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See a sample rate comparisonCPT 64713 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Neuroplst Major Periphral Nrve Arm Or Leg Open; Brachial Plexus, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Brachial Plexus
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 64713 |
| Medicaid Fee Schedule | View Medicaid rates for 64713 |
National average reimbursement for CPT 64713 by major payers:
$1,105.26
$1,048.21
$1,149.81
$1,281.20
Compare published rates across providers.
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CPT 64713
5 of 25 sample ratesHigher to lower in this preview
Denton Surgicare Partners, Ltd., Denton Surgicare
Denton Surgicare Partners Ltd
$3,150.00Published rateRattner Vascular Medical Center Asc LLC
$1,887.00Published rateSurgery Center At Cottonwood, LLC
Surgery Center At Cottonwood LLC
$1,570.00Published rateThe Center For Aesthetic Surgery LLC
$1,213.00Published rateIowa Endoscopy Center, Inc.
Iowa Endoscopy Center Inc
$568.00Published rate
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See a sample payer proposalCPT 64713 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64713 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 64713 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 |
|---|---|---|
| 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 |
| 64716-CPT | Moderate | Neuroplasty &/Or Transposition; Cranial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64713. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64713 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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