What is CPT code 64912?

CPT code 64912, or 'Nerve Repair; With Nerve Allograft, Each Nerve, First Strand (Cable)', is used by healthcare providers to document and receive reimbursement for visits involving high-level medical decision-making, often including multiple diagnoses or prescription management. It falls under Surgical Procedures on the Nervous System and represents a moderate-complexity encounter.

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, hospitals, and other healthcare providers to describe the services they provide to patients. These codes are essential for billing purposes and to ensure consistent communication about medical procedures and services across the healthcare industry.

How can I find the cost of a medical procedure or service before I receive it?

To estimate the cost of a specific medical procedure or service, you can first request an estimate from your healthcare provider. For more detailed and localized pricing information, you can utilize online tools. Payerprice offers a fee schedule lookup tool that allows users to search with a CPT code and their specific location to find relevant pricing data.

What is a medical fee schedule?

A medical fee schedule is a comprehensive list of fees used by healthcare providers or payers (like insurance companies) to determine the reimbursement amount for various medical services and procedures. It typically outlines the maximum allowable amount for specific CPT codes and can vary based on factors such as geographic location, provider type, and the specific payer.

Why do prices for the same medical service vary significantly?

Prices for identical medical services can vary greatly due to several factors. These include the type of facility (e.g., hospital vs. independent clinic), geographic location, the patient's specific insurance plan, whether the provider is in-network or out-of-network, and the provider's individual pricing strategies and overhead costs. Negotiations between providers and insurance companies also play a significant role.

Where can I look up specific pricing information for a CPT code in my area?

For specific pricing information related to a CPT code in your local area, it's recommended to use dedicated online lookup tools. Payerprice provides a fee schedule lookup tool designed for this purpose, allowing users to search for pricing information using a CPT code and their specific location to help understand potential costs for medical services.

CPT 64912 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are influenced by several factors: 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), and Provider Type (hospital providers may have different rates than private practice).

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 Repair With Nerve Allog, Nerve Repair With Nerve Allograft Each Nerve First Strand (Cable) Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th

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 59 - Distinct Procedural Service
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 64912
Medicaid Fee Schedule	View Medicaid rates for 64912

National average reimbursement for CPT 64912 by major payers:

$1,146.13

$1,189.12

$1,207.13

$1,421.51

Compare published rates across providers.

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CPT 64912

5 of 25 sample ratesHigher to lower in this preview

East Campus Surgery Center LLC
INAmbulatory Surgical Clinic/CenterNPI 1891935201Tax ID 35-2028517
$10,317.00Published rate
Oak Point Surgical Suites LLC
TXAmbulatory Surgical Clinic/CenterNPI 1043708019Tax ID 82-3437812
$4,704.00Published rate
Fort Wayne Vascular Care LLC, Nephrology Associates Of Northern Indiana PC
Fort Wayne Vascular Care LLC
INAmbulatory Surgical Clinic/CenterNPI 1225684368Tax ID 36-4859870
$2,500.00Published rate
Endoscopy Center Of North Carolina
NCAmbulatory Surgical Clinic/CenterNPI 1013463157Tax ID 81-3453411
$1,366.00Published rate
Grant Roesler
Deaconess Hospital Inc
OKCertified Registered Nurse AnesthetistNPI 1528019569Tax ID 35-0593390
$628.84Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 64912 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64912 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 64912 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
64912-CPT	High	Nerve Repair With Nerve Allog, Nerve Repair With Nerve Allograft Each Nerve First Strand (Cable) Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64912. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64912 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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CPT 64912 Fee Schedule

Compare published rates across providers.

East Campus Surgery Center LLC

Oak Point Surgical Suites LLC

Fort Wayne Vascular Care LLC, Nephrology Associates Of Northern Indiana PC

Endoscopy Center Of North Carolina

Grant Roesler