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See a sample rate comparisonCPT 64866 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.
Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis).
| 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 80 - Assistant surgeon GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64866 |
| Medicaid Fee Schedule | View Medicaid rates for 64866 |
National average reimbursement for CPT 64866 by major payers:
$1,751.76
$1,674.28
$1,689.91
$2,017.34
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CPT 64866
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedic Surgery Center, LLC, Sosc
Summit Orthopedic Surgery Center LLC
$7,437.00Published rateSurgery Center Of Reno, LLC, Swift Surgery Center LLC
Surgery Center Of Reno, LLC
$1,274.00Published rateWestern Connecticut Orthopedic Surgical Center LLC, The Hand Center Of Western Connecticut LLC
The Hand Center Of Western Connecticut, L.L.C.
$850.00Published rateTowson Surgical Center LLC, Towson Surgical Center
Towson Surgical Center LLC
$395.00Published rateAdobe Surgery Center, PC
Adobe Surgery Center PC
$103.00Published rate
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See a sample payer proposalCPT 64866 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64866 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 64866 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 |
|---|---|---|
| 64865-CPT | High | Suture-Facial Nrv;Intratmp,W/Wo Gft |
| 64866-CPT | High | Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis). |
| 64868-CPT | High | Surgery To Repair Facial Nerve, Surgery To Restore Nerve Function To The Face By Connecting Two Nerves That Are Not Normally Joined (Anastomosis). |
| 64872-CPT | Low | Suture Of Nerve Requiring Sec, Suture Of Nerve Requiring Secondary Or Delayed Suture (Listseparately In Addition To Code For Primary Neurorrhaphy) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64866. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64866 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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