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See a sample rate comparisonHealthcare 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 |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64598 |
| Medicaid Fee Schedule | View Medicaid rates for 64598 |
National average reimbursement for CPT 64598 by major payers:

$1,842.83

$456.59

$1,127.22

$940.21
Choose a payer to see a sample of rates for CPT 64598.
San Fernando Valley Surgery Center Lp
Drs LLC
Harlingen Surgical Center LLC
Center For Advanced Eye Surgery Ltd
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Rate Benchmarking
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See a sample payer proposalCPT 64598 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64598 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 64598 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 |
|---|---|---|
| 64598-CPT | High | Revise Pain Control Device, Surgery To Revise Or Remove Nerve Stimulator Generator Or Receiver (Device Used To Treat Pain Or Nausea By Producing Electrical Stimulation). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64598. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64598 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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