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See a sample rate comparisonCPT 64630 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.
Destruct Neurolytic Pudendal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64630 |
| Medicaid Fee Schedule | View Medicaid rates for 64630 |
National average reimbursement for CPT 64630 by major payers:
$323.07
$321.93
$339.04
$318.06
Compare published rates across providers.
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CPT 64630
5 of 25 sample ratesHigher to lower in this preview
Performance Health Surgicenter, LLC
Performance Health Surgicenter LLC
$4,215.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$893.00Published rateOutpatient Surgical Center Of Arizona, LLC
Outpatient Surgical Center Of Arizona LLC
$480.00Published rateAustell Surgery Center, LLC
Austell Surgery Center LLC
$410.00Published rateHazleton Ambulatory Surgical Center LLC
$200.00Published rate
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See a sample payer proposalCPT 64630 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64630 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 64630 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 |
|---|---|---|
| 64620-CPT | Moderate | Inject Nerve For Pain Control, An Injection Into A Nerve To Deaden The Sensation Of Pain At A Location. |
| 64624-CPT | Moderate | Destruction By Neurolytic Agen, Destruction By Neurolytic Agent Genicular Nerve Branches Including Imaging Guidance When Performed |
| 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 |
| 64630-CPT | Moderate | Destruct 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 64630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64630 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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