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See a sample rate comparisonCPT 64896 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.
Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Multiple Strands(Cable) Hand Or Foot More Than 4 Cm Lengthnerve Graft (Includes Obtaining Graft) Multiple Strands
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64896 |
| Medicaid Fee Schedule | View Medicaid rates for 64896 |
National average reimbursement for CPT 64896 by major payers:
$1,853.03
$1,977.71
$1,976.97
$2,351.28
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CPT 64896
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$16,929.00Published rateSummit Ambulatory Surgical Center, LLC
$5,249.00Published rateSouthside Specialty Surgical Center LLC
$3,100.00Published rateHeart Care Center, LLC
$1,590.00Published rateCape Surgery Center, LLC
Cape Surgery Center LLC
$790.00Published rate
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See a sample payer proposalCPT 64896 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64896 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 64896 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 |
|---|---|---|
| 64890-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Single Strand Hand Or Foot Up To 4 Cm Length Nerve Graft (Includes Obtaining Graft) Single Strand Hand |
| 64891-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Single Strand Hand Or Foot More Than 4 Cm Length Nerve Graft (Includes Obtaining Graft) Single Strand Hand |
| 64895-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Multiple Strands(Cable) Hand Or Foot Up To 4 Cm Length Nerve Graft (Includes Obtaining Graft) Multiple Strands |
| 64896-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Multiple Strands(Cable) Hand Or Foot More Than 4 Cm Lengthnerve Graft (Includes Obtaining Graft) Multiple Strands |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64896. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64896 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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