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See a sample rate comparisonCPT 64596 Fee Schedule
Last Verified: October 2026
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.
Ins Rplcmt Prq Eltrd Ra Pn 1, Insertion Or Replacement Of Percutaneous Electrode Array Peripheral Nerve With Integrated Neurostimulator Including Imaging Guidance When Performed Initial Electrode Array
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64596 |
| Medicaid Fee Schedule | View Medicaid rates for 64596 |
National average reimbursement for CPT 64596 by major payers:
$6,382.87
$4,010.91
$1,594.39
$1,843.39
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CPT 64596
5 of 25 sample ratesHigher to lower in this preview
Red Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
$11,558.00Published rateColumbia River Surgery Center LLC
Columbia River Surgery Center, LLC
$8,301.00Published rateLgh-A/Golf Astc, LLC, Golf Surgical Center
Lgh-Agolfastcllc.Dbagolf Surgical Center
$5,500.00Published rateAzar Eye Surgery Center LLC
$3,473.00Published rateSurgicenter Ltd, Bloomberg Eye Center
Surgicenter Ltd
$1,060.00Published rate
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See a sample payer proposalCPT 64596 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64596 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 64596 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 |
|---|---|---|
| 64596-CPT | High | Ins Rplcmt Prq Eltrd Ra Pn 1, Insertion Or Replacement Of Percutaneous Electrode Array Peripheral Nerve With Integrated Neurostimulator Including Imaging Guidance When Performed Initial 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 64596. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64596 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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