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See a sample rate comparisonCPT 64712 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.
Neuroplst Major Periphral Nrve Arm Or Leg Open; Sciatic Nrve, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Sciatic Nerve
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64712 |
| Medicaid Fee Schedule | View Medicaid rates for 64712 |
National average reimbursement for CPT 64712 by major payers:
$797.20
$781.70
$847.27
$985.72
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CPT 64712
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Preston Road, Ltd., Doctors United Surgery Center
Memorial Hermann Surgery Center Preston Road Ltd
$5,729.00Published rateProliance Surgeons, Inc., P.S., Proliance Highlands Surgery Center
Proliance Surgeons, Inc., P.S.
$2,408.00Published rateMorganton Eye Physicians, P.A., Eye Surgery Center Of Shelby
Morganton Eye Physicians, P.A.
$1,346.00Published rateMichigan Endoscopy Center At Providence Park
$999.00Published rateDoctors Gi Partnership Ltd, Hf Surgery Center At Babcock
Doctors Gi Partnership Ltd
$525.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64712 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64712 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 64712 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 |
|---|---|---|
| 64708-CPT | Moderate | Neuroplst Major Periphral Nrve Arm Or Leg Open; Other Than Spec, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Other Than Spec |
| 64712-CPT | Moderate | Neuroplst Major Periphral Nrve Arm Or Leg Open; Sciatic Nrve, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Sciatic Nerve |
| 64713-CPT | High | Neuroplst Major Periphral Nrve Arm Or Leg Open; Brachial Plexus, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Brachial Plexus |
| 64714-CPT | Moderate | Neuroplst Major Periphral Nrve Arm Or Leg Open; Lumbar Plexus, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Lumbar Plexus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64712. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64712 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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