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See a sample rate comparisonCPT 64716 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.
Neuroplasty &/Or Transposition; Cranial
| 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 51 - Multiple procedures RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64716 |
| Medicaid Fee Schedule | View Medicaid rates for 64716 |
National average reimbursement for CPT 64716 by major payers:
$663.44
$706.13
$743.33
$857.37
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CPT 64716
5 of 25 sample ratesHigher to lower in this preview
Surgicenter Of Greater Milwaukee, LLC, Surgicenter Of Greater Milwaukee, Inc.
Children'S Hospital And Health System, Inc.
$3,098.00Published rateSafety Harbor Asc Company LLC, Safety Harbor Surgery Center
$2,206.00Published rateEl Dorado Surgery Center Lp, Tucson Endoscopy Center
$1,477.00Published rateThe Nebraska Ambulatory Surgical Center, LLC, The Nebraska Ambulatory Surgical Center
The Nebraska Ambulatory Surgical Center LLC
$1,310.00Published rateTucson Gastroenterology Institute, LLC
Tucson Gastroenterology Institute LLC
$575.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64716 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64716 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 64716 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 |
| 64716-CPT | Moderate | Neuroplasty &/Or Transposition; Cranial |
| 64721-CPT | Moderate | Surgery Reduce Nerve Pressure, Surgery To Relieve Pain And Pressure On The Median (Carpal Tunnel) Nerve By Freeing Tissue Surrounding The Nerve. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64716. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64716 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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