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See a sample rate comparisonCPT 64864 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 Facial Extracranial
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64864 |
| Medicaid Fee Schedule | View Medicaid rates for 64864 |
National average reimbursement for CPT 64864 by major payers:
$1,102.59
$1,184.13
$1,237.20
$1,420.12
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CPT 64864
5 of 25 sample ratesHigher to lower in this preview
South Emerson Surgery Center, LLC
$15,626.00Published rateMassac County Surgery Center LLC, The Orthopaedic Institute Surgery Center
Massac County Surgery Center LLC
$3,572.00Published rateWomen'S Surgical Center At Northcare, LLC
Women S Surgical Center At Nor
$1,900.00Published rateSouth Hills Diagnostic & Treatment Center Lp, South Hills Endoscopy Center
South Hills Diagnostic Treatment Center Lp
$1,500.00Published rateWnc Eye Surgery Centers Inc
$840.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 64864 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64864 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 64864 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 |
| 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. |
| 64864-CPT | High | Neurorrhaphy Facial Extracranial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64864. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64864 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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