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See a sample rate comparisonCPT 64786 Fee Schedule
Last Verified: October 2026
Healthcare 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.
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).
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64786 |
| Medicaid Fee Schedule | View Medicaid rates for 64786 |
National average reimbursement for CPT 64786 by major payers:
$1,346.13
$1,422.35
$1,414.96
$1,663.21
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CPT 64786
5 of 25 sample ratesHigher to lower in this preview
Davenport Ambulatory Surgery Center, L.L.C.
$5,433.00Published rateCenter For Restorative Surgery At Maple Grove, LLC
Center For Restorative Surgery At Maple Grove LLC
$3,877.00Published rateAesthetic & General Dermatology Of Seattle
Elie Levy, M.D., P.C. Dba Aesthetic & General Dermatology Of Seattle
$3,259.00Published rateWichita Falls Endoscopy Center
$1,666.00Published rateGastrointestinal Diagnostic Endoscopy Woodstock, LLC, Town Lake Endoscopy Center
Gastrointestinal Diagnostic Endoscopy Woodstock LLC
$515.00Published rate
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See a sample payer proposalCPT 64786 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64786 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 64786 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 |
|---|---|---|
| 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). |
| 64831-CPT | Moderate | Suture-Digital Nerve,Hand/Ft; 1 Nrv |
| 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 64786. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64786 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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