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See a sample rate comparisonCPT 64821 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 On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64821 |
| Medicaid Fee Schedule | View Medicaid rates for 64821 |
National average reimbursement for CPT 64821 by major payers:
$1,020.59
$943.64
$961.11
$1,144.39
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CPT 64821
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$10,099.00Published rateManchester Surgery Center, LLC
$3,570.00Published rateIrving Specialists Surgical Center LLC
$2,277.00Published rateLynn Eye Surgery Center, LLC, Lynn Eye Surgery Center
Lynn Eye Surgery Center LLC
$1,254.00Published rateLee Surgery Center LLC
$756.00Published rate
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See a sample payer proposalCPT 64821 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64821 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 64821 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 |
|---|---|---|
| 64820-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64821-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64822-CPT | Moderate | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64831-CPT | Moderate | Suture-Digital Nerve,Hand/Ft; 1 Nrv |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64821. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64821 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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