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CPT 64624 Fee Schedule

Last Verified: September 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

Surgery

Surgical Procedures on the 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
Medicaid Fee ScheduleView Medicaid rates for 64624

National average reimbursement for CPT 64624 by major payers:

bcbs

$456.98

uhc

$557.25

aetna

$557.78

cigna

$626.00

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 64624.

CPT 64624
5 of 25 sample ratesHigher to lower in this preview
  1. Methodist Ambulatory Surgery Center Of Boerne, LLC

    Methodist Ambulatory Surgery Center Of Boerne LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1700431798Tax ID 82-3532569

    $5,402.00Published rate
  2. Surgery Center At University Park, LLC, Premier Surgery Center Of Sarasota

    Surgery Center At University Park LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1053574244Tax ID 20-3757623

    $2,307.00Published rate
  3. Venture Ambulatory Surgery Center

    FLAmbulatory Surgical Clinic/CenterNPI 1457465403Tax ID 74-3257508

    $1,518.00Published rate
  4. Bellingham Ear Nose Throat And Facial Surgery Inc, Whatcom Surgery Center

    Bellingham Ear, Nose, Throat & Facial Plastic Surgery, Inc. P.S.

    WAAmbulatory Surgical Clinic/CenterNPI 1144370784Tax ID 91-1009308

    $1,379.00Published rate
  5. Alexandria Carie-Kroeger

    Deaconess Hospital Inc

    INNurse PractitionerNPI 1578081345Tax ID 35-0593390

    $327.95Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 64624 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64624 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 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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