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See a sample rate comparisonCPT 64772 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.
Transection Oth Spinal Extradural
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64772 |
| Medicaid Fee Schedule | View Medicaid rates for 64772 |
National average reimbursement for CPT 64772 by major payers:
$770.78
$765.91
$810.57
$922.12
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CPT 64772
5 of 25 sample ratesHigher to lower in this preview
Union Surgery Center, LLC
Union Surgery Center LLC
$2,652.00Published rateNew Britain Surgery Center LLC
New Britain Surgery Center, LLC
$1,992.00Published rateSpine Surgery Center Of Eugene, LLC
Spine Surgery Center Of Eugene LLC
$1,400.00Published rateSouthwest Endoscopy Ltd
$1,032.00Published rateDion Gabaldon
Deaconess Hospital Inc
$451.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64772 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64772 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 64772 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 |
|---|---|---|
| 64771-CPT | Moderate | Txsec/Avuls-Oth.Cran.Nrv,Extradural |
| 64772-CPT | Moderate | Transection Oth Spinal Extradural |
| 64856-CPT | High | Suture Of Major Periphral Nrve Arm Or Leg Excpt Sciatic; Inclu, Suture Of Major Peripheral Nerve Arm Or Leg Except Sciatic; Includin |
| 64858-CPT | High | Sciatic Nerve Surgery, Surgery To Repair The Sciatic Nerve A Large Nerve That Runs From The Buttocks Down The Back Of The Legs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64772. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64772 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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