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See a sample rate comparisonCPT 64790 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.
Excision Of Neurofibroma Or Ne, Excision Of Neurofibroma Or Neurolemmoma Major Peripheralnerve Excision Of Neurofibroma Or Neurolemmoma Major Peripheral
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 64790 |
| Medicaid Fee Schedule | View Medicaid rates for 64790 |
National average reimbursement for CPT 64790 by major payers:
$1,137.17
$1,136.61
$1,212.67
$1,368.34
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CPT 64790
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$5,831.60Published rateBarkley Surgicenter, LLC
Barkley Surgicenter LLC
$2,353.00Published rateTrails Edge Surgery Center, LLC
Trails Edge Surgery Center LLC
$2,025.00Published rateDeer Creek Surgery Center, LLC
$1,154.00Published rateDanville Polyclinic, Ltd, Danville Polyclinic Ltd Astc
Danville Polyclinic, Ltd.
$737.00Published rate
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See a sample payer proposalCPT 64790 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64790 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 64790 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 |
|---|---|---|
| 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 |
| 64792-CPT | High | Excision Of Neurofibroma Or Ne, Excision Of Neurofibroma Or Neurolemmoma Extensive(Including Malignant Type) Excision Of Neurofibroma Or Neurolemmoma Extensive |
| 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 64790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64790 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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