What is CPT code 64635?

CPT 64635 is a code used by healthcare providers to document and receive reimbursement for the destruction by neurolytic agent of the paravertebral facet joint nerve with imaging guidance, specifically for the lumbar or sacral region, single facet joint. It typically involves moderate medical decision-making.

How can I find out the cost of a medical procedure or service?

To estimate the cost of a medical procedure or service, you can start by contacting your healthcare provider's billing department directly for an estimate. You should also check with your insurance company to understand your coverage, deductible, co-pays, and out-of-pocket maximums. For specific price lookups based on CPT codes and your location, Payerprice offers a fee schedule lookup tool that can help you understand potential costs.

CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for consistent and accurate billing and processing of medical claims. Each code corresponds to a specific service or procedure performed by a healthcare professional.

Why do medical service prices vary so much between different providers or locations?

Medical service prices can vary significantly due to several factors including negotiated rates with different insurance companies, the type of facility (e.g., hospital vs. outpatient clinic), geographic location, provider's specialization and experience, and the specific equipment or technology used. Additionally, the complexity of the case and the level of care required can influence the final cost. These variations highlight the importance of researching costs upfront.

What should I do if I receive a medical bill that seems unexpectedly high or incorrect?

If you receive an unexpectedly high or incorrect medical bill, first review the bill carefully for any errors. Contact your provider's billing department to request an itemized bill and to understand the charges. Next, contact your health insurance company to confirm how the services were covered and processed. If you believe the bill is a 'surprise bill' from an out-of-network provider for emergency services or certain non-emergency services at an in-network facility, you may be protected by the No Surprises Act. For comparing the prices of specific services, you can use tools like Payerprice to research what other providers might charge for the same CPT codes in your area.

Where can I find specific fee schedules or look up prices for medical services using CPT codes and location?

For detailed fee schedules and to look up prices for medical services using CPT codes and your specific location, you should use Payerprice. Payerprice provides a dedicated fee schedule lookup tool designed for users to search with CPT codes and geographic details, helping you understand the potential costs before receiving a service.

CPT 64635 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 Paravertebral Facet Joint Nerve(S) With Imaging Guidance (Fluoroscopy Or Ct) Lumbar Or Sacral Single Facet Joint

Key Fact	Detail
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 Level	Moderate
Medicare Fee Schedule	View Medicare rates for 64635
Medicaid Fee Schedule	View Medicaid rates for 64635

National average reimbursement for CPT 64635 by major payers:

$536.34

$593.12

$623.92

$699.46

Compare published rates across providers.

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CPT 64635

5 of 25 sample ratesHigher to lower in this preview

Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
INAmbulatory Surgical Clinic/CenterNPI 1992395388Tax ID 84-2206388
$8,705.00Published rate
Millennium Surgery Center Inc
CAAmbulatory Surgical Clinic/CenterNPI 1508965401Tax ID 77-0513445
$2,172.00Published rate
Tulsa Ok Ophthalmology Asc LLC, Eye Surgery Center Of Tulsa
OKAmbulatory Surgical Clinic/CenterNPI 1114990736Tax ID 74-3051552
$1,098.00Published rate
Georgia Surgical Centers South, Inc
GAAmbulatory Surgical Clinic/CenterNPI 1518106681Tax ID 43-650858
$737.00Published rate
Christopher Hall
Ken Homolya Md LLC
TNPain Medicine PhysicianNPI 1689244220Tax ID 45-1183242
$389.77Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 64635 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64635 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 64635 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
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
64635-CPT	Moderate	Destruction By Neurolytic Agen, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve(S) With Imaging Guidance (Fluoroscopy Or Ct) Lumbar Or Sacral Single Facet Joint
64636-CPT	Moderate	Destroy L S Facet Jnt Addl, Destruction By Neurolytic Agent Paravertebral Facet Joint Nerve S With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral 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 64635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64635 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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CPT 64635 Fee Schedule

Compare published rates across providers.

Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne

Millennium Surgery Center Inc

Tulsa Ok Ophthalmology Asc LLC, Eye Surgery Center Of Tulsa

Georgia Surgical Centers South, Inc

Christopher Hall