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See a sample rate comparisonCPT 64901 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Nerve Graft Each Additional N, Nerve Graft Each Additional Nerve Single Strand (Listseparately In Addition To Code For Primary Procedure) Nerve Graft Each Additional Nerve Single Strand (List
| 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 XS - Separate Structure GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 64901 |
| Medicaid Fee Schedule | View Medicaid rates for 64901 |
National average reimbursement for CPT 64901 by major payers:
$771.09
$828.34
$822.79
$975.07
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CPT 64901
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Southwest LLP, Memorial Hermann Surgery Center Southwest
Memorial Hermann Surgery Center Southwest LLP
$2,079.00Published rateFredericksburg Ambulatory Surgery Center, LLC
Fredericksburg Ambulatory Surgery Center LLC
$375.00Published rateSurgicare Of La Veta Inc., Barranca Surgery Center
$219.00Published rateSurgery Center Of Naples, LLC
Surgery Center Of Naples LLC
$134.00Published rateVillages Endoscopy Center LLC
$48.00Published rate
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See a sample payer proposalCPT 64901 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64901 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 64901 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 |
|---|---|---|
| 64885-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Head Or Neck Up To 4 Cm In Length Nerve Graft (Includes Obtaining Graft) Head Or Neck Up To |
| 64886-CPT | High | Nerve Graft (Includes Obtainin, Nerve Graft (Includes Obtaining Graft) Head Or Neck Morethan 4 Cm Length Nerve Graft (Includes Obtaining Graft) Head Or Neck More |
| 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 |
| 64901-CPT | Moderate | Nerve Graft Each Additional N, Nerve Graft Each Additional Nerve Single Strand (Listseparately In Addition To Code For Primary Procedure) Nerve Graft Each Additional Nerve Single Strand (List |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64901 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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