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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64784 |
| Medicaid Fee Schedule | View Medicaid rates for 64784 |
National average reimbursement for CPT 64784 by major payers:

$965.82

$989.13

$1,041.03

$1,188.86
Choose a payer to see a sample of rates for CPT 64784.
West Orange Asc LLC
Gold Coast Surgery Center LLC
Surgery Center Of Munster LLC
Radiance, LLC
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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 64784 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64784 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 64784 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 |
|---|---|---|
| 64782-CPT | Moderate | Exc Neuroma Handor Foot |
| 64784-CPT | Moderate | Exc Neuroma Major Peripheral Nerve |
| 64786-CPT | High | Surgery To Remove Nerve Tumor, Surgery To Remove A Noncancerous Tumor (Excessive Tissue Growth) From The Sciatic Nerve (Nerve In The Back That Runs Down The Buttocks To The Leg). |
| 64788-CPT | Moderate | Excision Of Neurofibroma Or Ne, Excision Of Neurofibroma Or Neurolemmoma Cutaneous Nerveexcision Of Neurofibroma Or Neurolemmoma Cutaneous Nerve |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64784. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64784 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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