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See a sample rate comparisonCPT 64857 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.
Suture Of Major Periphral Nrve Arm Or Leg Excpt Sciatic; W/O, Suture Of Major Peripheral Nerve Arm Or Leg Except Sciatic; Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64857 |
| Medicaid Fee Schedule | View Medicaid rates for 64857 |
National average reimbursement for CPT 64857 by major payers:
$1,349.35
$1,436.67
$1,466.33
$1,719.57
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CPT 64857
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$8,825.00Published rateMount Pleasant Outpatient Surgery Center LLC
$5,249.00Published rateNorthwoods Surgery Center, LLC
Northwoods Surgery Center LLC
$3,323.00Published rateNovamed Surgery Center Of Nashua, LLC, Nashua Eye Surgery Center
Novamed Surgery Center Of Nashua LLC
$2,163.00Published rateValley Eye Institute Asc LLC, Cvp Surgery Center
Valley Eye Institute Asc LLC
$1,109.00Published rate
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See a sample payer proposalCPT 64857 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64857 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 64857 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 |
|---|---|---|
| 64857-CPT | High | Suture Of Major Periphral Nrve Arm Or Leg Excpt Sciatic; W/O, Suture Of Major Peripheral Nerve Arm Or Leg Except Sciatic; Without |
| 64858-CPT | High | Sciatic Nerve Surgery, Surgery To Repair The Sciatic Nerve A Large Nerve That Runs From The Buttocks Down The Back Of The Legs. |
| 64861-CPT | High | Neurorrhaphy Brachial Plexus |
| 64862-CPT | High | Suture Of; Lumbar Plexus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64857. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64857 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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