CPT code 64802: Cervical sympathectomy2026 Medicare rate & RVUs

Medicare pays $879.11 for 64802 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 64802 covers

Cervical sympathectomy surgically interrupts the sympathetic pathway in the neck. A surgeon exposes and treats the cervical sympathetic chain in an operating room; the code is distinguished by the cervical location, not simply by the patient’s symptoms or the surgical approach. It may be considered for selected disorders attributed to cervical sympathetic activity, including refractory vasospastic or ischemic symptoms involving the upper limb. The operative report should identify the treated anatomy and side.

Report this service for surgery on the cervical sympathetic pathway, rather than a sympathectomy at the cervicothoracic, thoracolumbar, lumbar, or peripheral arterial level. Documentation should support the indication, anatomic level, laterality, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 64802 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

64802 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 64802 rate is calculated

Each of 64802’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 64802

64802 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

64802 compared with similar codes

How to choose

64804Sympathectomy

This code is for a cervicothoracic target. Use 64802 when the operative report identifies the cervical sympathetic pathway as the treated level.

64809Sympathectomy

This code identifies thoracolumbar sympathectomy, not surgery on the cervical pathway.

64820Sympathectomy

This code targets sympathetic fibers at a digital artery. It is not selected for surgery on the cervical sympathetic chain.

Codes related to 64802

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates