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See a sample rate comparisonHealthcare 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.
| 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 59 - Distinct Procedural Service KX - Requirements specified in the medical policy have been met |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64629 |
| Medicaid Fee Schedule | View Medicaid rates for 64629 |
National average reimbursement for CPT 64629 by major payers:

$259.04

$308.82

$301.18

$362.55
Choose a payer to see a sample of rates for CPT 64629.
Limestone Medical Center, Inc.
Baptist Medical Park Surgery Center LLC
Deaconess Hospital Inc
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 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.
| 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 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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