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See a sample rate comparisonCPT 64738 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.
Transecti Or Avulsion Of; Inferior Alveolar Nrve By Osteotomy, Transection Or Avulsion Of; Inferior Alveolar Nerve By Osteotomy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64738 |
| Medicaid Fee Schedule | View Medicaid rates for 64738 |
National average reimbursement for CPT 64738 by major payers:
$609.58
$624.81
$629.92
$756.70
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CPT 64738
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Saxony Surgery Center
$2,307.00Published rateCenters For Pain Solutions,LLC
Centers For Pain Solutionsllc
$1,245.00Published ratePermian Basin Surgical Care Center, LLC, Vista Surgery Center
Permian Basin Surgical Care Center LLC
$749.00Published ratePerlow Facility, LLC
Perlow Facility LLC
$424.00Published rateSurgical Specialists Group, LLC, Alabama Outpatient Surgery Center
Surgical Specialists Group, LLC
$364.00Published rate
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See a sample payer proposalCPT 64738 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64738 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 64738 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 |
|---|---|---|
| 64736-CPT | Moderate | Transection Mental Nerve |
| 64738-CPT | Moderate | Transecti Or Avulsion Of; Inferior Alveolar Nrve By Osteotomy, Transection Or Avulsion Of; Inferior Alveolar Nerve By Osteotomy |
| 64740-CPT | Moderate | Transection Lingual Nerve |
| 64742-CPT | Moderate | Transecti Or Avulsion Of; Facial Nrve Differnt Or Comple, Transection Or Avulsion Of; Facial Nerve Differential Or Complete |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64738. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64738 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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