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CPT 64624 Fee Schedule

Last Verified: July 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.

Destruction By Neurolytic Agen, Destruction By Neurolytic Agent Genicular Nerve Branches Including Imaging Guidance When Performed
Key FactDetail
Service Type

Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) and Chemodenervation Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System

Common Place of Service

24 - Ambulatory Surgical Center

11 - Office

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 64624

National average reimbursement for CPT 64624 by major payers:

bcbs

$456.98

uhc

$557.25

aetna

$557.78

cigna

$626.00

Preview provider-level rates for...
For billing codeCPT 64624
PayerCodeRateNPITax IDStateSpecialty
United
64624$1475.001043391188 - SKIN SURGERY CENTER PS, SKIN SURGERY CENTER911954101 - (WA) SKIN SURGERY CENTER P. S.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$777.001740424944 - GASTRO CARE, LLC263402953 - (OH) GASTRO CARE LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1200.001831801117 - SIGHT PARTNERS, LLC, EMPIRE EYE PHYSICIANS833467355WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$327.951578081345 - ALEXANDRIA CARIE-KROEGER350593390 - DEACONESS HOSPITAL INCINNurse Practitioner (363L00000X)
United
64624$3150.001548238140 - DENTON SURGICARE PARTNERS LTD, BAYLOR SCOTT & WHITE SURGICARE - DENTON752708579 - (TX) DENTON SURGICARE PARTNERS LTDTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$4041.001568884104 - EMORY AMBULATORY SURGERY CENTER AT DUNWOODY, LLC464115055 - (GA) EMORY AMBULATORY SURGERY CENTER AT DUNWOODY LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1600.001962953018 - THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC611795393 - (FL) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1062.001598729329 - SURGICARE OF ST ANDREWS LTD611276561 - (FL) SURGICARE OF ST ANDREWS LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$530.001023039195 - CAPE SURGERY CENTER, LLC200649544 - (TN) CAPE SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1518.001457465403 - VENTURE AMBULATORY SURGERY CENTER743257508FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1526.001184798837 - SHADELANDS ADVANCED ENDOSCOPY INSTITUTE, INC.205834466 - (CA) SHADELANDS ADVANCED ENDOSCOPY INSTITUTE INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$2307.001053574244 - SURGERY CENTER AT UNIVERSITY PARK, LLC, PREMIER SURGERY CENTER OF SARASOTA203757623 - (FL) SURGERY CENTER AT UNIVERSITY PARK LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$5402.001700431798 - METHODIST AMBULATORY SURGERY CENTER OF BOERNE, LLC823532569 - (TX) METHODIST AMBULATORY SURGERY CENTER OF BOERNE LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1395.001417919879 - HUNTERDON ENDOSURGERY CENTER223597546NJAmbulatory Surgical Clinic/Center (261QA1903X)
United
64624$1379.001144370784 - BELLINGHAM EAR NOSE THROAT AND FACIAL SURGERY INC, WHATCOM SURGERY CENTER911009308 - (WA) BELLINGHAM EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, INC. P.S.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 64624 vs. Other Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) and Chemodenervation Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System Codes

The CPT 64624 code is part of the Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves services used for Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) and Chemodenervation Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic 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 64624 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.

CodeComplexityDescription
64620-CPTModerateInject Nerve For Pain Control, An Injection Into A Nerve To Deaden The Sensation Of Pain At A Location.
64624-CPTModerateDestruction By Neurolytic Agen, Destruction By Neurolytic Agent Genicular Nerve Branches Including Imaging Guidance When Performed
64625-CPTModerateTreat Pain In Hip And Spine, An Electrical Current Produced By A Radio Wave Is Used To Heat Up A Small Area Of Nerve Tissue At The Joint Of The Spine And Hip. This Procedure (Radiofrequency Ablation) Is Used To Treat Chronic Pain.
64630-CPTModerateDestruct Neurolytic Pudendal

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64624 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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