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See a sample rate comparisonCPT 64788 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.
Excision Of Neurofibroma Or Ne, Excision Of Neurofibroma Or Neurolemmoma Cutaneous Nerveexcision Of Neurofibroma Or Neurolemmoma Cutaneous Nerve
| 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 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64788 |
| Medicaid Fee Schedule | View Medicaid rates for 64788 |
National average reimbursement for CPT 64788 by major payers:
$552.86
$537.03
$570.43
$659.70
Compare published rates across providers.
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CPT 64788
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$5,048.00Published rateBanner Surgery Center
$1,750.00Published rateSalem Endoscopy Center, LLC
Salem Endoscopy Center LLC
$1,469.00Published rateDialysis Access Services, LLC
Dialysis Access Services LLC
$1,200.00Published rateLockwood Ambulatory Surgery Center, Groman & Rubin Ambulatory Surgery Center
Lockwood Ambulatory Surgery Center
$701.00Published rate
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See a sample payer proposalCPT 64788 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64788 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 64788 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 |
|---|---|---|
| 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 |
| 64790-CPT | High | Excision Of Neurofibroma Or Ne, Excision Of Neurofibroma Or Neurolemmoma Major Peripheralnerve Excision Of Neurofibroma Or Neurolemmoma Major Peripheral |
| 64804-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 64788. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64788 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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