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CPT 64835 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.

Neurorrhaphy Median Motor Thenar
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 64835
Medicaid Fee ScheduleView Medicaid rates for 64835

National average reimbursement for CPT 64835 by major payers:

bcbs

$1,044.95

uhc

$1,107.58

aetna

$1,121.89

cigna

$1,366.19

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 64835.

CPT 64835
5 of 25 sample ratesHigher to lower in this preview
  1. Wellbridge Surgical, LLC

    Wellbridge Surgical

    INAmbulatory Surgical Clinic/CenterNPI 1497424717Tax ID 84-4493706

    $6,750.00Published rate
  2. Surgery Center Of Mesa LLC

    AZAmbulatory Surgical Clinic/CenterNPI 1386275147Tax ID 81-3829555

    $4,014.00Published rate
  3. Water Leaf Surgery Center, Ltd

    Water Leaf Surgery Center Ltd

    TXAmbulatory Surgical Clinic/CenterNPI 1437505948Tax ID 81-1356283

    $3,200.00Published rate
  4. Foot & Ankle Surgery Center

    Foot Ankle Surgery Center

    GAAmbulatory Surgical Clinic/CenterNPI 1457387771Tax ID 58-2658964

    $2,578.00Published rate
  5. Jeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc

    Jeffrey L Bober Dpm PA

    MDAmbulatory Surgical Clinic/CenterNPI 1194999359Tax ID 52-1706931

    $774.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 64835 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64835 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 64835 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.

CodeComplexityDescription
64831-CPTModerateSuture-Digital Nerve,Hand/Ft; 1 Nrv
64832-CPTModerateSuture Of Digital Nerve Hand, Suture Of Digital Nerve Hand Or Foot Each Additionaldigital Nerve (List Separately In Addition To Code For Primary Procedure)
64834-CPTModerateSuture-1 Nrv,Hand/Ft;Common Sensory
64835-CPTHighNeurorrhaphy Median Motor Thenar

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64835. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64835 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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