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See a sample rate comparisonCPT 64795 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.
Biopsy Nerve
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64795 |
| Medicaid Fee Schedule | View Medicaid rates for 64795 |
National average reimbursement for CPT 64795 by major payers:
$272.52
$266.00
$272.16
$315.40
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CPT 64795
5 of 25 sample ratesHigher to lower in this preview
Vanguard Asc, LLC, Vanguard Surgical Center
$3,611.00Published rateLutherville Endoscopy Center LLC
$2,655.00Published rateBeacon Orthopaedic Surgery Center, Beacon Ambulatory Surgery Center
Beacon Orthopaedics Surgery Center LLC
$1,946.00Published rateVertrae Surgery Center, LLC
$1,127.00Published rateLaser & Surgical Services At Center For Sight LLC
Laser Surgical Services At Center For Sight LLC
$561.00Published rate
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See a sample payer proposalCPT 64795 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64795 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 64795 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 |
| 64795-CPT | Moderate | Biopsy Nerve |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64795. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64795 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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