CPT 64650 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Nervous System |
| Common Place of Service | • 11 - Office • 19 - Off Campus-Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GA - Waiver of Liability Statement Issued as Required by Payer Policy. Used to report a required ABN was issued for a service and is on file. A copy of ABN does not have to be submitted, but must be made available upon request |
| Complexity Level | Moderate |
National average reimbursement for CPT 64650 by major payers:
$99.05
$106.44
$121.74
$154.59
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 64650 | ||||||
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CPT 64650 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64650 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 64650 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 |
|---|---|---|
| 64642 | Low | Injection Of Chemical For Paralysis Of Nerve Muscles On Arm Or Leg, 1-4 Muscles, First Extremity |
| 64643 | Low | Chemodenervation Of One Extremity; Each Additionalextremity 1-4 Muscle(S) (List Separately In Addition To Code For Primary Procedure) |
| 64644 | Moderate | Injection Of Chemical For Paralysis Of Nerve Muscles On Arm Or Leg, 5 Or More Muscles, First Extremity |
| 64650 | Low | Injection Of Chemical For Destruction Of Underarm Sweat Glands |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64650 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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