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See a sample rate comparisonCPT 64911 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 A Nerve, Surgery To Repair A Nerve By Transplanting A Portion Of A Healthy Vein Onto The Damaged Section Of Nerve.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 64911 |
| Medicaid Fee Schedule | View Medicaid rates for 64911 |
National average reimbursement for CPT 64911 by major payers:
$1,327.96
$1,353.60
$1,395.80
$1,707.54
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CPT 64911
5 of 25 sample ratesHigher to lower in this preview
Mclean Ambulatory Surgery, LLC
Mclean Ambulatory Surgery LLC
$8,387.00Published rateUropartners Surgery Center, LLC
Uropartners Surgery Center LLC
$3,630.00Published rateNephrology Vascular Lab Of Central Alabama Asc LLC
$2,200.00Published ratePerimeter Surgical Center Inc
$1,380.00Published ratePain Mds Inc
$750.00Published rate
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See a sample payer proposalCPT 64911 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64911 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 64911 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 |
|---|---|---|
| 64905-CPT | High | Surgery To Transfer A Nerve, Surgery To Attach A Healthy Nerve To An Injured One To Encourage Regrowth. The Surgery Is Done In Two Parts. |
| 64907-CPT | High | Surgery To Transfer A Nerve, Surgery To Attach A Healthy Nerve To An Injured One To Encourage Regrowth. The Surgery Is Done In Two Parts. |
| 64910-CPT | High | Nrve Rpair; W/ Synthetic Conduit Or Vein Allogrft (Eg Nrve Tube, Nerve Repair; With Synthetic Conduit Or Vein Allograft (Eg Nerve Tube |
| 64911-CPT | High | Surgery To Repair A Nerve, Surgery To Repair A Nerve By Transplanting A Portion Of A Healthy Vein Onto The Damaged Section Of Nerve. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64911. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64911 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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