead
Highland Clinic, Apmc
$175.52Published rate
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See a sample payer proposalCPT 64595 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64595 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 64595 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. |
| 64595-CPT | Moderate | Rev Rmv Prph Sac Gstr Npg R, Revision Or Removal Of Peripheral Sacral Or Gastric Neurostimulator Pulse Generator Or Receiver With Detachable Connection To 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 64595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64595 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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