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CPT 64629 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 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)
Key FactDetail
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

59 - Distinct Procedural Service

KX - Requirements specified in the medical policy have been met

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 64629
Medicaid Fee ScheduleView Medicaid rates for 64629

National average reimbursement for CPT 64629 by major payers:

bcbs

$259.04

uhc

$308.82

aetna

$301.18

cigna

$362.55

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 64629.

CPT 64629
5 of 25 sample ratesHigher to lower in this preview
  1. Limestone Medical Center, LLC, Limestone Ambulatory Surgery Center

    Limestone Medical Center, Inc.

    DEAmbulatory Surgical Clinic/CenterNPI 1720182835Tax ID 51-0277181

    $1,708.00Published rate
  2. Baptist Medical Park Surgery Center, LLC

    Baptist Medical Park Surgery Center LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1760875983Tax ID 59-3535262

    $579.00Published rate
  3. Jalaram Patel

    Deaconess Hospital Inc

    INInternal Medicine PhysicianNPI 1366893539Tax ID 35-0593390

    $378.01Published rate
  4. Waxahachie Surgery Center

    TXAmbulatory Surgical Clinic/CenterNPI 1831665983Tax ID 83-1268553

    $200.00Published rate
  5. Anderson Endoscopy Center LLC

    OHAmbulatory Surgical Clinic/CenterNPI 1396192241Tax ID 81-1947476

    $81.00Published rate

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

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CPT 64629 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64629 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 64629 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
64628-CPTModerateThermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac, Thermal Destruction Of Intraosseous Basivertebral Nerve Including All Imaging Guidance; First 2 Vertebral Bodies Lumba
64629-CPTModerateThermal 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-CPTModerateDestroy 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-CPTModerateDestroy 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 64629. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64629 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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