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See a sample rate comparisonCPT 64628 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.
Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance; First 2 Vertebral Bodies Lumba
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None KX - Requirements specified in the medical policy have been met SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64628 |
| Medicaid Fee Schedule | View Medicaid rates for 64628 |
National average reimbursement for CPT 64628 by major payers:
$544.60
$658.76
$641.89
$762.06
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CPT 64628
5 of 25 sample ratesHigher to lower in this preview
Harris Methodist Southwest
Texas Health Harris Methodist Hospital Southwest Fort Worth
$16,083.00Published rateFoundation Surgery Affiliate Of Nacogdoches LLC, Nacogdoches Surgery Center
Foundation Surgery Affiliate Of Nacogdoches LLC
$3,985.00Published rateCenter Of Surgical Excellence, Cose Anesthesia Billing
$1,826.00Published rateEdward Anglin
Highland Clinic, Apmc
$607.96Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Lone Star Circle Of Care
$367.57Published rate
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See a sample payer proposalCPT 64628 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64628 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 64628 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 |
|---|---|---|
| 64628-CPT | Moderate | Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance; First 2 Vertebral Bodies Lumba |
| 64629-CPT | Moderate | Thermal Destruction Of Intraos, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance Each Additional Vertebral Body Lumbar Or Sacral (List Separately In Addition To Code For Primary Procedure) |
| 64633-CPT | Moderate | Destroy Cerv Thor Facet Jnt, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Single Facet Joint |
| 64634-CPT | Moderate | Destroy C Th Facet Jnt Addl, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Cervical Or Thoracic Each Additional Facet Joint 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 64628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64628 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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