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See a sample rate comparisonCPT 64597 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 Rplcm Prq Eltrd Ra Pn Ea, Insertion Or Replacement Of Percutaneous Electrode Array Peripheral Nerve With Integrated Neurostimulator Including Imaging Guidance When Performed Each Additional Electrode Array List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64597 |
| Medicaid Fee Schedule | View Medicaid rates for 64597 |
National average reimbursement for CPT 64597 by major payers:
$1,275.06
$1,380.47
$1,423.69
$2,672.41
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CPT 64597
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$6,659.00Published rateThe Endoscopy Center At Bainbridge, LLC, University Suburban Endoscopy Center
The Endoscopy Center At Bainbridge LLC
$853.00Published rateSt. Mary'S Outpatient Surgery Center At Galena LLC, Summit Surgery Center At St. Marys Galena
St. Mary'S Outpatient Surgery Center At Galena LLC D/B/A Summit
$595.00Published rateChesapeake Eye Surgery Center, LLC
$424.00Published ratePalestine Laser & Surgery Center PLLC
Palestine Laser Surgery Center PLLC
$112.00Published rate
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See a sample payer proposalCPT 64597 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64597 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 64597 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 |
|---|---|---|
| 64597-CPT | High | Ins Rplcm Prq Eltrd Ra Pn Ea, Insertion Or Replacement Of Percutaneous Electrode Array Peripheral Nerve With Integrated Neurostimulator Including Imaging Guidance When Performed Each Additional Electrode Array List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64597. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64597 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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