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See a sample rate comparisonCPT 64680 Fee Schedule
Last Verified: October 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 By Neurolytic Agnt W//W/O Radiologic Mnitor, Destruction By Neurolytic Agent With Or Without Radiologic Monitoring
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64680 |
| Medicaid Fee Schedule | View Medicaid rates for 64680 |
National average reimbursement for CPT 64680 by major payers:
$396.70
$440.49
$477.46
$282.61
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CPT 64680
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio
The Surgery Center Of Southwest
$4,482.00Published rateSurgcenter Northeast LLC
Surgcenter Northeast, LLC
$934.00Published rateDcr Surgery Center, LLC
Dcr Surgery Center LLC
$480.00Published ratePalmetto Lakes Surgical Center, LLC
Palmetto Lakes Surgical Center LLC
$377.00Published rateBethany Burkhart-Edelen
Deaconess Hospital Inc
$257.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64680 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64680 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 64680 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 |
|---|---|---|
| 64680-CPT | Moderate | Destruct By Neurolytic Agnt W//W/O Radiologic Mnitor, Destruction By Neurolytic Agent With Or Without Radiologic Monitoring |
| 64681-CPT | Moderate | Injection Treatment Of Nerve, Destruction By Neurolytic Agent With Or Without Radiologic Monitoring Superior Hypogastric Plexus |
| 64702-CPT | Moderate | Neuroplasty; Digital, Oneor Both, Same |
| 64704-CPT | Moderate | Neurolysis Handor Foot |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64680 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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