Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 64862 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; Lumbar Plexus
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64862 |
| Medicaid Fee Schedule | View Medicaid rates for 64862 |
National average reimbursement for CPT 64862 by major payers:
$1,924.59
$1,901.59
$1,918.17
$2,306.31
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64862.
CPT 64862
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$13,172.00Published rateAdvanced Surgery Center Of Tampa, LLC
$5,249.00Published ratePvscg, LLC
Pvscg LLC
$3,654.00Published rateJohns Hopkins Surgery Centers Series, Lutherville Surgery Center
Johns Hopkins Surgery Center Series
$2,483.00Published rateTerry Sweatt
Deaconess Hospital Inc
$1,103.40Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 64862 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64862 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 64862 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 |
|---|---|---|
| 64856-CPT | High | Suture Of Major Periphral Nrve Arm Or Leg Excpt Sciatic; Inclu, Suture Of Major Peripheral Nerve Arm Or Leg Except Sciatic; Includin |
| 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 |
| 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 64862. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64862 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 64862) and we'll show you how you compare in 15 minutes or less.