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See a sample rate comparisonCPT 64897 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 Graft A Nerve, Surgery To Obtain A Single- Or Multiple-Strand Nerve Section From Another Location In The Body And Attach (Graft) It To One In The Arm Or Leg.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64897 |
| Medicaid Fee Schedule | View Medicaid rates for 64897 |
National average reimbursement for CPT 64897 by major payers:
$1,606.27
$1,734.20
$1,751.36
$2,067.16
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CPT 64897
5 of 25 sample ratesHigher to lower in this preview
Warner Park Surgery Center LLC, Center For Advanced Surgery
Warner Park Surgery Center LLC
$5,433.00Published rateOrthoillinois Surgery Center Elgin, LLC
Orthoillinois Surgery Center Elgin LLC
$3,154.00Published ratePnw Eye PLLC, Pacific Northwest Eye Surgery Center
Pnw Eye, PLLC
$2,373.00Published rateTuscaloosa Surgical Center Lp, Tuscaloosa Sur
Tuscaloosa Surgical Center Lp
$1,549.00Published rateArizona Surgical Arts, Inc.
Arizona Surgical Arts Inc
$713.00Published rate
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See a sample payer proposalCPT 64897 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64897 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 64897 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 |
|---|---|---|
| 64892-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Single Strand Armor Leg Up To 4 Cm Length Nerve Graft (Includes Obtaining Graft) Single Strand Arm |
| 64893-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Single Strand Armor Leg More Than 4 Cm Length Nerve Graft(Includes Obtaining Graft) Single Strand Arm |
| 64897-CPT | High | Surgery To Graft A Nerve, Surgery To Obtain A Single- Or Multiple-Strand Nerve Section From Another Location In The Body And Attach (Graft) It To One In The Arm Or Leg. |
| 64898-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Multiple Strands(Cable) Arm Or Leg More Than 4 Cm Length Nerve 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 64897. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64897 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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