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See a sample rate comparisonCPT 64859 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.
Suture Of Each Additional Majo, Suture Of Each Additional Major Peripheral Nerve (Listseparately In Addition To Code For Primary Procedure)
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64859 |
| Medicaid Fee Schedule | View Medicaid rates for 64859 |
National average reimbursement for CPT 64859 by major payers:
$321.48
$350.34
$354.27
$410.70
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CPT 64859
5 of 25 sample ratesHigher to lower in this preview
Specialty Surgical Center Of North Brunswick, LLC
Specialty Surgical Center Of N
$1,413.00Published rateVirginia Mason Medical Center, Virginia Mason Bellevue Asc
Virginia Mason Medical Center
$521.00Published rateBsc Biltmore LLC
$225.00Published rateCincinnati Asc LLC, University Endoscopy Center
Cincinnati Asc LLC
$130.00Published rateNovant Health Wilmington Endoscopy Center LLC, Novant Health Wilmington Endoscopy Center
Carolina Healthcare Associates Inc
$69.00Published rate
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See a sample payer proposalCPT 64859 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64859 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 64859 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 |
|---|---|---|
| 64802-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64804-CPT | High | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64818-CPT | Moderate | Surgery On Sensory Nerves, Surgery To Cut Sensory Nerves Associated With Blood Flow Pain Sweating Or Other Sensing Related Function. |
| 64859-CPT | Moderate | Suture Of Each Additional Majo, Suture Of Each Additional Major Peripheral Nerve (Listseparately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64859. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64859 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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