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See a sample rate comparisonHealthcare 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.
| 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 59 - Distinct Procedural Service 80 - Assistant surgeon GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64755 |
| Medicaid Fee Schedule | View Medicaid rates for 64755 |
National average reimbursement for CPT 64755 by major payers:

$1,156.61

$1,243.26

$1,257.65

$1,478.96
Choose a payer to see a sample of rates for CPT 64755.
El Paso Center For Gastrointestinal Endoscopy LLC
Vascare Mayfair LLC
Integrated Surgical Institute
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 64755 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64755 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 64755 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 |
|---|---|---|
| 64746-CPT | Moderate | Transection Phrenic Nerve |
| 64755-CPT | High | Incision Of Stomach Nerves, Transection Or Avulsion Of Vagus Nerves Limited To Proximal Stomach Selective Proximal Vagotomy Proximal Gastric Vagotomy Parietal Cell Vagotomy Supra Or Highly Selective Vagotomy |
| 64760-CPT | Moderate | Vagotomy Abdominal |
| 64802-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64755. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64755 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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