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See a sample rate comparisonCPT 64605 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.
Destruct By Neurolytic Agnt Trigeminal Nrve; Second & Third Di, Destruction By Neurolytic Agent Trigeminal Nerve; Second And Third Di
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64605 |
| Medicaid Fee Schedule | View Medicaid rates for 64605 |
National average reimbursement for CPT 64605 by major payers:
$862.81
$841.71
$898.33
$638.99
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CPT 64605
5 of 25 sample ratesHigher to lower in this preview
Novant Health Clemmons Outpatient Surgery, LLC
Novant Health Clemmons Outpatient Surgery LLC
$4,416.00Published rateTexas Precision Surgery Center
Texas Precision Surgery Center L
$2,353.00Published rateLos Alamitos Surgery Center L P
$2,100.00Published rateJoe Choufani
Deaconess Hospital Inc
$1,027.94Published rateTodd Bohling
Deaconess Hospital Inc
$472.29Published rate
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See a sample payer proposalCPT 64605 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64605 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 64605 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 |
|---|---|---|
| 64600-CPT | Moderate | Injection Treatment Of Nerve, Destruction By Neurolytic Agent Trigeminal Nerve Supraorbital Infraorbital Mental Or Inferior Alveolar Branch |
| 64605-CPT | Moderate | Destruct By Neurolytic Agnt Trigeminal Nrve; Second & Third Di, Destruction By Neurolytic Agent Trigeminal Nerve; Second And Third Di |
| 64610-CPT | Moderate | Injection Treatment Of Nerve, Destruction By Neurolytic Agent Trigeminal Nerve Second And Third Division Branches At Foramen Ovale Under Radiologic Monitoring |
| 64611-CPT | Low | Injection To Reduce Saliva, Specific Saliva Glands Are Injected With Botulinum Toxin. The Drug Paralyzes The Glands Temporarily Causing Saliva Flow To Be Reduced. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64605 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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